Provider Letter - Rate Increases FY19
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
August 16, 2018
Administrative Letter 19-02
Dear Provider,
Developmental Disabilities Services received approval from CMS for rate increases made possible by HB3708. These increases are retroactive to July 1, 2018. The new rates are described and outlined below.
| DESCRIPTION | SERVICE CODE | NEW RATE |
| ADULT DAY CARE | S5100 | $2.00 |
| DAILY LIVING SUPPORTS | T2033 | $154.00 |
| DAILY LIVING SUPPORTS-THER LEAVE | T2033 TV | $154.00 |
| GROUP HOME * | ||
| 6 BED * | T1020 | $72.50 |
| 7 BED * | T1020 | $62.00 |
| 8 BED * | T1020 | $54.25 |
| 9 BED * | T1020 | $49.50 |
| 10 BED * | T1020 | $45.75 |
| 11 BED * | T1020 | $42.75 |
| 12 BED * | T1020 | $40.25 |
| GROUP HOME ALT. LIVING, 4 BED * | T1020 | $292.00 |
| AGENCY COMPANION (CONTRACTOR)-CLOSE | S5126 U4 | $96.50 |
| AGENCY COMPANION (CONTRACTOR)-CLOSE THER LEAVE | S5126 U4 TV | $96.50 |
| AGENCY COMPANION (CONTRACTOR)-ENHANCED | S5126 TG | $125.50 |
| AGENCY COMPANION (CONTRACTOR)-ENHANCED THER LEAVE | S5126 TG TV | $125.50 |
| AGENCY COMPANION (CONTRACTOR)-PERVASIVE | S5136 TG | $137.25 |
| AGENCY COMPANION (CONTRACTOR)-PERVASIVE THER LEAVE | S5136 TG TV | $137.25 |
| ES-CENTER BASED PREVOCATIONAL SVS | T2015 U1 | $5.00 |
| ES-CENTER BASED PREVOCATIONAL SVS-STATE FUND * | T2015 U1 SE | $5.00 |
| ES-COMMUNITY BASED PREVOC SERVICES | T2015 TF | $10.00 |
| ES-COMMUNITY BASED PREVOC SERVICES-STATE FUND * | T2015 TF SE | $10.00 |
| ES-PRE VOC HTS-SUPP. SUPPORTS | T2015 TG | $12.60 |
| ES-PRE VOC HTS-SUPP. SUPPORTS-STATE FUND * | T2015 TG SE | $12.60 |
| ES-ENHANCED COMMUNITY BASED PREVOC | T2015 | $13.32 |
| ES-ENHANCED COMMUNITY BASED PREVOC-STATE FUND * | T2015 SE | $13.32 |
| ES-COMMUNITY BASED INDIVIDUAL SERVICES | T2015 U4 | $16.20 |
| ES-COMMUNITY BASED INDIVIDUAL SERVICES-STATE FUND * | T2015 U4 SE | $16.20 |
| ES-JOB STABILIZATION / EXT SVS | T2019 U1 | $1.38 |
| ES-JOB COACHING SERVICES | T2019 TF | $3.34 |
| ES-ENHANCED JOB COACHING SVS | T2019 TG | $3.88 |
| ES-JOB COACHING INDIVIDUAL SVS | T2019 U4 | $4.44 |
| ES-JOB COACHING INDIVIDUAL SVS-STATE FUND * | T2019 U4 SE | $4.44 |
| ES-EMPLOYMENT SPECIALIST | T2019 | $6.04 |
| TRANSPORTATION-MILEAGE | S0215 | $0.50 |
| PROFESSIONAL INDIRECT SERVICE (TRAVEL) * | S0215 SE | $0.50 |
| TRANSPORTATION-ADAPTED-NON-EMERGENCY VAN | A0130 | $1.30 |
| NURSING EXTENDED DUTY | T1000 | $6.50 |
| NURSING INTERMITTENT SKILLED | T1001 | $50.50 |
| SKILLED NURSING-RN | G0299 | $15.00 |
| DESCRIPTION | SERVICE CODE | NEW RATE |
| SKILLED NURSING-LPN | G0300 | $14.00 |
| SPECIALIZED FOSTER CARE-ADULT | S5140 | $54.00 |
| SPECIALIZED FOSTER CARE-CHILD | S5145 | $54.00 |
| HTS- HABILITATION TRAINING SPECIALIST | T2017 | $16.20 ($4.05 PER 15 MINUTE) |
| HTS-HABILITATION TRAINING SPECIALIST - STATE FUND * | T2017 SE | $16.20 ($4.05 PER 15 MINUTE) |
| IPS-INTENSIVE PERSONAL SUPPORT | T2017 TF | $16.20 ($4.05 PER 15 MINUTE) |
| IPS-INTENSIVE PERSONAL SUPPORT - STATE FUND * | T2017 TF SE | $16.20 ($4.05 PER 15 MINUTE) |
| HOMEMAKER - STATE FUND * | S5130 SE | $15.40 ($3.85 PER 15 MINUTE) |
| HOMEMAKER RESPITE | S5150 | $15.40 ($3.85 PER 15 MINUTE) |
*State Funded or Manually priced services.
New Authorizations will only be issued on State Funded ("MC" numbers) and Manually Price ("PB" numbers) services. DDS is working with OHCA on a mass adjustment for previously paid services provided on or after July 1, 2018. We are hopeful all claims can be adjusted within 2 to 3 weeks. 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)
State Funded Service Contracts
State funded Sheltered Workshop, Community Integrated Employment, Assisted Living, Group Home and Prader-Willi rates were updated by contract modification with a July 1, 2018 effective date. Those rates are listed below.
| Service Description | New Rate |
| Sheltered Workshop | $23.30 |
| Community Integrated Employment | $25.50 |
| Assisted Living | $18.50 |
| Prader-Willi | $42.25 |
| Group Home- 6 bed | $72.50 |
| Group Home- 7 bed | $62.00 |
| Group Home- 8 bed | $54.25 |
| Group Home- 9 bed | $49.50 |
| Group Home- 10 bed | $45.75 |
| Group Home- 11 bed | $42.75 |
| Group Home- 12 bed | $40.25 |
A copy of this letter is posted on the Developmental Disabilities Services page in the Provider Information portion of the DHS website. Add link
Sincerely,
Beth Scrutchins, Director
Developmental Disabilities Services
Department of Human Services
