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1. Discharge Assistance Program (DAP) Rate Study Implementation Provider Information 2. Background: DAP, a funding sourc

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1. Discharge Assistance Program (DAP) Rate Study Implementation Provider Information 2. Background: DAP, a funding sourc

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  1. Discharge Assistance Program (DAP) Rate Study Implementation Provider Information Session Heather Rupe Office of Patient Continuum Services Fall 2023 1

  2. Background and Current Status • Discharge Assistance Program (DAP) has been a last resort funding source for state hospital discharges since 1998 • Developed for those with extraordinary barriers to discharge from state facilities • Developed to meet one-time costs • Currently being used consistently as a funding source for residential services • 85% of funds used in residential services • DAP pays provider determined rates for individuals needing Group home, ALF, and NH care. • This creates inconsistency in level of care provided and paid for Fall 2023 2

  3. Why?? • DAP funds are general state funds that are designed for moving individuals from state psychiatric institutions. • DAP is payor of last resort and require monitoring and utilization management to free up additional funds for more discharges. • To create consistency, predictability and sustainability DAP needs a model for identifying residential rates. • This assures that patients are receiving the services needs and providers are being paid for those services consistently across the state. Fall 2023 3

  4. What is Staying the Same? • DAP continues to be avaliable to pay for residential level of care for individuals discharging from state facilities with barriers to discharge. • Providers continue to work directly with Community Service Board providers for placement, monitoring, and payment. • Patients still required to pay portion of costs from their funds. • DAP continues to be payor of last resort Fall 2023 4

  5. What is Changing? • DAP rate determined by client needs on Uniform Assessment Instrument • Rate per need determined by Berry Dunn Study https://rga.lis.virginia.gov/Published/2023/RD334 • All DAP residential recipients will utilize the Public Pay UAI with behavioral assessment to determine rate • Rate cap in place depending on level of care needed • Rate system has built in rate increases (subject to available funding) • Customized rate process for requests above funding cap Fall 2023 5

  6. Rates Fall 2023 6

  7. Rates Fall 2023 7

  8. Rates Fall 2023 8

  9. Implementation Timeline • October 2023 • Three provider information sessions • FAQ document • November 2023 • CSB training on rate tool • January 1, 2024 • All new DAP plans utilize rate structure • This includes new discharges or any new change to an existing plan (e.g. move to new provider, etc.) • January 1, 2024 through June 30, 2024 • All current DAP plans will be transitioned to new rate structure • March 2024 • Updated UAI and Level of Care Training for CSBs and Hospitals Fall 2023 9

  10. Questions Provider Q&A Fall 2023 10

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