Texas Register, Volume 38, Number 26, Pages 4053-4242, June 28, 2013 Page: 4,104
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(ii) direct foster care costs, which are costs incurred
for DFPS foster children only, such as clothing and personal care items.
These costs are tracked and reported for the month according to the
level of care of the child; and
(iii) administrative costs that directly provide for
DFPS foster children, such as child-care books, and dues and fees for
associations primarily devoted to child care.
(D) A cost per day is calculated for each cost category
and these costs are combined for a total cost per day for each level of
care served.
(E) A separate sample population is established for each
type of specialized foster home (therapeutic, habilitative, and primary
medical). Each level of care maintenance rate is established by the
sample population's central tendency, which is defined as the mean, or
average, of the population after applying two standard deviations above
and below the mean of the total population.
(F) The rates calculated for each type of specialized fos-
ter home are averaged to derive one foster care maintenance rate for
each of the Levels of Care 2 through 4.
(G) The total cost per day is projected using the IPD-
PCE Index from the period covered in the cost report to September 1
of the second year of the biennium, which is the middle of the biennium
that the rate period covers. Information on inflation factors is specified
in subsection (h) of this section.
(c) For payment rates in effect for state fiscal year (SFY) 2002
and 2003, DFPS develops rate recommendations for Board consider-
ation for child-placing agencies serving Levels of Care 1 through 4
children as follows:
(1) The rate-setting model defined in subsection (g) of this
section is applied to child-placing agencies' cost reports to calculate a
daily rate.
(2) At a minimum, child-placing agencies are required to
pass through the applicable foster home rate derived from subsection
(b) of this section to their foster homes. The remaining portion of the
rate is provided for costs associated with case management, treatment
coordination, administration, and overhead.
(3) For rate-setting purposes, the following facility types
are included as child-placing agencies and will receive the child-plac-
ing agency rate:
(A) child-placing agency;
(B) independent foster family/group home;
(C) independent therapeutic foster family/group home;
(D) independent habilitative foster family/group home;
and
(E) independent primary medical needs foster fam-
ily/group home.
(d) For payment rates in effect for state fiscal year (SFY) 2002
and 2003, DFPS develops rate recommendations for Board considera-
tion for residential care facilities serving Levels of Care 1 through 6 as
follows:
(1) For Levels of Care 1 and 2, DFPS applies the same rate
paid to child-placing agencies as recommended in subsection (c) of this
section.
(2) For Levels of Care 3 through 6, the rate-setting model
defined in subsection (g) of this section is applied to residential care
facilities' cost reports to calculate a daily rate.(3) For rate-setting purposes, the following facility types
are included as residential care facilities and will receive the residential
care facility rate:
(A) residential treatment center;
(B) therapeutic camp;
(C) institution for mentally retarded;
(D) basic care facility;
(E) halfway house; and
(F) maternity home.
(e) For payment rates in effect for state fiscal year (SFY) 2002
and 2003, DFPS develops rate recommendations for Board considera-
tion for emergency shelters as follows:
(1) DFPS analyzes emergency shelter cost report informa-
tion included within the rate-setting population defined in subsection (f)
of this section. Emergency shelter costs are not allocated across levels
of care since, for rate-setting purposes, all children in emergency shel-
ters are considered to be at the same level of care.
(2) For each cost report in the rate-setting population, the
total costs are divided by the total number of days of care to calculate
a daily rate.
(3) The total cost per day is projected using the IPD-PCE
Index from the period covered in the cost report to September 1 of the
second year of the biennium, which is the middle of the biennium that
the rate period covers. Information on inflation factors is specified in
subsection (h) of this section.
(4) The emergency shelter rate is established by the popu-
lation's central point or central tendency. The measure of central ten-
dency is defined as the mean, or average, of the population after ap-
plying two standard deviations above and below the mean of the total
population.
(f) For payment rates in effect for state fiscal year (SFY) 2002
and 2003, level of care rates for contracted providers including child-
placing agencies, residential care facilities, and emergency shelters are
dependent upon provider cost report information. The following crite-
ria applies to this cost report information:
(1) DFPS excludes the expenses specified in 700.1805
and 700.1806 of this title (relating to Unallowable Costs and Costs
Not Included in Recommended Payment Rates). Exclusions and
adjustments are made during audit desk reviews and on-site audits.
(2) DFPS includes therapy costs in its recommended pay-
ment rates for emergency shelters and for Levels of Care 3 through 6,
and these costs will be considered as allowable costs for inclusion on
the provider's annual cost report, only if one of the following conditions
applies. The provider must access Medicaid for therapy for children in
their care unless:
(A) the child is not eligible for Medicaid or is transi-
tioning from Medicaid Managed Care to fee-for-service Medicaid;
(B) the necessary therapy is not a service allowable un-
der Medicaid;
(C) service limits have been exhausted and the provider
has been denied an extension;
(D) there are no Medicaid providers available within 45
miles that meet the needs identified in the service plan to provide the
therapy; or38 TexReg 4104 June 28, 2013 Texas Register
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Texas. Secretary of State. Texas Register, Volume 38, Number 26, Pages 4053-4242, June 28, 2013, periodical, June 28, 2013; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth313178/m1/52/: accessed May 4, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.