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Project Sustainability

Project Sustainability

Project Sustainability is a collaborative effort focused on developing a system that supports individual choice and self-direction, provides equitable assessment and transparent rate methodology, and above all, is sustainable. Through the work of individuals with disabilities and their families and supports and the advocacy and provider communities, in collaboration with the Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH), it is anticipated that Project Sustainability will 1) define the services offered based on not just what we have today but what we can envision having five to ten years from now; 2) select a fair assessment tool that can provide the basis for consumer-directed care planning and allow us to align resources to individual needs, and provide mechanisms for individuals' changing circumstances and need for supports as they live their lives; and 3) develop a fair common rate method that clearly articulates what we want to buy, the assumptions used to reach a common rate, and how the rate should increase from year to year and be periodically rebased. If you have questions regarding Project Sustainability, please use the following Email: projectsustainability@bhddh.ri.gov.

Self-Advocates and Families Meetings
Rates
Current ISP Forms
Supports Intensity Scale

Technical Bulletins

Technical Bulletin #1 - Transportation

On Monday, November 11, 2011, Director Craig Stenning e-mailed DD providers and individuals and their families the first in a series of BHDDH Technical Bulletins. These Bulletins will be issued to answer some of the more frequent questions regarding Project Sustainability and to continue to make this system more transparent (Technical Bulletin #1 & Transportation Chart).



Technical Bulletin #2 - Anniversary Date and Fiscal Intermediary

On Wednesday, November 30, 2011 Director Craig Stenning e-mailed DD providers, individuals and their families the second BHDDH Technical Bulletin titled Anniversary Date and Fiscal Intermediary (Technical Bulletin #2).

 

Technical Bulletin #3 - Shared Living Arrangements

(Technical Bulletin #3).

 

Technical Bulletin #4 - CNOM

On Friday, February 10, 2012 the fourth technical bulletin was e-mail to DD providers. The bulletin was titled Cost Not Otherwise Matchable (CNOM). (Technical Bulletin #4).

 

Technical Bulletin #5 - Fiscal Intermediary and Self-Directed Care

On Monday, March 12, 2012, Director Craig Stenning e-mail DD providers the latest technical bulletin. Please see bulletin for more details. (Technical Bulletin #5).

 

Technical Bulletin #6 - Supports Intensity Scale

On Friday, March 30, 2012, Director Craig Stenning e-mail DD providers the latest technical bulletin. Please see bulletin for more details. (Technical Bulletin #6), (Form S106), (Form S107).

 

Technical Bulletin #7 - Quarterly Allocation Update

(Technical Bulletin #7).

 

Technical Bulletin #8 - SIS Communication

(Technical Bulletin #8).


Technical Bulletin #9 - Hurricane Sandy & Billing

(Technical Bulletin #9).


Technical Bulletin #10 - Package Tiers & Billing

(Technical Bulletin #10).

(Professional Supports at Day Program and Access to Overnight Shared Supports).

 

 

Communications from the Internal Review Committee

A typo was discovered in the November 30th published rates for Quarter 3 in the SLA section. We apologize for any inconvenience this may have caused. There have not been any changes, increases or decreases to the SLA Tiers or SLA respite for FY 13 Q3. The SLA authorizations are being corrected today (01/25/13) so on Monday they will be updated in the HP system. Please see the updated SLA rate methodology sheets and rate summary under the Rates Section of this page.

The Department has arranged 10 meetings where DD family members are encouraged to attend to learn more about the implementation of Project Sustainability. Please see the attached memo for scheduling details. (Memo)

Letters Regarding New Tier

On Monday January 7, 2013 the Department mailed copies of the letters sent to Participants regarding new tiers to the support coordinator agency.


3rd Quarter, Incorrect Payment Claim

If your agency submitted a claim for the 3rd quarter using codes T2003 (no modifier), T2013 (no modifier), T2015 (no modifier), T2017 (no modifier), T2017 UD U2 or T2019 (no modifier) and it paid incorrectly, please submit an adjustment through HP.


3rd Quarter, Support Coordination Modifier

Any Support Coordination previously listed as T2022 (no modifier) has been changed to T2022 L6 effective January 1, 2012. If you tried to bill T2022 without a modifier and it denied please resubmit the claim through HP with T2022 L6 for payment.


Senate Finance Meeting 3/21/12




Fourth Quarter FY 12 Authorization File

A file of all fourth quarter authorizations was e-mail to Agencies' Executive Director/CFO on March 15, 2012. The authorization is NOT based on dollars it is based on units. The dollars reflect a calculation of the units times the rate for the time period authorized. Rates effective April 1, 2012 are posted on our website and were e-mailed to all agencies. (Public Notice DD rates effective 4/1/12). Anniversary dates have been updated in each of the Agencies' spreadsheets.

January 2012, Incorrect Payment Claim

If your agency submitted a claim for the month of January using code T2003 (no modifier) and it paid incorrectly, please submit an adjustment through HP.


Anniversary Dates Memo

Memo to DD Providers on December 29, 2011 regarding anniversary dates. (Memo)


September 2011, Incorrect Payment Claim

If your agency submitted a claim for the month of September using code/modifier T2021 U7U1 and it paid incorrectly, please submit an adjustment through HP.


Licensing Applications

New licensing applications are now available.



3rd Quarter FY 12 Authorization File

A file of all third quarter authorizations was e-mailed to agencies' Executive Director/CFO on December 14, 2011. The authorization is NOT based on dollars it is based on units. The dollars reflect a calculation of the units' times the rate for the time period authorized. Rates effective January 1, 2012 are posted on our website and were e-mailed to all agencies. (Public Notice - DD Rates Effective 1/1/12)

Please be advised that the authorization file was sent through secured email. In order to view the email, enter the password that you have assigned (if first time using secured website assign your own password). If you forgot your previous password, click the "forgot password" link and follow those steps.

Fiscal Intermediary is not included in the spreadsheet, this information will be sent to you on Monday December 19, 2011.

Purchase Order and Budget Worksheets were updated for 3rd Quarter FY 12 rates.


2nd Quarter Authorization File

A file of all second quarter authorizations was emailed to agencies' Executive Director/CFO on September 26, 2011. The authorization is NOT based on dollars it is based on units. The dollars reflect a calculation of the units times the rate for the time period authorized.

Rates effective October 1, 2011 were posted on our website on September 1, 2011 (Public Notice Rate Change) and emailed to all agencies on September 1, 2011. As you know, most rates were 11% less than the July 1, 2011 rates. Therefore authorizations for the second quarter will be approximately 11% less than the July authorizations.


1st Quarter Updated Authorization

In response to some questions about the first quarter authorization, on September 22, 2011, a file was emailed to agencies' Executive Director/CFO of all first quarter authorizations currently in the HP system as of September 15, 2011.

Rates effective October 1, 2011 were posted on our website on September 1, 2011 and emailed to all agencies on September 1, 2011 (Public Notice Rate Change). As you know, most rates were 11% less than the July 1, 2011 rates. Therefore authorizations for the second quarter will be approximately 11% less than the July authorizations. Your second quarter authorization file will be sent by the end of September.


FAQ



Rates

 

Billing / IISP Trainings

 

Stakeholder and Agency Meetings



Self-Advocates and Families Meetings


Supports Intensity Scale (SIS)


Scheduled Meetings


Status Information


Letters


Service Definition Workgroup

BHDDH has convened a Service Definitions Work Group of stakeholders to discuss proposed changes and additions to the service package array for individuals with developmental disabilities. The Work Group has met on 10 occasions and the feedback to date has also been discussed with a focus group of individuals served and their families in a meeting in late January. In an effort to complete our process, we have summarized suggested changes made to date. We ask for your written feedback on any other comments you may have. Please submit any written comments you have by March 11, 2011, using the dedicated email address that has been set up for any comments (see below). You may also mail comments to: BHDDH Simpson Hall 3rd Floor, c/o Donna Phillips Project Sustainability, 6 Harrington Rd, Cranston, RI 02920. For comments about a specific service, please write the Service Name at the beginning of your comment. If it is a comment that is more general in nature, please indicate so at the beginning of your comment. Once all comments are received, we will 1convene the Service Definitions Work Group and the individuals/families groups one final time to go over any changes made. Thank you for your continued participation in this process.

Email comments to: DDsvsdefinitions@bhddh.ri.gov


Assessment Strategy Workgroup


Rate Methodology Workgroup