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Lanterman Needs a Family Home Agency

Frank D. Lanterman Regional Center intends to contract with a Family Home Agency (FHA). The FHA will provide services in accordance with Title 17 of the California Code of Regulations sections 56082 – 56099. Applications are due by July 31, 2019 and should be submitted to:

David Norman, Sr.
Resource Developer
Community Services Dept.
3303 Wilshire Blvd., Suite 700
Los Angeles, CA 90010.

Contact David Norman, Sr. at 213.252.6012 for more information.

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DDS Vendor Rate Study and Rate Models Presentations

Following at the end of this are the presentations that have been shared at rate study meetings for Lanterman service providers. They are broken down into type of service provided.

Regional Center Specific Rate Models
View at: http://www.burnshealthpolicy.com/ca-regional-center-specific-rate-models/

Rate Study Fiscal Impact
The anticipated total cost of implementing the rate study recommendations is $1.8 billion (Total Fund), which is about $1.1 billion (General Fund) annually. Here is a link to the anticipated fiscal impact by service code ( ).
View at: http://www.burnshealthpolicy.com/wp-content/uploads/2019/03/Attachment-5-Fiscal-Impact-Analysis.pdf

Rate Study Submitted by DDS to Legislature on March 15
The Department of Developmental Services (DDS) submitted the rate study on the provision of community-based services for individuals with developmental disabilities to the California Legislature on March 15.

The rate study includes four parts:

  • Part 1 summarizes the various methodologies for establishing rates for home and community-based services and outlines current rates and methodologies in California.
  • Part 2 provides an overview of the study, including the project’s timeline, principles adopted to guide the study, and data sources used to inform rates.
  • Part 3 covers the major components of the rate models, including direct care worker wages, benefits and productivity, indirect costs such as program operations and provider administrative costs, and adjustments to account for regional cost differences.
  • Part 4 provides a summary of the rate study results.

View a PDF copy of the rate study report

View the cover letter submitted to the Legislature.

The rate study report and links to supporting documents are also posted on the DDS website at https://www.dds.ca.gov/RateStudy/.

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State Minimum Wage Increase - Effective January 1, 2019

The State of California minimum wage increases to $12.00 per hour for employers with 26 or more employees and $11.00 per hour for employers with 25 or fewer employees. The Department of Developmental Services (DDS) has been allocated additional funds by the Legislature for dissemination to service providers to meet the increased minimum wage mandate. It is important to note that the funds allocated by DDS are solely to meet a service provider's costs to increase employee/staff wages to $12.00 per hour (or $11.00 per hour based on the number of employees) and the associated mandated costs (i.e. Social Security, Medicare and workers’ compensation).

Community Care Facilities (Alternative Residential Model (ARM) reimbursed)
Residential service providers reimbursed under the Alternative Residential Model (ARM) rates, service codes 905, 910, 915 and 920 do not need to submit rate adjustment requests. DDS has already adjusted these rates and you will see them beginning with your January 2019 invoice. View the new ARM rates can be found at: www.dds.ca.gov/Rates/docs/CCF_Rate_January2019.pdf

Community-Based Day Programs, In-Home Respite Agencies and Work Activity Programs
Service providers classified as day programs, including infant development programs (service code 805), adult day programs (service codes 505, 510, 515) and independent living services (service code 520), in-home respite agencies (service code 862) and Work Activity Programs (service code 954) may request a rate adjustment from DDS. For instructions and the workbook to reqeust a rate adjustment from DDS, visit: www.dds.ca.gov/minwage/

Negotiated Rate Vendors
For service providers with negotiated rates (including median rates), Lanterman is requesting that you complete the Minimum Wage Cost Reporting Workbook. Providers with negotiated/median rates who employ 26 or more employees may request a rate adjustment if any employees/staff are paid less than $12.00 per hour. Providers with negotiated rates who employ 25 or less employees may request a rate adjustment if any employees/staff are paid less than $11.00 per hour. You may only submit one vendor number per workbook.

Click here to access the workbook

NOTES: 

Whether you are submitting your rate adjustment request to DDS or to Lanterman, the deadline to submit is March 1, 2019.  Requests received after this date will not be considered.

Please carefully read the instructions to complete the workbook and follow all instructions. You may be asked to submit supporting documentation including payroll records, workers’ compensation insurance, DE-2088 and other data. Do not submit unless it is requested.

If you have questions or need further information please contact Lanterman's Community Services Department at providerservices@lanterman.org or 213.383.1300.

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Provider Rate Survey Must Be Completed by August 3

As required by Welfare and Institutions Code § 4519.8 (http://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=WIC&sectionNum=4519.8), the California Department Developmental Services (DDS) is in the process of studying the reimbursement rates paid for community-based services for individuals with developmental disabilities. 

Our organization, Burns & Associates, Inc. (B&A), is assisting DDS with this study. This assistance includes the administration of a vendor survey to collect data regarding providers’ service delivery designs and costs. B&A consulted with DDS and the Developmental Services Task Force’s Rates Workgroup to develop the Excel-based survey and accompanying instructions, which can be accessed at http://www.burnshealthpolicy.com/DDSVendorRates/.

B&A will be recording a series of webinars to explain the rate study and to walk through the survey page-by-page. The recordings will be posted to http://www.burnshealthpolicy.com/DDSVendorRates/ by the end of the day on May 29. Other project-related materials, including the survey and instructions attached to this e-mail, can also be found at this website. B&A has updated their Web site to include a Table of Contents with time marks for the Provider Survey webinars. The link following provides the exact time mark within the webinars where information pertaining to specific topics, and/or service codes can be located: http://www.burnshealthpolicy.com/wp-content/uploads/2018/06/Webinar-TOC-and-Time-Marks.pdf

Please note the following:

  • Data collected through the survey will be a key consideration as DDS assesses the adequacy of current payment rates and studies possible changes to the rates. Thus, although the survey is voluntary, all vendors are encouraged to participate.  
  • The survey includes worksheets (‘tabs’) for every service code included within the survey. You should only complete forms for the services that your organization provides. The table of contents (‘TOC’) worksheet in the survey file lists the specific forms to complete for each service code. Similarly, the Service Listing page beginning on page 3 of the instructions directs you to the appropriate pages for directions for each survey worksheet.
  • Information collected through the survey will be utilized only for the purpose of this rate study and vendors’ individual responses will not be released to DDS.
  • Partially completed surveys will be accepted. You may skip any questions that request information that your agency cannot provide, and those portions of the survey that are completed will still be part of the survey analysis. 
  • If there are any factors that you believe should be considered but were not included in the survey, note those issues (and any other comments) in the transmittal e-mail when submitting the survey. You may also submit any other documentation that you would like considered as part of this study.

We recognize that the survey is lengthy and detailed. In addition to the recorded webinars noted above, you are encouraged to contact us with any questions at DDSProviderSurvey@burnshealthpolicy.com or 602.241.8515.

Completed surveys are due by Friday, August 3 and should be submitted to DDSProviderSurvey@burnshealthpolicy.com.

If you have any questions regarding the rate study, you may contact your local regional center or DDS at vendorsurvey@dds.ca.gov or 916.654.2300.  

Additional Information on the provider survey can be found on the Department's Web site.

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Disability Scoop Article on End to Subminimum Wage

Disability Scoop recently published an article written by Courtney Perkes called "Senators Call for End to Subminimum Wage Amid Accusations of Exploitation" written after an Illinois manufacturing company was accused of exploiting nearly 250 employees with disaiblities. 

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Legislative Analyst’s Office Report on Early Intervention

The Legislative Analyst’s Office (LAO) released a report titled “Evaluating California’s System for Serving Infants and Toddlers with Special Needs.” The LAO report contains several recommendations to improve outcomes in California’s provision of early intervention services. The report notes that the school system and regional centers both provide early intervention services. The schools provide early intervention services through the Legacy Program, and the Hearing, Visual, and Orthopedic Impairments (HVO) Program. The regional centers provide early intervention services through the Early Start program.

The report states that in order to adequately address timeline compliance issues and funding differences between education and regional center run early intervention programs, California should unify this bifurcated system. The LAO offers the opinion that the regional center system is better equipped to provide early intervention services to all children, and to generate state savings in the process.

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SCDD Announces RFP

The Los Angeles Office of the State Council on Developmental Disabilities (SCDD) has announced a request for proposals, up to $20,000, that relate to at least one of the SCDD State Plan Goals, which include self-advocacy; employment; housing; health and safety; early intervention, education, transition and post-secondary education; and community supports.
 
Proposals are due on March 6, 2018, and a bidders conference call for those interested in submitting a proposal will be held on February 6, 2018 at 3 p.m.

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State Minimum Wage Increase - Effective January 1, 2018

The State of California minimum wage increases to $11.00 per hour for employers with 26 or more employees and $10.50 per hour for employers with 25 or fewer employees. The Department of Developmental Services (DDS) has been allocated additional funds by the Legislature for dissemination to service providers to meet the increased minimum wage mandate. It is important to note that the funds allocated by DDS are solely to meet a service provider's costs to increase employee/staff wages to $11.00 per hour (or $10.50 per hour based on the number of employees) and the associated mandated costs (i.e. Social Security, Medicare and workers’ compensation).

Community Care Facilities (Alternative Residential Model (ARM) reimbursed)
Residential service providers reimbursed under the Alternative Residential Model (ARM) rates, service codes 905, 910, 915 and 920 do not need to submit rate adjustment requests. DDS has already adjusted these rates and you will see them beginning with your January 2018 invoice. The new ARM rates can be found at: www.dds.ca.gov/Rates/docs/CCF_Rate_January2018.pdf

Community-Based Day Programs, In-Home Respite Agencies and Work Activity Programs
Service providers classified as day programs, including infant development programs (service code 805), adult day programs (service codes 505, 510, 515) and independent living services (service code 520), in-home respite agencies (service code 862) and Work Activity Programs (service code 954) may request a rate adjustment from DDS. These service providers should navigate to the following Web sote for additional information: www.dds.ca.gov/minwage/?yr2018=1

Negotiated Rate Vendors
For service providers with negotiated rates, Lanterman is requesting that you complete the Minimum Wage Cost Reporting Workbook. Providers with negotiated rates who employ 26 or more employees may request a rate adjustment if any employees/staff are paid less than $11.00 per hour. Providers with negotiated rates who employ 25 or less employees may request a rate adjustment if any employees/staff are paid less than $10.50 per hour. You may only submit one vendor number per workbook.

Click here to access the workbook

NOTES: 

Whether you are submitting your rate adjustment request to DDS or to Lanterman, the deadline to submit is March 1, 2018.  Requests received after this date will not be considered.

The wage information provided on the worksheet must be for the period of July to September 2017. You may be asked to submit supporting documentation including payroll records, workers’ compensation insurance, DE-2088 and other data. Do not submit unless it is requested.

If you have questions or need further information please contact Lanterman's Community Services Department at providerservices@lanterman.org or 213.383.1300.

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City of Los Angeles & Pasadena Providers: Request Rate Adjustment Due to City Minimum Wage Increase

Effective July 1, 2017, the minimum wage in the city of Los Angeles and the city of Pasadena increases to $12.00 an hour. Providers can request a rate adjustment through the Health & Safety Waiver process. Please read the following notice to learn more.

View the notice to providers

Download the minimum wage worksheet


CDCAN Report: DDS Selects Arizona Firm to Conduct Regional Center Provider Rate Study

Following is an excerpt from the May 17, 2017 CDCAN Report:

The Department of Developmental Services (DDS) announced this week that it intends to contract with Burns and Associates, a Phoenix-based consulting firm, to conduct a long awaited regional center provider rate study and to provide recommendations for a “simplified rate setting methodology” for providing services and supports to eligible children and adults with developmental disabilities in California.

A rate study when completed – if viewed as credible, comprehensive and accurate by advocates and policymakers – could have sweeping impact on community-based services and supports for hundreds of thousands children and adults with developmental disabilities and their families, and thousands of community based providers and workers across California.

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