Payments for unit-based services with programming.

Payments for unit-based services with programming, including deleted text begin behavior programming deleted text end new text begin employment exploration services, employment development services new text end , housing access coordination, new text begin individualized home supports with family training, individualized home supports with training, new text end in-home family support, independent living skills training, deleted text begin independent living skills specialist services, individualized home supports, hourly supported living services, employment exploration services, employment development services, supported employment, and employment support deleted text end new text begin and hourly supported living new text end services provided to an individual outside of any day or residential service plan must be calculated as follows, unless the services are authorized separately under subdivision 6 or 7:

(1) determine the number of units of service to meet a recipient's needs;

(2) personnel hourly wage rate 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 (f), 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 direct staff 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 direct staff hours by the product of the supervision span of control ratio in subdivision 5, paragraph deleted text begin (e) deleted text end new text begin (f) new text end , 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 deleted text begin (e) deleted text end new text begin (f) new text end , 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 supports ratio in subdivision 5, paragraph deleted text begin (e) deleted text end new text begin (f) new text end , 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 deleted text begin (e) deleted text end new text begin (f) new text end , 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 supports ratio in subdivision 5, paragraph deleted text begin (e) deleted text end new text begin (f) new text end , 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 this is the subtotal rate;

deleted text begin (11) deleted text end new text begin (12) 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 (12) deleted text end new text begin (13) new text end divide the result of clause deleted text begin (10) deleted text end new text begin (11) new text end by one minus the result of clause deleted text begin (11) deleted text end new text begin (12) new text end . This is the total payment amount;

deleted text begin (13) deleted text end new text begin (14) new text end for deleted text begin supported deleted text end employment new text begin exploration services new text end provided in a shared manner, divide the total payment amount in clause deleted text begin (12) deleted text end new text begin (13) new text end by the number of service recipients, not to exceed deleted text begin three deleted text end new text begin five new text end . For employment support services provided in a shared manner, divide the total payment amount in clause deleted text begin (12) deleted text end new text begin (13) new text end by the number of service recipients, not to exceed six. For independent living skills training deleted text begin and deleted text end new text begin , new text end individualized home supports new text begin with training, and individualized home supports with family training new text end provided in a shared manner, divide the total payment amount in clause deleted text begin (12) deleted text end new text begin (13) new text end by the number of service recipients, not to exceed two; and

deleted text begin (14) deleted text end new text begin (15) new text end adjust the result of clause deleted text begin (13) deleted text end new text begin (14) new text end by a factor to be determined by the commissioner to adjust for regional differences in the cost of providing services.