New York Codes Rules Regulations (Last Updated: March 27,2024) |
TITLE 10. Department of Health |
Chapter II. Administrative Rules and Regulations |
Subchapter L. Hospitals and Related Facilities |
Part 86. Reporting and Rate Certifications for Facilities |
Sec. 86-13.8. Specialized template populations
Latest version.
- 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 1, 2011 and March 31, 2014:
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 31, 2014:Prevocational – 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 be 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 2 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 2 percent and multiplied by the fee sheet fringe benefit percentage to calculate the additional clinical compensation increase for April 1, 2015.