Compass Project: Rate Setting
In the fall of 2017, the Office of Developmental Disabilities Services (ODDS) launched the Compass Project. At that time, ODDS incorporated the rate setting efforts into the Compass Project.
Our North Star is a focus on aligning our system with our person-centered core values. Part of this reorientation is having transparent rate models that align with our expectation for competent, well-trained providers who deliver safe, high-quality services in a way that maximizes independence and integration for people we serve.
This effort meets our strategic goals of creating a system that is sustainable, easy to use, with effective communication and equitable access and supporting people to live rich, full lives while providing for their health and safety. (Read more in our Strategic Plan)
Rate setting process
The process has included establishing clear service expectations, studying the current conditions, and aligning expectations with appropriate reimbursement.
Phase 1: Initially, ODDS worked on the rate models for the following services: 24-Hour Residential (adults and children), Attendant Care, Non-Medical Transportation, Professional Behavior Services, Small Group Employment, Employment Path, and Day Support Activities.
During 2017 and 2018 meetings were held with provider stakeholder groups and a cost survey was sent to all providers to complete. There was also an analysis of other available data.
Since then, the provider stakeholder groups have come back together multiple times to review the draft models, provide additional data, and give suggestions for adjustments. There was also an open feedback opportunity for all providers to give input on the proposed models.
The rate models in phase one are now final and are scheduled to be implemented in July 2022. The Oregon Legislature fully-funded the new ODDS rate models.
In July 2022, service groups will be used to establish a rate for certain services. These are all the services for which the rate will be set according to the service group:
- 24 Hour Residential
- Host Homes
- Employment Path
- Small Group Supported Employment
- Day Support Activities
- Job Coaching
- Job Development
While new rate models were developed for Professional Behavior Services, ODDS has decided not to implement them at this time. The service groups will group people receiving services according to their level of need and will determine the payment category; providers will be reimbursed for services based on the service group and payment category. There are four payment categories. Some payment categories apply to more than one service group.
|Service Groups 1 and 2||Payment Category 1|
|Service Group 3||Payment Category 2|
|Service Group 4||Payment Category 3|
|Service Group 5||Payment Category 4|
New Rate Models:
Phase 2: Adult and Children's Foster Care
In Spring of 2018 ODDS began the rate setting process for Adult and Children's Foster Care payments. The process will follow a similar path as the graphic above. Provider cost surveys have been completed in May-June 2018 and are being analyzed along with other available data.
Rate setting partner
ODDS has contracted with Burns and Associates, a health policy consulting firm, to complete the rate setting work. For more information about the process and the current status of ODDS rates visit their ODDS RATE STUDIES website.