(C) plus 0.42 percent for the specialized level of
service; and
(D) plus 0.01 percent for the intense level of service.
(2) For foster homes, the minimum daily rate to be
paid to a foster home effective September 1, 2015, for each level
of service will be equal to the rate for that level of service in
effect August 31, 2015.
(3) For GROs and RTCs, the rates effective September
1, 2015, will be equal to the rates paid to GROs and RTCs in effect
August 31, 2015:
(A) plus 9.58 percent for the specialized level of
service;
(B) plus 0.3 percent for the intense level of service;
and
(C) unchanged for other levels of service.
(4) For emergency care services the rates effective
September 1, 2015, will be equal to the rates in effect August 31,
2015, plus 6.0 percent.
(s) Rates effective September 1, 2017. Rates are paid
for each level of service identified by DFPS.
(1) For CPAs, the rate consists of a foster home payment
described in paragraph (2) of this subsection and a CPA retainage.
Effective September 1, 2017, the combined CPA retainage and foster
home payment for each level of service will be:
(A) $48.47 for the basic level of service;
(B) $85.46 for the moderate level of service;
(C) $109.08 for the specialized level of service; and
(D) $186.42 for the intense level of service.
(2) For foster homes, the minimum daily rate to be
paid to a foster home effective September 1, 2017, for each level
of service will be:
(A) $27.07 for the basic level of service;
(B) $47.37 for the moderate level of service;
(C) $57.86 for the specialized level of service; and
(D) $92.43 for the intense level of service.
(3) For GROs and RTCs, the rates effective September
1, 2017, will be:
(A) $45.19 for the basic level of service;
(B) $103.03 for the moderate level of service;
(C) $197.69 for the specialized level of service;
(D) $277.37 for the intense level of service; and
(E) $400.72 for the intense plus level of service.
(4) For emergency care services, the rate effective
September 1, 2017, will be $129.53.
(5) For treatment foster care, the rate effective September
1, 2017, will be $277.37.
(t) Community-based Care.
(1) Initial payment rates for a defined rate period
for Single Source Continuum Contractors under Community-based Care
are determined on a pro forma basis in accordance with §355.105(h)
of this chapter using the official forecast of case mix for paid foster
care for each specific catchment area for the rate period available
at the time the payment rates are calculated.
(2) HHSC will recalculate payments rates whenever a
new official forecast of case mix for paid foster care is available.
(3) HHSC will compare the payment rates calculated
using actual paid foster care case mix data for each catchment area
to the payment rates in place for the rate period to determine the
percentage difference between the two sets of payment rates.
(4) If the payment rates calculated using actual paid
foster care case mix data for a catchment area are at least 1% greater
than the initial payment rates for the rate period, HHSC will increase
the catchment area payment rates.
(5) If the payment rates calculated using actual paid
foster care case mix for a catchment area are at least 1% less than
the initial payment rates for the rate period, HHSC will reduce the
catchment area payment rates;
(6) Calculations and rate adjustments, if any, will
be performed separately for each catchment area.
(u) Treatment Foster Family, Integrated Care Coordination
Placement, Integrated Care Coordination Case Management, and Temporary
Emergency Placement.
(1) The payment rates for these services are developed
based on rates determined for other programs that provide similar
services. If payment rates are not available from other programs that
provide similar services, payment rates are determined using a pro
forma approach in accordance with §355.105(h) of this chapter.
The information in §355.101 of this chapter (relating to Introduction)
and §355.105(g) of this chapter also applies.
(2) Reporting of cost. To gather adequate financial
and statistical information upon which to base reimbursement, HHSC
may require a contracted provider to submit a cost report for one
or more of these services.
(v) Rates effective September 1, 2019. Rates are paid
for each level of service identified by DFPS.
(1) For CPAs, the rate consists of a foster home payment
described in paragraph (2) of this subsection and a CPA retainage.
The combined CPA retainage and foster home payment for each level
of service will be:
(A) $49.54 for the basic level of service;
(B) $87.36 for the moderate level of service;
(C) $110.10 for the specialized level of service; and
(D) $186.42 for the intense level of service.
(2) For foster homes, the minimum daily rate to be
paid to a foster home each level of service will be:
(A) $27.07 for the basic level of service;
(B) $47.37 for the moderate level of service;
(C) $57.86 for the specialized level of service; and
(D) $92.43 for the intense level of service.
(3) For GROs and RTCs, the rates will be:
(A) $45.19 for the basic level of service;
(B) $108.18 for the moderate level of service;
(C) $197.69 for the specialized level of service;
(D) $277.37 for the intense level of service; and
(E) $400.72 for the intense plus level of service.
(4) For emergency care services, the rate will be $137.30.
(5) For treatment foster care, the rate consists of
a foster home payment and a CPA retainage. The combined CPA retainage
and foster home payment will be $277.37.
(6) For Intensive Psychiatric Transition Program (IPTP),
the rate will be $374.33.
(7) For Temporary Emergency Placement (TEP), the rate
will be $400.72.
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Source Note: The provisions of this §700.1753 adopted to be effective September 13, 2001, 26 TexReg 6962; transferred effective September 1, 2004, as published in the Texas Register September 17, 2004, 29 TexReg 9014; amended to be effective November 27, 2005, 30 TexReg 7723; amended to be effective September 1, 2007, 32 TexReg 5342; amended to be effective September 1, 2009, 34 TexReg 5659; amended to be effective August 31, 2010, 35 TexReg 7726; amended to be effective September 1, 2011, 36 TexReg 5334;amended to be effective September 1, 2013, 38 TexReg 5436; amended to be effective September 1, 2015, 40 TexReg 5302; amended to be effective June 11, 2017, 42 TexReg 3001; amended to be effective August 30, 2017, 42 TexReg 4275; transferred effective November 15, 2017, as published in the Texas Register November 3, 2017, 42 TexReg 6201; amended to be effective December 9, 2020, 45 TexReg 8780 |