RATE SCHEDULE Room & Board In-Home Maintenance

RATE SCHEDULE - Effective July 1, 2022 Rates apply to Medicaid Services funded by Aging and People with Disabilities.

Room & Board In-Home Allowance Personal Incidental Funds

AB

$654.00 As of January 1, 2022, APD

will be able to keep their

AD/OAA $654.00

entire income.

NF $68.77 CBC $187

Community-Based Care (CBC) Monthly Rates

Residential Adult Foster

Care Facilities

Homes

Assisted Living Facilities

Base Base plus 1 add-on Base plus 2 add-ons Base plus 3 add-ons Hourly Exception Rate Standard Ventilator

$2,071 $2,473 $2,875 $3,277 $17.46 / Hr.

$1,932 $2,283 $2,634 $2,985 $17.77 / Hr. $11,131

Level 1 Level 2 Level 3 Level 4 Level 5

$1,663 $2,061 $2,587 $3,249 $3,907

Memory Care (Endorsed Units Only)

$5,433

Nursing Facility Basic Bariatric Complex Enhanced Pediatric Ventilator

Daily Monthly Rate Comparable $440.82 $12,791.42 $815.52 $24,188.67 $617.15 $18,154.85 $617.15 $18,154.85 $1,123.19 $33,547.07 $1,035.93 $30,892.88

AFH Specific Needs

Contract Types

Advanced $8,903

Adv. Vent. $22,521

Bariatric

$8,903

Basic

$7,790

Complex $11,434

Dementia $6,198

ECOS

$3,490

Hospice

$9,535

TBI

$8,201

Homecare Workers (HCW)

HCW Hourly $16.67

Enhanced

$17.67

Professional Development $17.17

Enhanced with

PDC

$18.17

Mileage ? Non- Medical $.56/Mile

PACE Organization Providence ElderPlace

AllCare PACE

Medicaid Only Rate $7,368.56 $7,039.49

Medicare/Medicaid Rate $5,253.32 $4,597.04

Other Services Home Delivered Meals: $ 12.25 / meal

Long Term Care Community Nursing Services: $20.00. /15-minute unit of service

In-Home Agencies: $32.92/Hr. Service Assessment: $98.76 Mileage, Non-Medical: $.56/Mile

HK Shelter: $59.09/Mo. $1.94/Day

Adult Day Services: Refer to ADS Rate Table

ICP Monthly Benefit Calculation

Multiply Total Add:

Assessed Hours by: x Assessed Mileage x

x HCW Rate $16.67

$.56/Mile

($19.67 if VDQ) +

x FICA = 7.65% + = Total Service Payment

x FUTA = .6% +

x SUTA= 1.97% +

x WBF = $.011/Hr.

Contact List for Specific Needs Contracts

ENHANCED WAGE ADD-ON RATE SCHEDULE Effective July 1, 2022 (Prior Approval Needed)

The Oregon Legislature approved the Enhanced Wage Add-on Program to support Home and Community-Based Services (Assisted Living, Residential Care, Memory Care ? endorsed units only and In-Home Care Agencies) providers and nursing facilities. The purpose of the program

is to support providers with retention of caregivers and CNAs by providing a Medicaid Enhanced rate to providers who pay wages at a specific threshold. Providers may be eligible for these increases between October 1, 2021, and June 30, 2023. The goal of the program is to

maintain a stable work force and maintain quality services by paying higher wages to caregivers and CNAs. Please refer to OAR 411-027-0160 and OAR 411-070-0438.

Rates apply to Medicaid Services funded by Aging and People with Disabilities

Room & Board

AB

$654.00

AD/OAA $654.00

Personal Incidental Funds

NF $68.77 CBC $187

Community-Based Care (CBC) Monthly Rates

Residential Care Facilities

Assisted Living Facilities

Base Base plus 1 add-on Base plus 2 add-ons

$2,279 $2,722 $3,165

Level 1 Level 2 Level 3

$1,830 $2,268 $2,846

Base plus 3 add-ons Hourly Exception Rate

$3,608 $19.21 / Hr.

Level 4 Level 5

$3,574 $4,298

Memory Care (Endorsed Units Only)

$5,977

Nursing Facility Basic Bariatric Complex Enhanced Pediatric Ventilator

Daily Monthly Rate Comparable $458.45 $13,327.67 $848.14 $25,180.87 $641.84 $18,905.85 $641.84 $18,905.85 $1,168.11 $34,913.40 $1,077.37 $32,153.36

In-Home Care Agencies (IHCA)

IHCA Hourly

$36.24

Service Assessment $108.72

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