Providers should always have a 1:1 UCR rate. 

 

You can ask the CB to cover the difference between the “C” acuity rate and your 1:1 UCR rate.  For example “C” acuity rate is $125.00 and your 1:1 UCR rate is $200.00….CB would cover $75.00 per day.  You would need to bill the $200.00 UCR to DODD to show that you are billing your 1:1 rate but the max DODD pays is the “C” acuity rate.   There are some counties that will do this, I can’t say that all of them will but it certainly worth the conversation.  It’s unfortunate that there was never a rate established for 1:1 in the day array setting.

 

 

 

Melissa

 

Melissa Skaggs

Chief Innovation Officer

ARC Industries

2780 Airport Drive, Suite 450

Columbus, Ohio 43219

614-479-2523 (direct dial)

melissa.skaggs@arcind.com

www.arcind.com

 

‘Supporting and empowering persons with disabilities to achieve their life goals’

 

ARC_LOGO-11-26-12-copy

 

Email Confidentiality Notice:  The information contained in this transmission is privileged and confidential and/or protected health information (PHI) and may be subject to protection under the law, including the Health Insurance Portability and Accountability Acto of 1996, as amendeded (HIPAA). This transmission is intended for the sole use of individual or entity to whom it is addressed.  If you are not the intended recipient, you are notified that any use, dissemination, distribution, printing or copying of this transmission is strictly prohibed and may subject you to criminal or civil penalties. If you have received this transmission in error, please contact the sender immediately by replying to this email and deleting this email and any attachments from any computer.

 

 

 

From: opra_members@opra.simplelists.com <opra_members@opra.simplelists.com> On Behalf Of Ashley Brocious
Sent: Friday, March 1, 2019 8:11 AM
To: Gary Tonks <gary.tonks@thearcofohio.org>; OPRA General Listserve <opra_members@opra.simplelists.com>; Phillips, Lindsey <lphillips@marimorindustries.org>
Subject: Re: One on One in a day service

 

We are currently facing this issue as well.  We have an individual who has always been treated as a 1:1 service for years but after we privatized and opened up our services to a larger area, we have realized that we cannot continue his services the way it is.  

 

The two options we are going to attempt with the County Board are:

  1. County Board levy dollars for a second staff at a C acuity rate.  
  2. HPC service but he only has a Level One waiver.  

 

Thank you,

Ashley Brocious

 

 

CONFIDENTIALITY NOTICE: The contents of this email message and any attachments are intended solely for the addressee(s) and may contain confidential and/or privileged information and may be legally protected from disclosure. If you are not the intended recipient of this message or their agent, or if this message has been addressed to you in error, please immediately alert the sender by reply email and then delete this message and any attachments. If you are not the intended recipient, you are hereby notified that any use, dissemination, copying, or storage of this message or its attachments is strictly prohibited.

From: opra_members@opra.simplelists.com <opra_members@opra.simplelists.com> on behalf of Phillips, Lindsey <lphillips@marimorindustries.org>
Sent: Thursday, February 28, 2019 4:28 PM
To: Gary Tonks; OPRA General Listserve
Subject: RE: One on One in a day service

 

We have tried this but it has not been very successful for our agency. After we started one-on-one with an individual we were quickly asked to provide one-on-one for 2 other individuals. Typically the request for one-on-one services are for individuals who have higher needs and typically have an Acuity Score of a “C” with that being said after you pay staff wages for the day and bill the daily rate you aren’t always covering payroll or possibly even taking a loss. I would also like to point out the individuals who we have provided one-on-one with have had behavioral issues which take our most qualified staff members to provide those services.

I look forward to hearing what other agencies have done or what you are currently doing.  

 

Thanks,

Lindsey Phillips

Habilitation Manager

Marimor Industries Inc.

419-221-1226 ext:2081

lphillips@marimorindustries.org

 

 

 

From: opra_members@opra.simplelists.com [mailto:opra_members@opra.simplelists.com] On Behalf Of Gary Tonks
Sent: Thursday, February 28, 2019 10:58 AM
To: OPRA General Listserve
Subject: One on One in a day service

 

Has anyone been able to provide one on one to an individual in an adult day service?

 

Gary Tonks, CEO

The Arc of Ohio

You are receiving this important information as a Member service of the Ohio Provider Resource Association. Unless messages and/or replies are specifically directed, each posting/response is sent to the entire listserv group, a large and diverse body. The views of individual listserv users do not necessarily reflect the views of the OPRA Board or Staff. To send a message to this listserv, please use the reply button. To reply only to the original sender, please respond to the email listed after -on behalf of- in the FROM line of the message header. Thank you.

 

Disclaimer

The information contained in this communication from the sender is confidential. It is intended solely for use by the recipient and others authorized to receive it. If you are not the recipient, you are hereby notified that any disclosure, copying, distribution or taking action in relation of the contents of this information is strictly prohibited and may be unlawful.

This email has been scanned for viruses and malware, and may have been automatically archived by Mimecast Ltd, an innovator in Software as a Service (SaaS) for business. Providing a safer and more useful place for your human generated data. Specializing in; Security, archiving and compliance. To find out more Click Here.

You are receiving this important information as a Member service of the Ohio Provider Resource Association. Unless messages and/or replies are specifically directed, each posting/response is sent to the entire listserv group, a large and diverse body. The views of individual listserv users do not necessarily reflect the views of the OPRA Board or Staff. To send a message to this listserv, please use the reply button. To reply only to the original sender, please respond to the email listed after -on behalf of- in the FROM line of the message header. Thank you.

You are receiving this important information as a Member service of the Ohio Provider Resource Association. Unless messages and/or replies are specifically directed, each posting/response is sent to the entire listserv group, a large and diverse body. The views of individual listserv users do not necessarily reflect the views of the OPRA Board or Staff. To send a message to this listserv, please use the reply button. To reply only to the original sender, please respond to the email listed after -on behalf of- in the FROM line of the message header. Thank you.



Email Confidentiality Notice: The information contained in this transmission is privileged and confidential and/or protected health information (PHI) and may be subject to protection under the law, including the Health Insurance Portability and Accountability Act of 1996, as amended (HIPAA). This transmission is intended for the sole use of the individual or entity to whom it is addressed. If you are not the intended recipient, you are notified that any use, dissemination, distribution, printing or copying of this transmission is strictly prohibited and may subject you to criminal or civil penalties. If you have received this transmission in error, please contact the sender immediately by replying to this email and deleting this email and any attachments from any computer.