Residential Transformational Changes that would get paid an Incentive Moves that leads to the closing of a congregate setting Moving to an IHS Moving to an IHS with Remote supports Moving to a Clustered IHS ID: 1043698
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1. Residential Incentives
2. Draft Residential Transformational Changes that would get paid an IncentiveMoves that leads to the closing of a congregate settingMoving to an IHSMoving to an IHS with Remote supportsMoving to a Clustered IHSMoving to a Cluster IHS with Technology
3. Draft Residential Transformational Changes that would get paid an IncentiveMoving to one’s own home/apartment/family home using Electronic face to face inMoving to one’s own home/apartment/family home using Remote supportsMoving into a CCHMoving to self-direct their residential supportsMoving individuals who have significant behavior or medical supports off the emergency list and into a vacant bed of a CLA or CRS
4. Incentives: The amount of money to be awarded has been calculated based on 100 individuals moving out of a congregate setting. If the target number is over or under the estimated amount, adjustments will need to be made.Moving On Incentive – Paid to the CLA or CRS Provider. Will receive an incentive payment of $33,500 for each individual who moves out of either a CLA or CRS home. (One payment after 60 days)Provider Transition Incentive- – Paid to the CLA or CRS Provider. Will receive an incentive payment (i.e. monthly amount equal to the annual authorization of the individual or individuals moving out of the CLA or CRS) to reimburse the provider to maintain supports in the house during the approved transition plan.
5. Incentives: The amount of money to be awarded has been calculated based on 100 individuals moving out of a congregate setting. If the target number is over or under the estimated amount, adjustments will need to be made.New Placement Incentive – Paid to the agency providing the supports). Will receive an incentive payment for each individual moving into a new non-congregate support setting that will be equal to two (2) times the standard hourly rate for that support.
6. Movin’ On Incentive ExampleProvider’s transformational Plan is as follows:Provider has five CLA’s with a total of 4 vacanciesOne of the CLA’s is a four bed with 2 vacanciesIndividual A has a LON 5Individual B has a LON 5Provider has a cluster IHS Program with 5 participants.Proposal:Will move two individuals ( A and B) from the four bed CLA to Cluster IHS Supports program over a six-month periodWill close the four bed CLA.
7. Movin’ On Incentive ExampleMoving On Incentive – The provider will receive $33,500 for each of the two individuals who move out of the four bed CLA. The total incentive payment will equal $ 67,000.
8. Movin’ On Incentive ExampleProvider Transition Incentive- The provider will be allowed to bill a monthly amount equal to the current monthly CLA authorization for each of the two individuals transitioning to IHS in order to reimburse the provider to maintain supports in the house until the CLA is closed.
9. Movin’ On Incentive ExampleNew Placement Incentive – The provider will be authorized for an hourly rate of $ 77.60 receive for each of the two individuals moving into the cluster IHS supports. ( The standard rate for IHS is currently $ 38.80. Two times the hourly rate equals $ 77.60. In addition, the provider will receive two times the Cluster Safety Net rate for seven people which is equal to $ 27,816 per month for each of the two individuals. The incentive rates will be used to assist with the transition of the two individuals into their new supports for 20 weeks)
10. ProviderIndividualMovin’ On IncentiveProvider Transition Incentive (Lon 5 in a 4 bed house receives $ 8185 per month) (based on 4 months transition for each individual)New Placement Incentive – IHS (LON 5 receives 28 per week of IHS hours)Cluster Safety Net 7 person Cluster Safety Net Rate is $ 13,908 Per month for 4 months)CLAA$ 33,500$ 32,738 CLAB$ 33,500$ 32,738 IHSA $ 43,456$55,632IHSB $ 43,456$ 55,632Total $ 67,000$ 65,476$ 86,912$ 111,264
11. Questions to resolveWill these incentive make a difference with the providers?What other residential settings would be eligible for receiving the incentive?How long does someone need to stay in the new setting?What should be provided in the provider transitional plan?What involvement should individuals, families, case managers, and regional administration have in the development of provider plans?What should the approval process be for the plan? Are there other incentives that can be developed to encourage more alternative residential supports?