Web• The customized rate is approved from the date that a completed customized rate application is received and will end on the date that the individual’s service plan (ISP) ends. • The provider must reapply annually for the customized rate by submitting a new application and the associated supplemental documentation at least 30 days prior ... http://www.dbhds.virginia.gov/assets/doc/DS/rsu/waiver/FORM-RA-18.docx

dbhds customized rate application Doc Template pdfFiller

WebDSPs and DSP supervisors supporting individuals at other support levels but who are receiving a customized rate shall receive training in the appropriate areas related to the needs of the individual. ... Providers shall retain these checklists in the personnel files that are subject to review by DBHDS for licensing compliance and by DMAS for ... dataversity edgo

Office of Licensing - Virginia Department of Behavioral Health …

Webcustomized rate and/or result in the need in an adjustment to the customized rate. Application Denied‐ Providers requesting a customized rate for an individual can be denied based on the following: Exceptional support need not demonstrated. A need for 1:1 or 2:1 staffing not demonstrated. WebDBHDS-Customized Rate Application/7.1.2024. DBHDS CUSTOMIZED RATE APPLICATION. PROVIDER INSTRUCTIONS: This application should be submitted by the provider requesting a customized rate. Providers should read the : Customized Rate Provider Guidelines: prior to completing this form. Providers are required to submit this … WebDevelopmental Disabilities Waiver Services & Rates Rates Effective 07/01/2024 BI= Building Independence Waiver; FIS= Family & Individual Support Waiver; CL= Community Living Waiver Service Name National Code BI FIS CL Modifier Units Location Rate CD Personal Assistance S5126 √ √ N/A Hour NOVA $12.78 ROS $9.87 dataversity data quality training