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Chapter 257 of the Acts of 2008   Provider Information and Dialogue Session: Supported Employment Service Class May 4, 2011  www.mass.gov/hhs/chapter257   [email_address]
Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Impact of Governor’s FY12 Supplemental Budget Filing  ,[object Object],[object Object]
How will this legislation impact planned implementation? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chapter 257 of the Acts of 2008 Regulates Pricing for the POS System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Year 1 Year 2 Year 3 Year 4 Statutory Requirement:  Percent of POS System with Regulated Rates 10% 30% 30% 30% Spending Base Associated with Statutory Percentage (based on current projection of $2.1B POS Baseline to be implemented) ~ $215M ~ $645M ~ $645M ~ $645M
Supported Employment Service Class Service Class Definition:  Programs that provide individual and group supported employment in the community and center-based, sheltered work programs for individuals that require provider support and/or supervision.  Department Activity Code Program Name Projected FY11 Spending DDS 3168 Supported Employment Services $19,991,000  3181 Group Supported Employment $10,545,431  3169 Center-Based Work Services $38,795,000  MCB 2109 PERSONAL VOC ADJ $547,354    Total Projected FY11 Spending $70,034,785
Individual Supported Employment  (3168) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Calculated Per Hour Costs: Center-based and Group Supported Employment ,[object Object],[object Object]
Cost Category Percentages: Center-based and Group Supported Employment ,[object Object]
All Staffing Related Costs: Center-based Supported Employment ,[object Object],[object Object]
All Staffing Related Costs: Group Supported Employment ,[object Object],[object Object]
Staffing Ratios ,[object Object],High Mid Low
Model Budgets Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Program Intensity Level Individuals per Direct Care Staff Group Supported Employment High 3.25  Mid 5.03  Low 6.84  Center-based Supported Employment All 8.39
Sample Model Budget showing Cost Category %: Center-Based Supported Employment ,[object Object],[object Object],[object Object],[object Object],[object Object],Center-Based Supported Employment (3169) SAMPLE Number of Slots: 23  Hours: 4        Clients : FTE FTE Expense  Direct Mgmt Staffing 61.13 0.38 11% Non-Specialized Direct Care Staffing 8.39 2.77 40% Support Staffing 88.72 0.26 4% Sub-total Direct Care Staff   3.4  54%   Factor   Taxes & Fringe 23.27% 13% Total Staffing Costs     67% Occupancy 14% Transportation 2% Other Program Exp.  7% Total Reimbursable Exp. Excl. Admin.     90% Admin. Alloc. (M & G) 11.70% 10% Total     100% Proposed Rate TBD CAF Rate TBD TBD Utilization Rate TBD   TBD
Sample Model Budget Showing Cost Category %: Group Supported Employment ,[object Object],[object Object],[object Object],[object Object],[object Object],Group Supported Employment (3181) Higher Intensity Level (1: 3.9) SAMPLE Number of Slots: 12  Hours: 3.5        Clients : FTE FTE Expense  Direct Mgmt Staffing 61.13 0.19 6% Non-Specialized Direct Care Staffing 3.25  3.62 54% Support Staffing 88.72 0.13 2% Sub-total Direct Care Staff   3.9  62%   Factor   Taxes & Fringe 23.27% 14% Total Staffing Costs     76% Occupancy 5% Transportation 3% Other Program Exp.  5% Total Reimbursable Exp. Excl. Admin.     90% Admin. Alloc. (M & G) 11.70% 10% Total     100% Proposed Rate TBD CAF Rate TBD TBD Utilization Rate TBD   TBD
Sample Model Budget Showing Cost Category %: Group Supported Employment ,[object Object],Group Supported Employment (3181) Mid Intensity Level (1: 4 - 5.9) SAMPLE Number of Slots: 12  Hours: 3.5        Clients : FTE FTE Expense  Direct Mgmt Staffing 61.13 0.19 8% Non-Specialized Direct Care Staffing 5.03  2.33 48% Support Staffing 88.72 0.13 3% Sub-total Direct Care Staff   2.7  58%   Factor   Taxes & Fringe 23.27% 13% Total Staffing Costs     71% Occupancy 7% Transportation 5% Other Program Exp.  7% Total Reimbursable Exp. Excl. Admin.     90% Admin. Alloc. (M & G) 11.70% 10% Total     100% Proposed Rate TBD CAF Rate TBD TBD Utilization Rate TBD   TBD
Sample Model Budget Showing Cost Category %: Group Supported Employment ,[object Object],Group Supported Employment (3181) Lower Intensity Level (1: 6 - 8) SAMPLE Number of Slots: 12  Hours: 3.5        Clients : FTE FTE Expense  Direct Mgmt Staffing 61.13 0.19 9% Non-Specialized Direct Care Staffing 6.84  1.72 42% Support Staffing 88.72 0.13 3% Sub-total Direct Care Staff   2.0  54%   Factor   Taxes & Fringe 23.27% 13% Total Staffing Costs     67% Occupancy 9% Transportation 6% Other Program Exp.  8% Total Reimbursable Exp. Excl. Admin.     90% Admin. Alloc. (M & G) 11.70% 10% Total     100% Proposed Rate TBD CAF Rate TBD TBD Utilization Rate TBD   TBD
Updated Implementation Timeline and Key Milestones for Supported Employment ,[object Object],[object Object],[object Object],[object Object],[object Object],July 1
Questions/Feedback ,[object Object]

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Supported employment integrated_110504

  • 1. Chapter 257 of the Acts of 2008 Provider Information and Dialogue Session: Supported Employment Service Class May 4, 2011 www.mass.gov/hhs/chapter257 [email_address]
  • 2.
  • 3.
  • 4.
  • 5.
  • 6. Supported Employment Service Class Service Class Definition: Programs that provide individual and group supported employment in the community and center-based, sheltered work programs for individuals that require provider support and/or supervision. Department Activity Code Program Name Projected FY11 Spending DDS 3168 Supported Employment Services $19,991,000 3181 Group Supported Employment $10,545,431 3169 Center-Based Work Services $38,795,000 MCB 2109 PERSONAL VOC ADJ $547,354   Total Projected FY11 Spending $70,034,785
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.

Editor's Notes

  1. Relief = % of direct care FTEs
  2. Relief = % of direct care FTEs
  3. Relief = % of direct care FTEs
  4. Relief = % of direct care FTEs