Sec. 86-11.9. 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:

(a) For individuals initially identified as qualifying for specialized template populations funding between November 1, 2011 and March 31, 2014.

Residential – Specialized Level of Care
Region	Gross Annual Funding Allocation Per Individual – Operating Only
Downstate	$166,400
Upstate	$150,500
Residential – Highly Complex Level of Care
Region	Gross Annual Funding Allocation Per Individual – Operating Only
Downstate	$189,500
Upstate	$171,500
Residential – Auspice Change
Region	Gross Annual Funding Allocation Per Individual – Operating Only
Downstate	$136,500
Upstate	$123,500
Day Services – Specialized Level of Care
Region	Gross Annual Funding Allocation Per Individual – Operating Only
Downstate	$41,730
Upstate	$37,562
Day Services – 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 31, 2014.

Residential – Highly Complex Level of Care
Region	Gross Annual Funding Allocation Per Individual – Operating Only
Downstate	$189,500
Upstate	$171,500
Residential – Auspice Change
Region	Gross Annual Funding Allocation Per Individual – Operating Only
Downstate	$136,500
Upstate	$123,500
Day Services – Highly Complex Level of Care
Region	Gross Annual Funding Allocation Per Individual – Operating Only
Downstate	$46,433
Upstate	$43,063

(c) January 1, 2015 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 1, 2015. The compensation increase funding will be included in the provider’s fee issued for January 1, 2015 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 1, 2015. The compensation increase funding will be inclusive of associated fringe benefits.

(d) April 1, 2015 increase.

In addition to compensation funding effective January 1, 2015, the fees for specialized template population funding will revised to incorporate funding for a compensation increase to direct support professional and clinical employees to be effective April 1, 2015. The April 1, 2015 direct support compensation funding will be compounded on the amount which was calculated for the January 1, 2015 compensation increase and will be an augmentation to the January 1, 2015 increase.

(e) Calculations.

(1) The portion of the fee that is identified as direct care and support will be increased by two percent and multiplied by the fee sheet fringe benefit percentage to calculate the additional direct support compensation increases for January 1, 2015 and April 1, 2015.

(2) The portion of the fee that is identified as clinical will be increased by two percent and multiplied by the fee sheet fringe benefit percentage to calculate the additional clinical compensation increase for April 1, 2015.