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EconSys and ODEP Release Review of HCBS Reimbursement Rates for Supported Employment and Integrated Day Services across All 50 States

January 29, 2016

In January 2016, the O ce of Disability Employment Policy (ODEP) contracted with Economic Systems, Inc. and jointly released a review of the reimbursement rates and methodologies used in home and community-based services (HCBS) waivers for supported employment and integrated day services which covers all 50 States. The information was collected from publicly available data reported by state Medicaid agencies or other state agencies managing various HCBS waivers on behalf of their state governments. The document describes each service that’s covered under the state’s HCBS waiver, the components making up each service, the state’s limits on what is covered by the waiver for each service, what constitutes a single “unit” of that service for reimbursement purposes, the average cost per unit, the number of users for that service, and nally how many units each user tends to use. It also discusses whether the state has included incentives, tiered, or milestone payments into service rates to encourage more integrated outcomes. The document is likely to be useful as a frame of reference for states that are still ne-tuning their HCBS Transition Plans. Each state’s individual rates and reimbursement methodologies will be added to the “Medicaid Funded Initiatives” under each state’s individual pro le on the platform later this month.