The next rate-setting workgroup meeting is scheduled for Monday, July 9th from 10am-1pm in conference room 4B at 44 Holland Avenue, Albany. 

6/28/07 Rate Setting Workgroup Minutes

Workgroup Ground Rules

Schedule of Future Workgroup Meetings
Wednesday, August 1 (afternoon)
Wednesday, August 15
Wednesday, September 5 (morning)
Wednesday, September 12
Monday, September 24
Tuesday, October 9
Wednesday, October 31

Workgroup Issues
The workgroup reviewed and categorized the issues identified at the full Task Force Meeting.  At the July 9th workgroup meeting, members will prioritize and refine these issues.  Prioritization should be based on the impact the issue will have on the system and the reasonableness of addressing the issue in the given timeframe. 

  1. Definition of full day program and examination of the STAC process. 
    • What is a school day and what is the responsibility for services?
  2. Parent training.
  3. Fiscal operation.
    • Why don’t school districts run the Pre-School Special Ed programs fiscally? 
    • What is the justification for the county paying initially and later state reimbursement? Is there a more efficient way? 
    • Examine the redundancies and inefficiencies.
  4. Planning.
    • Why does it take so long for rates to change (10 years)? 
    • Difficulty in planning because of reconciliation of rates.
    • Rate setting response to programmatic changes, review other systems.
    • Review different approaches and rate setting methodologies agencies use to set and approve rates.
  5. Special Education Itinerant Teacher (SEIT)
    • Review SEIT services.
    • How are they paid for?
  6. Difficulty in getting services
    • Recruitment and retention issues.
    • Expense of related services.
  7. Rate setting.
    • Review the impact of rate setting flexibility on planning.
    • Review similarities and differences between rates paid for Early Intervention and Pre-School Special Ed.
  8. Payment and rate setting process.
    • Review payment and rate setting process.
    • Use technology to make rate setting be more ‘real time.’
    • What resources would SED need and what technical assistance would providers need?
    • Cost.
  9. Review add-ons (i.e. nursing) 
    • Look to ensure reimbursements actually cover the cost of services.
  10. Medicaid reimbursement in pre-schools.
  11. Review inconsistency of rates between counties and pay for fee services.
    • Reimbursement methods of SEIT programs, tuition reimbursement, fee for service programs.
  12. Efficiency measures for supportive services.
  13. Incentivize group vs. individual instructional services.