Rate Transparency

Issue

Intellectual Disability and Autism (ID/A) services are 100% funded by government, with half of the funding coming from state dollars that are then matched approximately dollar for dollar by the Federal Medicaid Match. The Office of Developmental Programs (ODP) under the Department of Human Services (DHS) is responsible for setting the rates at which providers of ID/A services are reimbursed for the services they provide with government money to individuals with ID/A. Transparency remains a critical element to a healthy partnership between the Commonwealth of Pennsylvania and providers of ID/A services.

PAR Position

PAR believes that every aspect of rate setting should be transparent, including the variables, weighting, and calculations. Transparency should apply to the methodology to determine rates and other factors that impact rates, such as area designation determinations.

Take Action

Representative Judy Ward is the prime sponsor of PAR’s Rate Transparency Legislation, currently HB 1535. PAR continues to advocate for passage of this legislation. With taxpayer money paying for the services that support human lives, there is no reason the rate setting process should not be fully transparent.

Ask your legislators to support HB 1535 by putting it on the House Floor for vote!

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