State of Minnesota

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• State of Minnesota
• Disability Services Division
• Day Services Payment Structure Project
• Fourth Advisory Group Meeting
• Status Update Webinar
• May 12, 2009
• 100 p.m. Central Standard Time

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Meeting Agenda

• Welcome and Brief Introductions
• Re-Cap of Last Meeting
• Field Testing and Wage Cost Survey Results
• Overall Project Progress
• Next Steps

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I. Welcome and Brief Introductions
4
II. Re-Cap of Last Meeting
5
Re-Cap of Last Meeting
6
III. Field Testing Results and Wage Cost
Survey Results
7
Results of Surveys Survey Responses
Cost Survey Cost and Wage Date for Day Services
Sample 30 Providers Responses 26
responses from 23 providers Responses
Represent 59.5 of All Day Services in Sample
Counties Based on Payments
County Survey Service Units and Staffing Ratios
Sample 9 Counties Responses 8 Counties
8
Analysis of Average Payment per Unit from Sample
Counties for 2008
Low
Mean
High
Adult Day Care Services
15-Minute Unit 15-Minute Unit - Bath Daily Unit
3.13 4.83 50.37
3.20 4.88 67.72
3.26 4.92 92.07
Prevocational Services
29.35 70.90
Hourly Unit Daily Unit
11.23 53.07
15.30 60.55
Supported Employment
6.21 66.92 35.90
8.52 71.12 69.53
9.55 75.31 102.09
15-Minute Unit Partial Day Unit Daily Unit
DTH Structure Day Program (Excluding DTH
Pilot)
60.16 84.74
Partial Day Unit Daily Unit
44.54 63.87
50.85 72.86
Transportation
Per Mile Unit DTH Daily Unit One Way Trip Unit
.45 4.54 3.46
.85 11.45 8.66
1.49 14.67 13.94
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Analysis of Average Wage Rate from Sample
Providers for 2008
Mean
Median
High
Low
Direct Service
Staff Supervisor
14.05 19.38
13.24 19.62
20.44 25.99
10.62 13.53
Employment Service
Staff Supervisor
11.44 16.92
11.69 17.35
16.24 18.39
9.71 14.83
Transportation
Staff Supervisor
13.90 19.58
13.94 19.58
14.96 19.58
12.45 19.58
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Analysis of Model Input Components from Sample
Cost Survey Data
High
Median
Mean
Low
Employee Benefits Percentage
30.71
23.98
23.33
11.89
Administration Percentage
31.37
21.82
22.77
2.94
Program Support Percentage
23.02
10.01
10.68
6.41
Facility-Related Percentage
25.08
17.70
18.37
11.59
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Independent Rate Model Example
CalculationSupported Employment, Staffing Ratio
11
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Independent Rate Model Example
CalculationSupported Employment, Staffing Ratio
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FTE Factor assumes 320 hours per year to cover
vacation, sick days, holidays and training
approximately 0.15 FTEs
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Independent Rate Model Example
CalculationSupported Employment, Staffing Ratio
11
FTE Factor assumes 320 hours per year to cover
vacation, sick days, holidays and training
approximately 0.15 FTEs
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Independent Rate Model Example
CalculationSupported Employment, Staffing Ratio
11
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IV. Overall Project Progress
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Overall Project Progress
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Overall Project Progress (continued)
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V. Next Steps
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Next Steps
Slide 19
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Next Steps (continued)
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Future Phases Implementation of Proposed
Payment Structure