Blog Archives

Community Assessment

Prepared a community assessment focused on low-income populations eligible for the City’s Head Start and Community Services Block Grant (CSBG) funded programs. The assessment provided demographic, health, employment, and real estate overviews. The project included an analysis of census data … Continue reading

My Life, My Community Provider Rate Study

Assisting the State (in a subcontract to HSRI) to: evaluate the current service delivery system for individuals with intellectual and developmental disabilities; make recommendations to move the system to a more person-focused/needs-based system of care; in conjunction with that evaluation, … Continue reading

Maine Provider Rate Setting Initiative

Assisting the Office in developing and implementing provider rates and a resource allocation system for Maine’s 1915(c) waiver for adults with intellectual disabilities. The major components of the work plan include: provider engagement; a provider survey; collecting public input on … Continue reading

HCBS Rate Setting – NDDDD

B&A staff are providing an evaluation on the current reimbursement system features including rates, assessment, the individualized link between assessment and resource allocation/rate adjustment, and response of the system to changes in client acuity. Included in the evaluation is the … Continue reading

HCBS Rate Setting – NV DHS

Prior to B&A’s formation, Gretchen Engquist and Mark Podrazik completed work for the legislatively mandated Nevada Provider Rates Task Force charged with developing a long-term strategic rate plan for community-based services for seniors, people with disabilities, and people with mental … Continue reading

HCBS Rate Setting – MODDD

B&A staff are developing Missouri-specific Funding Bands (Missouri Funding Bands or MFBs) based on support need levels determined through the Support Intensity Scale (SIS) tool and “standardized” individual expenditure levels. The MFBs will be based on the SIS and expenditure … Continue reading

Develop Individualized Budgets – LA OCDD

B&A assisted the State in the development and implementation of individual funding levels applicable to home- and community-based waiver populations. The funding levels include regression analysis to determine commonalities among client needs to best assess the proper amount of funding.

HCBS Rate Setting – LA OCDD

B&A staff recently developed case management rates for ten (10) programs provided through the Department of Health & Hospitals (DHH). These programs included general State Plan programs and 1915(c) Waiver programs offered through DHH, the Office for Citizens with Developmental … Continue reading

Development of Assessment Tools

In the early 1990s, Gretchen Engquist was instrumental in the development of the pre-admission screening tools for the elderly, people with physical disabilities, and people with developmental disabilities for the ALTCS program (Arizona Long Term Care System), the first Medicaid … Continue reading

HCBS Rate Setting – ADHS/DBHS

B&A performed an evaluation of the appropriateness of over 40 rates paid to providers by the Division of Behavioral Health Services. B&A conducted ongoing discussions with a multi-disciplinary team to review current independent rate models to modify the design to … Continue reading