N.Y. Comp. Codes R. & Regs. Tit. 10 §§ 86-13.8

Current through Register Vol. 46, No. 51, December 18, 2024

Section 86-13.8 - Specialized template populations

Notwithstanding any other provisions of this Subpart, rates for individuals identified by OPWDD as qualifying for specialized template populations funding shall be as follows. As used in this section, "Downstate" shall mean the counties of New York, Kings, Bronx, Queens, Richmond, Nassau, Suffolk, Westchester, Rockland, Orange Sullivan, Putnam and Dutchess, and "Upstate" shall mean all other counties in New York State.

(a) For individuals initially identified as qualifying for specialized template populations funding between November first, two thousand eleven and March thirty-first, two thousand fourteen:

Prevocational - Specialized Level of Care
Region	Gross Annual Funding Allocation Per Individual - Operating Only
Downstate
	$41,730
Upstate	$37,562

Prevocational- Highly Complex Level of Care
Region	Gross Annual Funding Allocation Per Individual - Operating Only
Downstate	$46,433
Upstate	$43,063

(b) For individuals initially identified as qualifying for specialized template populations funding after March thirty-first, two thousand fourteen:

Prevocational - Highly Complex Level of Care
Region	Gross Annual Funding Allocation Per Individual - Operating Only
Downstate
	$46,433
Upstate	$43,063

(c) January first, two thousand fifteen increase. The fees for specialized template populations funding will be revised to incorporate funding for compensation increases to direct support professional employees. Such fee increases will be effective January first, two thousand fifteen. The compensation increase funding will be included in the provider's fee issued for January first, two thousand fifteen or in a subsequent fee with the inclusion of funding in the amount necessary to achieve the same funding impact as if the fee had been issued on January first, two thousand fifteen. The compensation increase funding will be inclusive of associated fringe benefits.

(d) April first, two thousand fifteen increase. In addition to compensation funding effective January first, two thousand fifteen, the fees for specialized template population funding will be revised to incorporate funding for a compensation increase to direct support professional and clinical employees to be effective April first, two thousand fifteen. The April first, two thousand fifteen direct support compensation funding will be compounded on the amount which was calculated for the January first, two thousand fifteen compensation increase and will be an augmentation to the January first, two thousand fifteen increase.

(e) Calculations.

(1) The portion of the fee that is identified as direct care and support will be increased by 2% and multiplied by the fee sheet fringe benefit percentage to calculate the additional direct support compensation increases for January first, two thousand fifteen and April first, two thousand fifteen.

(2) The portion of the fee that is identified as clinical will be increased by 2% and multiplied by the fee sheet fringe benefit percentage to calculate the additional clinical compensation increase for April first, two thousand fifteen.

N.Y. Comp. Codes R. & Regs. Tit. 10 §§ 86-13.8

Adopted by New York State Register April 13, 2016/Volume XXXVIII, Issue 15, eff. 4/13/2016