Specifications include, but are not limited to: DHCFP must conduct a study to review costs and related expenses which will be used to develop an updated reimbursement rate methodology for Nevada’s HCBS1905(a) PCS, 1915(c) and 1915(i) state plan populations. Ensuring accurate and adequate reimbursement to providers of HCBS 1905(a) PCS, 1915(c) waivers and 1915(i) state plan to facilitate the appropriate services being made available to individuals receiving home and community-based services. “Payments are consistent with efficiency, economy, and quality of care, and are sufficient to enlist enough providers so care and services are available under the program to the same extent as available to the general population in the geographic area” Per 1902(a)30(A) of the Social Security Act. Applying consistent payment rates to all providers for the same service. Fee schedule rate models may be comprised of a range of factors, depending on the service. Some examples of these factors include, Staff wages and fringe benefits including paid leave requirements effective January 1, 2022, for Nevada businesses and forthcoming minimum wage increases. Productivity adjustments to account for staff time that is not included in the billable unit of service. Program support costs. Direct and indirect administrative overhead costs.
