The Idaho Division of Medicaid is seeking public comment on plans being submitted to the federal government to set new rates and methodology to reimburse providers of supported living services. These services help developmentally disabled adults live in their own homes rather than in an institution or certified family home.
The proposed amendments are the result of an intensive cost survey conducted of supported living providers earlier this year, followed by stakeholder meetings for additional input and analysis. If approved by the federal government, Idaho Medicaid anticipates the new methodology and rates will go into effect on April 3, 2017.Based on the cost survey and stakeholder meetings, the new rates for supported living services are:
While the provider cost survey was being conducted, Medicaid implemented temporary supported living rates beginning last February until new rates could be established. Medicaid originally intended to reconcile with providers if the new rates differed by more than 5% of the temporary rates. Some of the new rates have at least a 5% difference compared to the temporary rates, but based on the negative impact a claims reprocessing and recoupment may have on participants’ access to services, Medicaid does not plan to pursue recoupment of the difference.
Idaho Medicaid is now accepting written and recorded comments through the end of business Thursday, December 15, 2016, regarding the proposed amendments. Additionally, Medicaid will hold a public hearing concerning the waiver amendments on Tuesday, November 29, 2016, at 2:00 pm (MST), and a provider Q&A session concerning the waiver amendments on Monday, December 5, 2016, at 2:00 pm (MST). The public may participate in these meetings in person at the Medicaid Central Office or via toll-free teleconference.
Detailed information regarding the proposed changes, public meeting dates and locations, and ways to submit public comments, can be found on the Department’s website under the “Proposed Changes to §1915(c) Waivers” in the right hand column at: http://healthandwelfare.idaho.gov/Medical/Medicaid/tabid/123/Default.aspx.