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OKDHS Home > Library > Policy > OAC 317 > Chapter 40. Developmental Disabilities Services > 7. Employment Services Through Home and Community-Based Services Waivers > 12. Enhanced rates
317:40-7-12. Enhanced rates
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Revised 6-11-10


      An Enhanced Rate is available for both Community-Based Group Services and Group Job Coaching Services when necessary to meet a member's intensive personal needs in the employment setting(s).  The need for the enhanced rate is identified through the Team process and is supported by documentation in the Individual Plan (Plan) with consideration of risk assessment per OAC 340:100-5-56 and assessment of medical, nutritional, and mobility needs and:

  • (1) Team assessment per OAC 340:100-5-51, OAC 340:100-5-56, OAC 340:100-5-57, and OAC 340:100-5-26 of the member's needs.
  • (2) the member must:
    • (A) have a protective intervention plan that:
      • (i) contains a restrictive or intrusive procedure as defined in OAC 340:100-1-2 implemented in the employment setting;
      • (ii) has been approved by the State Behavior Review Committee (SBRC) in accordance with OAC 340:100-3-14 or by the Developmental Disabilities Services Division (DDSD) staff per OAC 340:100-5-57; and
      • (iii) has been reviewed by the Human Rights Committee (HRC) per OAC 340:100-3-6;
    • (B) have procedures included in the Individual Plan which address dangerous behavior that places the member or others at risk of serious physical harm but are neither restrictive or intrusive procedures as defined in OAC 340:100-1-2.  The Team submits documentation of this risk and the procedures to the positive support field specialist to assure that positive approaches are being used to manage dangerous behavior;
    • (C) have a visual impairment that requires assistance for mobility or safety;
    • (D) have two or more of the circumstances given in this subparagraph.
      • (i) The member has medical support needs which are rated at Level 4, Level 5, or Level 6 on the Physical Status Review (PSR), explained in OAC 340:100-5-26 or a comparable level of high medical needs as documented in the Plan.
      • (ii) The member has nutritional needs requiring tube feeding or other dependency for food intake which must occur in the employment setting.(iii) The member has mobility needs, such that he or she requires two or more people for lifts, transfers, and personal care.  Use of a mechanical lift or other assistive technology has been evaluated for the current employment program and determined not feasible by the DDSD division director or designee; or
    • (E) reside in alternative group home as described in OAC 317:40-5-152.
  • (3) The enhanced rate can be claimed only if the person providing services fulfills all applicable training criteria specified in OAC 340:100-3-38.
  • (4) There are no exceptions for the enhanced rate other than as allowed in this Section.

 
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Last Updated:  10/14/2010
Oklahoma Department of Human Services
Street address: Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd., Oklahoma City, OK 73105
Mailing address: P.O. Box 25352, Oklahoma City, OK 73125
(405) 521-3646
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