ALW Rate Increase Information

ALW Rate Increase Information
February 21, 2017 No Comments Uncategorized CiminoCare

Hello everyone,

As a promise to keep you all updated with pertinent ALW rate increase information, the CiminoCare team would like to inform you of the delay of the 2017 ALW rate increase.

Although the ALW daily rates have increased as of January 1, 2017, unfortunately, the California Department of Health Care Services (DHCS) experienced a delay when they requested the system change to increase the rates. Thus, as some of you may know, the new rates have yet to be implemented. Once the new rates are implemented, DHCS will be requesting that Xerox re-process all of the claims that were underpaid. For now, when communities submit claims, they can submit claims for the new rate that is included below. However, until the system update has been made on their end, they will still pay the 2016 rate.

As a reference point for you all, please visit this link for additional detailed information pertaining to updated 2017 ALW rate information:
https://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/ltc201612.asp#a2

Although this may be a huge inconvenience to you and those you work with, we will keep you up-to-date with any new announcements that come our way.
Also, while the information below is not specifically ALW-related, we wanted to be sure to convey the latest information below as it relates to SSI (or Non-Medical Out of Home Care Rate) updated payment standards for 2017.

Please note that in 2017, for those with an SSI income of $1,158.37, the amount payable for room and board is $1,026.37. This accounts for a minimum personal-and- incidental-needs allowance of $132.  For those with income of $1,178.37 or greater, the amount payable for room and board is $1,046.37.  This accounts for a minimum personal and incidental needs allowance of $132.
Here is a link to information pertaining to the updated SSI rates: http://caassistedliving.org/provider-resources/and-more/ssissp-rates/

For a list of full SSI/SSP payment standards for 2017, please visit this website:
http://www.ccld.ca.gov/res/pdf/16APX-22.pdf

Lastly, this is just a reminder to those who have not yet R.S.V.P.’d to the April 24, 2017 ALW Forum that will be held in Los Angeles, CA, the seats are filling up very quickly, so please be sure to R.S.V.P. through Erin Stone at Erin.Stone@CiminoCare.com at your earliest convenience! Please read on for additional ALW Forum details.

Who:  The CiminoCare and California Department of Health Care Services (DHCS) team.

What:  ALW Forum for providers.

Where:  The California Endowment’s Center for Healthy Communities’ Redwood conference room located at 1000 North Alameda Street in Los Angeles, CA 90012. Please see the map below for location details. 

Center for Healthy Communities
1000 N. Alameda Street, Los Angeles, CA 90012
Phone: (866) 833-3533
Onsite parking, free of charge
Download PDF Directions Parking. Free parking is available on a first-come, first-served basis.When:  Monday, April 24, 2017 9:00 a.m. to 3:00 p.m.Why:  To inform providers about the processes and procedures associated with the ALW Program.

Sincerely,
Mark J. Cimino
Chief Executive Officer
Erin Stone
Director of Marketing

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