Payments for unit-based services without programming.

Payments for unit-based services without programming, including new text begin individualized home supports, new text end night supervision, personal support, respite, and companion care 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) for all services except respite, determine the number of units of service to meet a recipient's needs;

(2) personnel hourly wage rates must be based on the 2009 Bureau of Labor Statistics Minnesota-specific rate 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 (g), 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 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 (f) deleted text end new text begin (g) 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 (f) deleted text end new text begin (g) 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 support ratio in subdivision 5, paragraph deleted text begin (f) deleted text end new text begin (g) 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 (f) deleted text end new text begin (g) 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 support ratio in subdivision 5, paragraph deleted text begin (f) deleted text end new text begin (g) 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 respite services, determine the number of day units of service to meet an individual's needs;

deleted text begin (14) deleted text end new text begin (15) new text end personnel hourly wage rates must be based on the 2009 Bureau of Labor Statistics Minnesota-specific rate or rates derived by the commissioner as provided in subdivision 5;

new text begin (16) except for subdivision 5, paragraph (a), clauses (4) and (21) to (23), multiply the result of clause (15) by the product of one plus the competitive workforce factor in subdivision 5, paragraph (h), clause (1); new text end

deleted text begin (15) deleted text end new text begin (17) new text end for a recipient requiring deaf and hard-of-hearing customization under subdivision 12, add the customization rate provided in subdivision 12 to the result of clause deleted text begin (14) deleted text end new text begin (16) new text end deleted text begin . This is defined as the customized direct care rate deleted text end ;

deleted text begin (16) deleted text end new text begin (18) new text end multiply the number of direct staff hours by the appropriate staff wage deleted text begin in subdivision 5, paragraph (a) deleted text end ;

deleted text begin (17) deleted text end new text begin (19) new text end multiply the number of direct staff hours by the product of the supervisory span of control ratio in subdivision 5, paragraph deleted text begin (g) deleted text end new text begin (h) 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 (18) deleted text end new text begin (20) new text end combine the results of clauses deleted text begin (16) deleted text end new text begin (18) new text end and deleted text begin (17) deleted text end new text begin (19) 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 (g) deleted text end new text begin (h) 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 (19) deleted text end new text begin (21) new text end for employee-related expenses, multiply the result of clause deleted text begin (18) deleted text end new text begin (20) new text end by one plus the employee-related cost ratio in subdivision 5, paragraph deleted text begin (g) deleted text end new text begin (h) new text end , clause deleted text begin (3) deleted text end new text begin (4) new text end ;

deleted text begin (20) deleted text end new text begin (22) new text end this is the subtotal rate;

deleted text begin (21) deleted text end new text begin (23) 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 (22) deleted text end new text begin (24) new text end divide the result of clause deleted text begin (20) deleted text end new text begin (22) new text end by one minus the result of clause deleted text begin (21) deleted text end new text begin (23) new text end . This is the total payment amount; deleted text begin and deleted text end

new text begin (25) for individualized home supports provided in a shared manner, divide the total payment amount in clause (13) by the number of service recipients, not to exceed two; new text end

new text begin (26) for respite care services provided in a shared manner, divide the total payment amount in clause (24) by the number of service recipients, not to exceed three; and new text end

deleted text begin (23) deleted text end new text begin (27) new text end adjust the result of clauses deleted text begin (12) and (22) deleted text end new text begin (13), (25), and (26) new text end by a factor to be determined by the commissioner to adjust for regional differences in the cost of providing services.