Tenn. Comp. R. & Regs. 0465-01-02-.10
Value-based Rate Setting Methodology for Supported Employment-individual Job Development
Effective Jan 5, 2020Authority: T.C.A. §§ 4-3-2701, 4-3-2707, 4-4-103, 4-5-201, et seq., 4-5-208, et seq. and its applicable regulations concerning emergency rules, 33-1-201, 33-1-202, 33-1-203(1) and (6), 33-1-204, 33-1-301, 33-1-302, 33-1-302(a)(3) and (a)(4), 33-1-303, 33-1-303(3) and (11), 33-1-304, 33-1-305(1), and 33-1- 309(d); Executive Order of the State of Tennessee No. 23, dated October 19, 1999; State of Tennessee Delegated Purchase Authority DP 10-28649-00 Reg. 515; the “Reimbursement Rate” for Medical Services under DIDD federal waiver(s) for provision of services as administered by TennCare; and. Tennessee Public Chapter 1100, June 23, 2010.Tennessee Department of Intellectual and Developmental Disabilities/, Disability and Aging
- (1) Supported employment-individual job development is paid for on an outcome basis.
- (2) The unit is a complete episode of the service as defined in the approved Section 1915(c) waiver application and includes all of the service required to deliver the expected outcome.
(3) The outcome-based rate is calculated using the following factors:
(a) Average cost of job developer hour of service, including these component costs:
- 1. DSP reimbursement rate;
- 2. Adjustment of $2.75/hour to increase DSP reimbursement rate to account for additional qualifications required for job developer;
- 3. Employee-related expenses;
- 4. Administrative costs;
- 5. Productivity assumptions; and
- 6. Travel costs; SERVICE PROVIDERS (RATE STRUCTURE)
- (b) Rate level factor based on average number of job developer hours required to complete service and secure outcome adjusted for intensity of support needs of the individual; and
- (c) Billable service adjustment for percentage of waiver participants that do not complete the service due to reasons beyond the purview of the provider’s control.
Authority: T.C.A. §§ 4-3-2701, 4-3-2707, 4-4-103, 4-5-201, et seq., 4-5-208, et seq. and its applicable regulations concerning emergency rules, 33-1-201, 33-1-202, 33-1-203(1) and (6), 33-1-204, 33-1-301, 33-1-302, 33-1-302(a)(3) and (a)(4), 33-1-303, 33-1-303(3) and (11), 33-1-304, 33-1-305(1), and 33-1- 309(d); Executive Order of the State of Tennessee No. 23, dated October 19, 1999; State of Tennessee Delegated Purchase Authority DP 10-28649-00 Reg. 515; the “Reimbursement Rate” for Medical Services under DIDD federal waiver(s) for provision of services as administered by TennCare; and. Tennessee Public Chapter 1100, June 23, 2010. Administrative History: Original rule filed December 12, 2013; effective March 12, 2014. Amendments filed October 7, 2019; effective January 5, 2020.