Ongoing Rate and Unit Decrease

Definition:

If the person needs both a decrease to the rate and the units of an existing Ongoing service in the Person Centered Support Plan (PCSP), then it means the new rate is likely  based on a worksheet calculation and the total units will permanently decrease.  The rates for worksheet services, one-time purchase services and summer program services are allowed to increase from the rate originally loaded in the PCSP.  In order to submit the Request that involves both rate and unit decreases, the worker must include documentation that justifies the rate decrease separately from the documentation for the unit decrease.  The justifications for both decreases should explain the nature of the situation or circumstance in the person’s life that requires the change.

Procedure:

A permanent decrease in the rate and units for a service do not have to be justified by criteria in the Request for Services.  Rather, the decrease can be implemented directly on the budget screen inside the request.  In order to implement the decreases, the worker must respond to four questions that dynamically and automatically build the budget line for the “Ongoing Rate and Unit Decrease” in the Request.  Each one contributes information toward a holistic view regarding how the rate/unit increase will impact the person’s needs.  

from the selected budget line will be available for use in the Request.

Explanation:

The following four questions must be completed in order to submit the Request for the “Ongoing Rate and Unit Decrease”.  In this scenario, both the rate and the units in the selected budget line are expected to decrease.

What will be rate become after it is permanently reduced?

This question asks for new value the rate will have after the decrease is applied.  

What date will the rate reduction start?

This question asks for the date the increase will begin for the service.   The date cannot be arbitrary.  Rather, it must accurately reflect the expected date the provider will begin delivering the lower rate and units.  If the date is unknown, then the worker should select the first day of the month in which the provider is expected to begin delivering the lower rate and units.

How many units will be permanently removed from the service in the Active plan?

This question asks for the exact number of units by which the service will be reduced in the Active PCSP.  The number of decreased units cannot be arbitrary.  If the units are not accurate, then the Plan Max may provide insufficient funds to cover the person’s need.

How many total units will be permanently removed from the service in the next plan cycle?

This question asks for the exact number of units that will be permanently removed from the service in the next plan cycle.  If the reduced units are not accurate, then the Plan Max may provide insufficient funds to cover the person’s need.