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§ 57511. Step Two: Computing an Amount Using Allowable Costs and Consumer Attendance.

17 CA ADC § 57511Barclays Official California Code of Regulations

Barclays California Code of Regulations
Title 17. Public Health
Division 2. Health and Welfare Agency--Department of Developmental Services Regulations
Chapter 3. Community Services
Subchapter 9. Rate-Setting Methodology for Community-Based Day Programs
Article 1. Permanent Payment Rates
17 CCR § 57511
§ 57511. Step Two: Computing an Amount Using Allowable Costs and Consumer Attendance.
Currentness
(a) Step two in the process of determining a permanent payment rate is to compute an amount or amounts, as applicable, for each vendor within the group of like programs, based on allowable costs and consumer attendance as follows;
(1) For each vendor, the Department shall compute an amount by:
(A) Determining the total allowable costs as follows:
1. Add together the total costs reported by the vendor identified in Section 57434;
2. Subtract from the amount computed in 1. the amount of any non-allowable costs specified in Section 57436, which were identified by the Department or vendoring regional center during their review of the information submitted by the vendor; and
3. For vendors who agreed to a negotiated level of payment, as specified in Section 57300(d), and whose temporary payment rate is being converted to a permanent payment rate, or whose permanent payment rate is being established, the Department shall increase the amount computed in 2. by:
a. Subtract the total amount of the actual regional center payments which the vendor received for services provided, as reported pursuant to Section 57439(a)(1), from the maximum amount of the regional center payment which the vendor would have received, as reported pursuant to Section 57439(a)(2); and
b. Adding the amount computed in a. or the total amount of cost reductions reported pursuant to Section 57439(b), whichever is less, to the amount computed in 2.
(B) Dividing the total allowable costs computed in (A) by the vendor's actual hours or days of consumer attendance, identified in Section 57433(b)(2)(B) or (3)(D); and
(C) Increasing or decreasing, if applicable, the amount computed in (B) for any of the following that has occurred from July 1 through September 30 following the reported period, and which have not been included in the total allowable costs reported by the vendor:
1. Increase the amount computed in (B) by the amount of any COLA authorized in the Budget Act for the fiscal year following the reporting period;
2. Increase the amount computed in (B) by the amount of any rate increase granted by the Department, as a result of a rate adjustment pursuant to Sections 57920 through 57924, and/or audit adjustment pursuant to Section 57930, and/or rate appeal pursuant to Sections 57940 through 57948; and/or
3. Decrease the amount computed in (B) by the amount of any rate decrease issued by the Department, as a result of a rate adjustment pursuant to Sections 57920 through 57924, and/or audit adjustment pursuant to Section 57930, and/or rate appeal pursuant to Sections 57940 through 57948.
(2) For each vendor included in (a)(1), whose annual number of direct service hours results in excess direct service hours, as determined pursuant to Section 57444(e)(1), the Department shall compute an additional amount using that vendor's allowable costs and consumer attendance and the steps specified in (a)(1), except the Department shall reduce the total allowable costs determined in (a)(1)(A) by the costs of the excess direct service hours computed in Section 57444(e)(1). This additional amount shall only be used in the computation of the mean and allowable range of rates, for those vendors with excess direct service hours.

Credits

Note: Authority cited: Chapter 722, Statutes of 1992, Section 147; and Sections 4691, 4691.5 and 4791(i), Welfare and Institutions Code. Reference: Sections 4691, 4691.5 and 4791, Welfare and Institutions Code.
History
1. New section filed 6-26-90 as an emergency; operative 7-1-90 (Register 90, No. 36). A Certificate of Compliance must be transmitted to OAL by 10-29-90 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 6-26-90 order transmitted to OAL 9-28-90 and filed 10-29-90 (Register 90, No. 46).
3. Amendment of subsections (a)(1)(A)1-2 and new subsection (a)(1)(A)3-b and amendment of Note filed 11-5-91 as an emergency; operative 11-5-91 (Register 92, No. 21). A Certificate of Compliance must be transmitted to OAL 3-4-92 or emergency language will be repealed by operation of law on the following day.
4. Amendment of subsections (a)(1)(A)1-2 and new subsection (a)(1)(A)3-b and amendment of Note refiled 3-4-92 as an emergency; operative 3-4-92 (Register 92, No. 25). A Certificate of Compliance must be transmitted to OAL 7-2-92 or emergency language will be repealed by operation of law on the following day.
5. Certificate of Compliance as to 3-4-92 order including amendment of subsections (a)(1)(A)3 and (a)(1)(A)3b transmitted to OAL 6-25-92 and filed 8-6-92 (Register 92, No. 33).
6. Amendment of section filed as an emergency 6-17-93; operative 6-17-93. Submitted to OAL for printing only pursuant to SB485 (Chapter 722, Statutes of 1992) Section 147(a) (Register 93, No. 26).
7. Certificate of Compliance as to 6-17-93 order transmitted to OAL 6-20-94 and filed 8-2-94 (Register 94, No. 31).
8. Change without regulatory effect amending section heading and subsections (a), (a)(1)(B) and (a)(2) filed 1-17-97 pursuant to section 100, title 1, California Code of Regulations (Register 97, No. 3).
This database is current through 5/10/24 Register 2024, No. 19.
Cal. Admin. Code tit. 17, § 57511, 17 CA ADC § 57511
End of Document