Home and Community Based Waiver and Personal Care Attendant Payment Rates and Cost Survey Information
The page contains information of interest for providers of Home and Community Based Waiver and Personal Care Attendant services. Regulations found at 7 AAC 145.520 through 7 AAC 145.537 provide specific requirements for the determination of payment rates and provider responsibilities for accounting and cost reporting. It is essential that providers become familiar with these regulations in order to understand what payment rates apply to the individual provider as well as their reporting requirements.
If providers have specific questions regarding payment rates or annual reporting requirements they may contact:
Primary - Kevin Perron at 269-3469 or firstname.lastname@example.org
Secondary - Randall Schlapia at 269-0478 or email@example.com
2014 Rate Calculation Transparency Materials
The Department of Health and Social Services released its proposed changes to regulations dealing with service payment rates for Medicaid home and community-based Waiver services and Personal Care Attendant services on August 23, 2013. Below, you will find transparency materials that show the actual calculations of the payment rates. Please refer to the public notice that was released on August 23, 2013 for instructions on how to formerly comment on the proposed changes to regulation or how to participate in the upcoming hearings. You can access the public notice and other proposed changes to regulations at http://aws.state.ak.us/OnlinePublicNotices/Notices/View.aspx?id=169413
Rate Information for Dates of Service (DOS)
Effective DOS July 1, 2013 – June 30, 2014
Effective DOS December 1, 2012 – June 30, 2013
Effective DOS July 1, 2012 – November 30, 2012
Effective DOS April 1, 2012 – June 30, 2012
Effective DOS July 1, 2011 – March 31, 2012
Effective DOS March 1, 2011 – June 30, 2011
Information Affecting Rates (Including Rate Phase-in)
The links below are to spreadsheets for those providers who have a rate history from the period of July 1, 2009 through September 30, 2009 with claims/billings processed by February 3, 2010. The rates on the spreadsheet represent a calculated rate that is the basis for a hold harmless rate or a phased-in rate in accordance with 7 AAC 145.520(h). All hold harmless rates will expire on December 31, 2013, with the following exception, should the chart rate become higher before December 31, 2013 then it would replace the hold harmless rate. The periods of the phase-in of rates have been implemented since March 1, 2011, adjusted on July 1, 2011 and will be adjusted again on July 1, 2012. The phase-in rates were determined using a percentage amount based on the rate history captured on February 3, 2010, and the current chart rate. The last percentage increase and adjustment will be completed for rates effective July 1, 2012 and those rates will end on June 1, 2013. Any provider who does not have a rate history for the time period above, for example a new provider, their rate would be taken from the current chart in effect. The expiration of all rates on June 30, 2013 makes way for the new chart rates that will be implemented on January 1, 2014.
Phase in Rate Tables:
(includes Cost Survey component)
Cost Reports must be submitted annually to the Department 9 months after the close of each provider fiscal year. Providers should consult 7 AAC 145.531. for details. Providers receiving less than $200,000 in annual Medicaid payments have the option to reduce or eliminate reporting and should consult 7 AAC 145.520(l). A complete Cost Report consists of:
- Cover Sheet;
- Audited financial statement (AFS);
- Post-audit working trial balance;
- Statistics worksheet;
- Cost survey (if requested).
The Cost Survey has been requested by the Department for provider fiscal years beginning January 1, 2011 through fiscal years beginning December 1, 2011 via regulatory notice at 7 AAC 145.520(j). Common fiscal years for reporting the Cost Report with Cost Survey will be those ending December 31, 2011; June 30, 2012; and Sept 30, 2012 and will be due 9 months after the fiscal year end. The following materials will be used for the Cost Survey component of the Cost Report:
The attached Excel version of the Cost Survey must be used for reporting. Data entry areas are shaded in green and are open for reporting. Other areas on the Cost Survey have been locked to assure consistency of reporting. The following set of questions and responses are intended to provide guidance with the Cost Report process and a contact for Xerox.
Providers may submit the Cost Report, including Cost Survey, electronically by scanning them and emailing them to ORRCostReport@alaska.gov Providers sending electronic documents may send PDF or Excel. Certifying signatures of the Chief Executive Officer must be sent by PDF.
Providers choosing to mail the Cost Report may send it to:
Office of Rate Review
3601 C Street, Suite 978
Anchorage, AK 99503-5936.