Mont. Admin. R. 37.40.1027 - ADD-ON PAYMENTS AND REPORTING REQUIREMENTS FOR DIRECT-CARE WORKERS' WAGE AND LUMP-SUM PAYMENTS
(1) In addition to
the reimbursement fee as provided in ARM 37.40.1026, 37.40.1030,
37.40.1105, and
37.85.105 the department will pay
Medicaid personal assistance service and Community First Choice Services (CFCS)
providers located in Montana who submit an approved request to the department,
an add-on payment. Add-on payment is used only for wage and benefit increases
or lump-sum payments for direct-care workers who deliver Medicaid personal
assistance or CFCS.
(a) The department will
determine the add-on payments, commencing July 1, 2014, as a pro rata share of
appropriated funds available for increases in direct-care worker wages,
lump-sum direct-care worker bonus payments, or both. A provider agency is
eligible to receive a portion of the total funds based on their percentage of
total utilization of personal assistance services and CFCS over the previous
fiscal year.
(b) To receive the
direct-care services workers' add-on payment, a provider must submit for
approval an application request to the department stating how the direct-care
workers' wage increase, add-on payment, or both will be spent to comply with
the requirements outlined in the application. The provider must submit all of
the information required on a department-approved form in order to continue to
receive subsequent add-on payment amounts for the entire year.
(c) A provider must submit a qualifying
request for the funds distributed under (1). The request must include all
required information, within the deadlines established by the department.
Providers who do not submit the qualifying request, or do not wish to
participate in the add-on funding, may not be entitled to their pro rata share
of the funds available for wage and benefit increase or lump-sum payments for
direct-care workers.
(2)
A provider that receives funds under this rule must maintain appropriate
records documenting the expenditures of these funds. This documentation must be
maintained and made available to authorized governmental entities and their
agencies to the same extent as other required records and documentation under
applicable Medicaid record requirements.
(a)
Effective for the period beginning July 1, 2014, personal assistance services
providers or CFCS providers must report to the department actual hourly wage
and benefit rates paid for all direct-care workers or the lump-sum payment
amounts for all direct-care workers who will receive these funds.
Notes
53-2-201, MCA; IMP: 53-2-201, 53-6-113, MCA;
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