Payments for day programs.

(ii) the commissioner, in consultation with service providers, shall develop a uniform staffing ratio worksheet to be used to determine staffing ratios under this subdivision;

(2) personnel hourly wage rates must be based on the 2009 Bureau of Labor Statistics Minnesota-specific rates or rates derived by the commissioner as provided in subdivision 5;

new text begin (3) except for subdivision 5, paragraph (a), clauses (4) and (21) to (23), multiply the result of clause (2) by the product of one plus the competitive workforce factor in subdivision 5, paragraph (d), clause (1); new text end

deleted text begin (3) deleted text end new text begin (4) new text end for a recipient requiring customization for deaf and hard-of-hearing language accessibility under subdivision 12, add the customization rate provided in subdivision 12 to the result of clause deleted text begin (2) deleted text end new text begin (3) new text end deleted text begin . This is defined as the customized direct-care rate deleted text end ;

deleted text begin (4) deleted text end new text begin (5) new text end multiply the number of day program direct staff hours and nursing hours by the appropriate staff wage deleted text begin in subdivision 5, paragraph (a), or the customized direct-care rate deleted text end ;

deleted text begin (5) deleted text end new text begin (6) new text end multiply the number of day direct staff hours by the product of the supervision span of control ratio in subdivision 5, paragraph (d), clause deleted text begin (1) deleted text end new text begin (2) new text end , and the appropriate supervision wage in subdivision 5, paragraph (a), clause (21);

deleted text begin (6) deleted text end new text begin (7) new text end combine the results of clauses deleted text begin (4) and deleted text end (5) new text begin and (6) new text end , and multiply the result by one plus the employee vacation, sick, and training allowance ratio in subdivision 5, paragraph (d), clause deleted text begin (2) deleted text end new text begin (3) new text end . This is defined as the direct staffing rate;

deleted text begin (7) deleted text end new text begin (8) new text end for program plan support, multiply the result of clause deleted text begin (6) deleted text end new text begin (7) new text end by one plus the program plan support ratio in subdivision 5, paragraph (d), clause deleted text begin (4) deleted text end new text begin (5) new text end ;

deleted text begin (8) deleted text end new text begin (9) new text end for employee-related expenses, multiply the result of clause deleted text begin (7) deleted text end new text begin (8) new text end by one plus the employee-related cost ratio in subdivision 5, paragraph (d), clause deleted text begin (3) deleted text end new text begin (4) new text end ;

deleted text begin (9) deleted text end new text begin (10) new text end for client programming and supports, multiply the result of clause deleted text begin (8) deleted text end new text begin (9) new text end by one plus the client programming and support ratio in subdivision 5, paragraph (d), clause deleted text begin (5) deleted text end new text begin (6) new text end ;

deleted text begin (10) deleted text end new text begin (11) new text end for program facility costs, add $19.30 per week with consideration of staffing ratios to meet individual needs;

deleted text begin (11) deleted text end new text begin (12) new text end for adult day bath services, add $7.01 per 15 minute unit;

deleted text begin (12) deleted text end new text begin (13) new text end this is the subtotal rate;

deleted text begin (13) deleted text end new text begin (14) new text end sum the standard general and administrative rate, the program-related expense ratio, and the absence and utilization factor ratio;

deleted text begin (14) deleted text end new text begin (15) new text end divide the result of clause deleted text begin (12) deleted text end new text begin (13) new text end by one minus the result of clause deleted text begin (13) deleted text end new text begin (14) new text end . This is the total payment amount;

deleted text begin (15) deleted text end new text begin (16) new text end adjust the result of clause deleted text begin (14) deleted text end new text begin (15) new text end by a factor to be determined by the commissioner to adjust for regional differences in the cost of providing services;

deleted text begin (16) deleted text end new text begin (17) new text end for transportation provided as part of day training and habilitation for an individual who does not require a lift, add:

(i) $10.50 for a trip between zero and ten miles for a nonshared ride in a vehicle without a lift, $8.83 for a shared ride in a vehicle without a lift, and $9.25 for a shared ride in a vehicle with a lift;

(ii) $15.75 for a trip between 11 and 20 miles for a nonshared ride in a vehicle without a lift, $10.58 for a shared ride in a vehicle without a lift, and $11.88 for a shared ride in a vehicle with a lift;

(iii) $25.75 for a trip between 21 and 50 miles for a nonshared ride in a vehicle without a lift, $13.92 for a shared ride in a vehicle without a lift, and $16.88 for a shared ride in a vehicle with a lift; or

(iv) $33.50 for a trip of 51 miles or more for a nonshared ride in a vehicle without a lift, $16.50 for a shared ride in a vehicle without a lift, and $20.75 for a shared ride in a vehicle with a lift;

deleted text begin (17) deleted text end new text begin (18) new text end for transportation provided as part of day training and habilitation for an individual who does require a lift, add:

(i) $19.05 for a trip between zero and ten miles for a nonshared ride in a vehicle with a lift, and $15.05 for a shared ride in a vehicle with a lift;

(ii) $32.16 for a trip between 11 and 20 miles for a nonshared ride in a vehicle with a lift, and $28.16 for a shared ride in a vehicle with a lift;

(iii) $58.76 for a trip between 21 and 50 miles for a nonshared ride in a vehicle with a lift, and $58.76 for a shared ride in a vehicle with a lift; or

(iv) $80.93 for a trip of 51 miles or more for a nonshared ride in a vehicle with a lift, and $80.93 for a shared ride in a vehicle with a lift.