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Administrative Letter 23-02

October 5, 2022

Administrative Letter 23-02

 

Dear Providers,

Developmental Disabilities Services received approval from the Centers for Medicare and Medicaid (CMS) for a historic rate increaseThese increases are effective October 1, 2022.

During the 2022 Oklahoma legislative session, lawmakers funded a 25% increase to the reimbursement rate as part of an effort to ensure all individuals on the waitlist for services are able to receive high-quality care and necessary supports to live in their communities..

For providers and agencies with waiver authorizations from the Oklahoma Healthcare Authority, there is no action required. Rate tables have been updated to reflect the new rates, and there is no need to split or re-submit claims. For state funded services, providers will need to update their invoices to reflect the new rates effective October 1, 2022.

Additionally, the annual financial limit for the In-Home Supports Waivers have also increased, effective October 1. The new annual limit for the In-Home Supports Waiver for Children is $19,283 while the new annual limit for the In-Home Supports Waiver for Adults has risen to $28,914.

The new rates are described and outlined below. This is an updated list correcting the original Oct. 3 rate chart and adding in a chart for state rates.

 

DescriptionPrevious Annual Limit New Annual Limit
In-Home Supports Waivers - Adult$23,131$28,914
In-Home Supports Waivers - Children$15,426$19,283

 

Description CodeService Unit Current Rate  New Rate 
Adult Day ServicesS510015 Minutes$2.08$2.60
Agency Companion – CloseS5126 U1Day$100.36$125.45
Agency Companion - Close Therapeutic LeaveS5126 U1 TVDay$100.36$125.45
Agency Companion – EnhancedS5126Day$130.52$163.15
Agency Companion - Enhanced - Therapeutic LeaveS5126 TVDay$130.52$163.15
Agency Companion – PervasiveS5126 TFDay$142.74$178.43
Agency Companion - Pervasive - Therapeutic LeaveS5126 TF TVDay$142.74$178.43
Center-Based Pre-Vocational Svc - waiver fundedT2015 U1Hour$5.20$6.50
Center-Based Pre-Vocational Svc - waiver funded – TelehealthT2015 U1 GTHour$5.20$6.50
Center-Based Pre-Vocational Svc & TL - state fundedT2015 U1 SEHour$5.20$6.50
Community-Based Pre-Voc Svc - waiver fundedT2015 TFHour$10.40$13.00
Community-Based Pre-Voc Svc & TL - state fundedT2015 TF SEHour$10.40$13.00
Daily Living SupportsT2033Day$160.16$200.20
Daily Living Supports-TelehealthT2033 GTDay$160.16$200.20
DLS - Therapeutic LeaveT2033 TVDay$160.16$200.20
Employment SpecialistT201915 Minutes$6.28$7.85
Employment Specialist – TelehealthT2019 GT15 Minutes$6.28$7.85
Enhanced Community-Based Pre-Voc Svc - waiver fundedT2015Hour$13.85$17.31
Enhanced Community-Based Pre-Voc Svc & TL - state fundedT2015 SEHour$13.85$17.31
Enhanced Job Coaching GROUPS of 2-3T2019 TG HQ15 Minutes$4.32$5.40
Enhanced Job Coaching Service (Groups of 4-5)T2019 TG15 Minutes$4.04$5.05
Extended Duty Nursing T100015 Minutes$6.76$10.00
Family Counseling - Group - Psychotherapy90853 U115 Minutes$5.75$7.19
Family Counseling - Group - Psychotherapy-Telehealth90853 U1 GT15 Minutes$5.75$7.19
Family Counseling - Individual (without Client)9084615 Minutes$17.24$21.55
Family Counseling - Individual (without Client)-Telehealth90846 GT15 Minutes$17.24$21.55
Family Counseling - Individual with Consumer present9084715 Minutes$17.24$21.55
Family Counseling - Individual with Consumer present-Telehealth90847 GT15 Minutes$17.24$21.55
Group Home 10 BedT1020Day$47.58$59.48
Group Home 11 BedT1020Day$44.46$55.58
Group Home 12 BedT1020Day$41.86$52.33
Group Home 6 BedT1020Day$75.40$94.25
Group Home 7 BedT1020Day$64.48$80.60
Group Home 8 BedT1020Day$56.42$70.53
Group Home 9 BedT1020Day$51.48$64.35
Group Home Alternative Living Home 4 BedT1020Day$303.68$379.60
Group Home Community Living 10 bedT1020Day$125.58$156.98
Group Home Community Living 11 bedT1020Day$114.14$142.68
Group Home Community Living 12 bedT1020Day$112.84$141.05
Group Home Community Living 6 BedT1020Day$173.42$216.78
Group Home Community Living 7 bedT1020Day$148.72$185.90
Group Home Community Living 8 bedT1020Day$143.78$179.73
Group Home Community Living 9 bedT1020Day$127.66$159.58
HomemakerS513015 Minutes$4.00$5.00
Homemaker-RespiteS515015 Minutes$4.00$5.00
Homemaker-Respite-EVVS5150 3215 Minutes$4.00$5.00
Homemaker-State FundS5130 SE15 Minutes$4.00$5.00
HTS - Habilitation Training SpecialistT201715 Minutes$4.21$5.26
HTS - Habilitation Training Specialist - EVVT2017 3215 Minutes$4.21$5.26
HTS - Habilitation Training Specialist - state fundedT2017 SE15 Minutes$4.21$5.26
HTS - Habilitation Training Specialist-TelehealthT2017 GT15 Minutes$4.21$5.26
HTS - No Supervising Agency - IndependentT2017 U115 Minutes$1.90$2.38
Individual Placement in Community-Based, Pre-VocationalT2015 U4Hour$16.84$21.05
Individual Placement in Community-Based, Pre-Vocational - TelehealthT2015 U4 GTHour$16.84$21.05
Individual Placement in Community-Based, Pre-Vocational, state fundedT2015 U4 SEHour$16.84$21.05
Individual Placement in Job Coaching, Supported EmploymentT2019 U415 Minutes$6.25$7.81
Individual Placement in Job Coaching, Supported Employment - TelehealthT2019 U4 GT15 Minutes$6.25$7.81
Individual Placement in Job Coaching, Supported Employment, state fundedT2019 U4 SE15 Minutes$6.25$7.81
Intensive Personal SupportsT2017 TF15 Minutes$4.21$5.26
Intensive Personal Supports - state fundedT2017 TF SE15 Minutes$4.21$5.26
Job Coaching (Groups of 4-5)T2019 TF15 Minutes$3.47$4.34
Job Coaching GROUPS of 2-3T2019 HQ15 Minutes$3.75$4.69
Job Stabilization/Extended SvcT2019 U115 Minutes$1.44$1.80
Job Stabilization/Extended Svc - TelehealthT2019 U1 GT15 Minutes$1.44$1.80
Nursing - Intermittent Skilled CareT1001Visit$52.52$65.65
Occupational TherapyG015215 Minutes$20.80$26.00
Occupational Therapy-TelehealthG0152 GT15 Minutes$20.80$26.00
Physical TherapyG015115 Minutes$20.80$26.00
Physical Therapy-TelehealthG0151 GT15 Minutes$20.80$26.00
Pre-Voc  HTS - Supplemental Supports & TL - state fundedT2015 TG SEHour$13.10$16.38
Pre-Voc HTS - Supplemental Supports - waiver fundedT2015 TGHour$13.10$16.38
Psychological - Cognitive/Behavior Treatment - Group9085315 Minutes$10.78$13.48
Psychological - Cognitive/Behavior Treatment - Group - Telehealth90853 GT15 Minutes$10.78$13.48
Psychological Services - TherapyH000415 Minutes$21.56$26.95
Psychological Services - Therapy - TelehealthH0004 GT15 Minutes$21.56$26.95
PSYCHOTHERAPY, 30 MINUTES WITH PATIENT AND/OR FAMILY MEMBER9083230 Minutes$52.00$65.00
Remote Supports With Unpaid StaffT2017 U415 Minutes$1.45$1.81
Remotes Supports With Paid StaffT2017 U415 Minutes$2.62$3.28
Respite - Close -S5151Day$40.00$50.00
Respite - Intermittent -S5151Day$19.00$23.75
Respite - MaximumS5151Day$79.04$98.80
Respite in Agency Companion - Contractor - CloseS5151Day$123.24$154.05
Respite in Agency Companion - Contractor - PervasiveS5151Day$165.62$207.03
Respite in Agency Companion - Contractor- EnhancedS5151Day$153.40$191.75
Respite in Agency Companion - Contractor- Enhanced - STATE FUNDEDS5151 SEDay$153.40$191.75
Respite in Community Living Group Home - 6 bed settingS5151Day$196.30$245.38
Respite in Community Living Group Home - 7 bed settingS5151Day$171.60$214.50
Respite in Community Living Group Home - 8 bed settingS5151Day$166.66$208.33
Respite in Community Living Group Home - 9 bed settingS5151Day$150.54$188.18
Respite in Community Living Group Home 10 bed settingS5151Day$148.46$185.58
Respite in Community Living Group Home 11 bed settingS5151Day$137.02$171.28
Respite in Community Living Group Home 12 bed settingS5151Day$135.72$169.65
Respite in Group Home - 10 bed settingS5151Day$70.46$88.08
Respite in Group Home - 11 bed settingS5151Day$67.34$84.18
Respite in Group Home - 12 bed settingS5151Day$64.74$80.93
Respite in Group Home - 6 bed settingS5151Day$98.70$123.38
Respite in Group Home - 7 bed settingS5151Day$87.36$109.20
Respite in Group Home - 8 bed settingS5151Day$79.30$99.13
Respite in Group Home - 9 bed settingS5151Day$74.36$92.95
Respite, In Own Home - CloseS9125 TFDay$28.50$35.63
Respite, In Own Home - IntermittentS9125 U1Day$19.00$23.75
Respite, In Own Home - MaximumS9125Day$57.04$71.30
Self Directed HTST2017 U1 TF15 Minutes$4.21$5.26
Self-Directed Individual Placement in Job Coaching, Supported EmploymentT2019 U4 TF15 Minutes$6.25$7.81
Skilled Nursing - Licensed Practical NurseG030015 Minutes$14.56$18.20
Skilled Nursing - Licensed Practical Nurse-TelehealthG0300 GT15 Minutes$14.56$18.20
Skilled Nursing - Registered NurseG029915 Minutes$15.60$19.50
Skilled Nursing - Registered Nurse-TelehealthG0299 GT15 Minutes$15.60$19.50
Specialized Family Care Adult - CloseS5140 U1Day$30.00$37.50
Specialized Family Care Adult - MaximumS5140Day$56.16$70.20
Specialized Family Care Child - CloseS5145 U1Day$30.00$37.50
Specialized Family Care Child - MaximumS5145Day$56.16$70.20
Speech/Language ServicesG015315 Minutes$19.54$24.43
Speech/Language Services-TelehealthG0153 GT15 Minutes$19.54$24.43
Transportation - AdaptedA0130Mile$1.35$1.69
Transportation - Non-AdaptedS0215Mile$0.52$0.625
Value-Based Incentive Quality PaymentT2025 UKEach$500.00$625.00
Vehicle Modification AssessmentT2024Each$20.80$26.00

 

State Funded Service Contracts
Rates are listed below:

DescriptionService UnitCurrent Rate  New Rate 
Assisted LivingPer Day$19.25$24.06
Individual placement (CIE) $26.50$33.13
Follow-Along (CIE) $26.50$33.13
Group placement (CIE) $26.50$33.13
Assessment (CIE) $26.50$33.13
Job Development (CIE) $26.50$33.13
Individual placement (CIE)370 hours$9,805.00$12,258.10
Follow-Along (CIE)315 hours$8,347.50$10,435.95
Group placement (CIE)292 hours$7,738.00$9,673.96
Assessment (CIE)20 hours$530.00$662.60
Job Development (CIE)40 hours$1,060.00$1,325.20
GROUP HOME, 6 BED1 day$75.40$94.25
GROUP HOME, 7 BED1 day$64.48$80.60
GROUP HOME, 8 BED1 day$56.42$70.53
GROUP HOME, 9 BED1 day$51.48$64.35
GROUP HOME, 10 BED1 day$47.58$59.48
GROUP HOME, 11 BED1 day$44.46$55.58
GROUP HOME, 12 BED1 day$41.86$52.33
Prader WilliPer day$43.95$54.94
Sheltered WorkshopPer 5-hour day$24.22$30.28


 

A copy of this letter is posted on the Developmental Disabilities Services page in the Provider Information portion of the DHS website.

If you have questions or concerns, please send an email to TellDDS@okdhs.org.

Sincerely,

Beth Scrutchins, Director

Developmental Disabilities Services
Department of Human Services

 

Last Modified on Nov 07, 2023
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