FINAL HMA RATE STUDY REPORT

ADMH conducted a study of payment rates for services for individuals with intellectual and developmental disabilities delivered through the Intellectual Disabilities and Living at Home waivers as well as the Community Waiver Program.

Summary of Results

  • ID and LAH rates would increase total provider revenues by 30 to 35 percent compared to pre-public health emergency rates {or non-temporary rates)

    • Magnitude of the increase due to only modest increases in provider rates over the past 15-plus years

    • Increases primarily driven by assumed increases in direct support compensation

    • Rate increases will necessitate adjustments to Living at Home waiver budget limit

      • Given tiered rates for Day Habilitation services, which is the most utilized service in the program, the rate models consider limits tied to individuals' levels of need {otherwise, individuals with greater needs have access to fewer services due to the higher rates paid for their care)

  • CWP rates would increase total provider revenues by an estimated 20 to 25 percent compared to estimates from Appendix J of the waiver

  • Rate increases vary by service {and some rates represent reductions compared to current rates)