This page contains answers to the most frequently asked questions regarding the Rate Model implementation process.
1. What is a Rate Model?
2. Where can I learn more about the Rate Study?
3. Where can I submit questions, comments and concerns regarding rate reform?
4. Where can I find the Rate Model rates?
5. How will I know the updated rate for my program?
6. Since the Rate Study was completed in 2019, when will the rate models be updated?
7. How will the regional centers gather information on staff qualifications to properly adjust the rates?
8. Will there be a review period prior to, or after, implementation for providers to address questions/concerns?
9. Where can I learn more about the rate changes effective April 1, 2022?
10. If a provider started services for example after April 2020, will they receive a rate increase?
11. Will the rates vary across all regional centers?
12. If two vendors work in the same area, will they be paid the same standard rate, or will there be differences from vendor to vendor performing the same service?
13. How will rates be determined for providers serving consumers from multiple regional centers?
14. Are rates going to increase 25% each year until rates reach the targeted rate?
15. Which rate will be used to compare to the Rate Model for the changes that will occur in April 2022?
16. We received a rate increase in 2020 that was meant to sunset in December 2021. How does this factor into the Rate Model increases?
17. When will service providers receive rate increases?
18. Were rates for the Tailored Day Service included in the Rate Study?
19. Will there be an ongoing annual Cost of Living Adjustment (COLA) wage adjustment, or changes to the IRS mileage rates after 2025?
20. Will the rate model implementation effect Alternative Services?
21. Many behavior programs do not currently have Registered Behavior Therapists on staff. What will the expectation be regarding the implementation of this aspect of the rate study?
22. Based on the rate study, the mileage is included in the new rate per billable hour. For providers who have billed for mileage and the base rate separately, what does this mean for the changes in April 2022?
23. For service providers with rates above the Rate Model, when will rates be decreased?
24. The rate study shows that there will be changes and requirements for some services, do those take effect April 2022?
25. Where can we find the definition of Early Interventionist Specialist (EIS) and Early Interventionist Assistant (EIA)? Do they include staff without credentials?
The rate study makes recommendations on credentialing, but these are not requirements to receive the rate adjustment effective April 1, 2022.
26. Will the purchase of service specify who is going to provide services to the child for Early Start, such as Early Intervention Specialist or Therapist for the April 1, 2022, rate adjustment?
27. Effective July 1, 2025, service code 805 (Infant Development) will have different rates by staff level. Will the service coordinator have to write multiple authorizations for each service?
28. Will DDS be considering licensed mental health professionals as “Therapists,” especially given that DDS is focusing on social-emotional development as the primary objective for Early Start?
29. Will any of the rates require a credential for the April 2022 adjustments?
30. How do the rate models account for the wear and tear of vehicle’s that providers purchase?
Recognizing that transportation companies often use larger vehicles, the rate models for this service include a higher amount for acquisition and depreciation. The rate models for non-ambulatory services provided under the transportation-additional component rates similarly include a higher depreciation cost.
31. How will trip mileage be calculated?
32. For providers who provide door-to-door service for multiple participants, will the average miles per trip be the average total miles for all participants on a specific route or average miles round trip for each individual rider?
33. Will there be separate rates for providers who use company vehicles and those who reimburse staff for use of private vehicles?
34. The rate study shows a difference between ambulatory and non-ambulatory trips. Current rates are on a trip basis (ONE RATE), but our regional center asked for the percent of trips for each category. Should providers expect a transition to the two rate types at some point?
The rate study does assume that vendors will ultimately be transitioned to separate rates for ambulatory and non-ambulatory services. DDS will work with Regional Centers and vendors on the timing of this transition to ensure sufficient time to make the necessary changes.
35. How do you differentiate the miles needed for a client transportation versus distance traveled to reach the client?
36. When will rates need to be converted to trip rates?
37. What is the Quality Incentive Program?
38. How will quality payments be determined and what will they be based on?
39. Will Quality Incentive payments apply to those services that were not part of the Rate Study?
40. What is the Direct Service Professional Training and Certification program?
41. Will the Direct Service Professional Training and Certification pay increases be included in the Rate Model?
42. How is the Direct Service Professional Training and Certification program different from the Direct Support Professional Training that DDS currently offers?
43. Who will be eligible for the Direct Service Professional Training and Certification program?
44. What is the Direct Service Professional Bilingual Differential?
45. Will the Bilingual Differential be included in the Rate Model?
46. Who will be eligible for the Bilingual Differential?
47. How will Bilingual Differentials be processed?
Last modified: August 8, 2022