Latest Events

22 Jun 2017
09:00AM - 05:00PM
Approved Medication Administration Personnel
22 Jun 2017
02:00PM - 04:00PM
Residential Committee
23 Jun 2017
10:00AM - 12:00PM
New Location: Training Directors Committee
23 Jun 2017
02:00PM - 04:00PM
New Date & Location: Adult Day Services Committee
IACTI offers cost-effective in-service training
Campaign to Highlight Importance of Medicaid
Name the Ferry for Bernard
Update on #bFair2DirectCare
Our Legislators heard us

Respite Fee Changes

OPWDD has released amended respite fees and regulations that will be effective 7/1/17, although they remain subject to CMS approval. The school age and recreation are being combined into a single category, and being assigned the higher rate associated with recreation. Intensive rates will see a sizable increase as well. Below are some of the other major points of emphasis:

* Providers must use the new fee schedule beginning on 7/1/17. No previous guidance should be followed.

* DDROs will continue to authorize respite units and service hours.

* Intensive Respite Requirements: the individual must be precluded from all other respite categories and have high behavioral or high medical needs and which will be determined by the DDRO.

o Medical: and RN or LPN must oversee the service (although the clinician does not have to deliver the service directly), and the individual must have a PONS.

o Behavioral: LMSW or BIS must oversee the service (although does not have to deliver the service directly), and must have a behavioral plan written by a licensed LMSW/BIS.

* Transportation: If the agency provides transportation to or from the respite service, then billing can be applied from the moment transportation begins, however it is not supplemental funding (add on). Additional units should be requested from the DDRO if necessary.

* Multiple Services are billable for same person on the same day, but no overlap of time.

* Days Limit: The new rules for Site Based Overnight Respite will allow for 30 consecutive days within a 90- day time period. A commissioner approved extension can be authorized in an emergency. The belief is this will be more flexible than the previous 42 day rule over 12 months.

* If an agency thinks the changes are going to adversely impact their current program, they should contact the local DDRO who will work with them towards possible solutions.

FacebookMySpaceTwitterGoogle BookmarksLinkedinRSS FeedPinterest
Pin It

Login Form

Written on 04/04/2017, 15:13
nyc-tax-lien-sale-notices-where-you-don-t-want-to-see-your-programs-listedNYC TAX LIEN SALE NOTICES: WHERE YOU DON’T WANT TO SEE YOUR PROGRAMS LISTED As most New York City non-profits know, the property tax exemption laws...
Written on 06/13/2017, 11:12
opt-enforces-transportation-policy-for-preOPT Enforces Transportation Policy for Preschool Students who have Challenges with Ambulation  On May 10th one of our preschool providers had a site...
Written on 05/01/2017, 13:45
semp-the-ongoing-sagaSEMP:  The Ongoing Saga Since OPWDD’s announcement that SEMP would be redesigned to increase provider reimbursement of services and provide adequate...