(a) The Administration shall:
(1) Conduct an independent cost-driven, rate-setting study to set provider rates for community-based services that includes a rate analysis and an impact study that considers the actual cost of providing community-based services, including:
- (i) The cost of transportation across all service types;
- (ii) Appropriate wage and benefit levels for direct support and supervisory staff; and
- (iii) Rates that incorporate the fiscal impact of absence days;
- (2) Develop and implement a plan incorporating the findings of the rate-setting study conducted under item (1) of this subsection, including projected costs of implementation and recommendations to address any potential shortfall in funding;
- (3) Develop a strategy for assessing the needs of an individual receiving services that conforms with the findings of the rate-setting study conducted under item (1) of this subsection;
- (4) Provide for adequate working capital payments to providers;
- (5) Develop a sound fiscal billing and payment system that is tested for adequacy and efficiency in payment of providers;
- (6) Establish a payment schedule that ensures the timely and efficient reimbursement of providers for services provided; and
- (7) Consult with stakeholders, including providers and individuals receiving services, in conducting the rate-setting study and developing the payment system required by this subsection.
- (b) The Administration, on or before September 30, 2017, shall complete the study required under subsection (a) of this section.
- (c) The Administration shall adopt regulations to implement the payment system required by this section.
Added by Acts 2014, c. 648, § 2, eff. Oct. 1, 2014.