Provider Letter - Administrative Letter 19-06
OKLAHOMA DEPARTMENT OF HUMAN SERVICES
Developmental Disabilities Services Division
Sequoyah Memorial Office Building
PO Box 25352
Oklahoma City, OK 73125-9907
PH: (405) 521-3571 FX: (405) 522-3037 www.okdhs.org
Administrative Letter 19-06
Dear Provider,
Developmental Disabilities Services (DDS) received approval from The Centers for Medicare and Medicaid Services for daily respite rate increases made possible by HB 3708. The rates were adjusted to include a room and board payment. In addition, a new service, Respite in Agency Companion (Contractor) – Pervasive was added. These increases were effective October 4, 2018. Since daily respite is provided outside of the service recipient's home, the room and board payment included in the rate ($22) must be paid to the person who provides the respite service. The new rates are outlined below.
DESCRIPTION | SERVICE CODE | NEW RATE |
RESPITE MAXIMUM | S5151 | $76.00 |
RESPITE IN GROUP HOME - 6 BED | S5151 | $94.50 |
RESPITE IN GROUP HOME - 7 BED | S5151 | $84.00 |
RESPITE IN GROUP HOME - 8 BED | S5151 | $76.25 |
RESPITE IN GROUP HOME - 9 BED | S5151 | $71.50 |
RESPITE IN GROUP HOME - 10 BED | S5151 | $67.75 |
RESPITE IN GROUP HOME - 11 BED | S5151 | $64.75 |
RESPITE IN GROUP HOME - 12 BED | S5151 | $62.25 |
RESPITE IN COMMUNITY LIVING GROUP HOME – 6 BED | S5151 | $188.75 |
RESPITE IN COMMUNITY LIVING GROUP HOME – 7 BED | S5151 | $165.00 |
RESPITE IN COMMUNITY LIVING GROUP HOME – 8 BED | S5151 | $160.25 |
RESPITE IN COMMUNITY LIVING GROUP HOME – 9 BED | S5151 | $144.75 |
RESPITE IN COMMUNITY LIVING GROUP HOME – 10 BED | S5151 | $142.75 |
RESPITE IN COMMUNITY LIVING GROUP HOME – 11 BED | S5151 | $131.75 |
RESPITE IN COMMUNITY LIVING GROUP HOME – 12 BED | S5151 | $130.50 |
RESPITE IN AGENCY COMPANION (CONTRACTOR) – CLOSE | S5151 | $118.50 |
RESPITE IN AGENCY COMPANION (CONTRACTOR) – ENHANCED | S5151 | $147.50 |
RESPITE IN AGENCY COMPANION (CONTRACTOR) – PERVASIVE | S5151 | $159.25 |
The DDS Provider Support Center will update all of the existing daily respite authorizations. We will keep you informed as we work through this process. The DDS Provider Support Center is a good resource if you need further information or assistance. The support center may be contacted as follows:
E-mail: ddsd.provider.support@okdhs.org; Fax: 405-573-6853
Toll Free: 1-800-349-9173 Local (OKC) 405-325-5080
Hours: Mon-Fri 8:30am to 4:30pm (office closed from Noon to 1pm)
A copy of this letter is posted in the Provider Information section of the Developmental Disabilities Services webpage of the Department of Human Services website: http://www.okdhs.org/services/dd/pages/providerletters.aspx.
Sincerely,
Beth Scrutchins, Director
Developmental Disabilities Services
Department of Human Services