HomeMy WebLinkAboutExhibit 4Information Sheet
Medicaid Waiver Transportation Services Rate Increase
1. The effective date of the rate increase will be November 1, 2005.
2. Medicaid Provider Agreements for transportation services must be executed
and in place before service authorizations can occur. This will be
accomplished during the month of October. Separate agreements must be
signed for FSL and DDIHCBS waivers. The provider should not bill using the
increase rate prior to signing the new service agreement.
3. The provider should not bill for transportation using the rate increase until
they have receive a service authorization from the support coordinator for the
consumers they serve.
4. A transportation reporting requirement has been added to the agreements.
Thi es rr porting will assist•APD in long term planning for transportation as
services. Technical assistance will be provided to providers •
needed for completing the report. The report will be due on i�l-ach year
and is for data captured during the period January thru Marc of the same
calendar year.
5. The provider agreements for those providers who serve consumers in the
Family and Supported Living (FSL) waiver are subject to availability of funds
in the consumers' cost plan. As you knowi!cost plans for this waiver are.
capped at $14,282. If the 8% rate change wHHIause the consumers plan to
be exceeded, then, the new rate may not be applied to this consumer. Based
upon current analysis, the majority of FSL individual cost plans can
accommodate the rate increase within the cap.
6. An automated (electronic) change to increase transportation rates and
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FSL Medicaid Waiver Services Agreement for Transportation
The differences in the agreement are as follows:
Page 1, first paragraph, the Agreement is limited to Transportation Services only.
This Agreement should only be used for this exercise. Subsequent renewals will
require further modification of the Agreement.
1 A. Transportation Services Reporting Example is referenced and
attached
d
as Attachment A. Rate structure documents are referenced and
as Attachment B.
B. A provision is added at the end of this clause limiting the increase to
those FSL consumers who have adequate funding in their current cost
plan to accommodate the increase. Districts will need to prepare
Attachment B to show two rates — one that is a continuation' of the current
rates pursuant to the consumer's service authorization, and another for
the increased rates.
11. The reporting requirements are specified at the end of the first paragraph.
VI. The Agreement cannot take effect any sooner than November 1, 2005.
This is necessary in order to automate the changes in the contract
amounts and avoid staff having to make the changes in each cost plan. In
addition, for the. FSL Waiver the Agreement' must be for at least one year
from the effective date of the Agreement:
IX. This clause specifies that the Agreement being executed supersedeso all
previous agreements. The last paragraph in this clause is added
address the situation where the previous Agreement includes services
other than transportation. Under this circumstance, only the
T-rensportation-Services-portion-ef-the-existing—Agreement-is-s perceded.
All other services will continue under the terms of the previous Agreement.