Community Based Day 15 Minute 221 3,561 $ 5.99 $ 4,714,016.19 Supports Day Services Per Diem 357 127 $ 119.45 $ 5,415,743.55 Occupational Therapy Visit 108 53 $ 82.67 $ 473,203.08 Physical Therapy Visit 146 56 $ 79.29 $ 648,275.04 Shared Living-24 Hour Per Diem 52 347 $ 245.52 $ 4,430,162.88 Supports Specialized Medical Item 418 5 $ 438.65 $ 916,778.50 Equipment Speech Therapy Visit 48 72 $ 84.60 $ 292,377.60 Transitional Assistance Episode 30 2 $ 1,194.26 $ 71,655.60 –RH Transportation One-Way 411 303 $ 39.93 $ 4,972,602.69 Trip $156,511,266.23 GRAND TOTAL: 736 TOTAL ESTIMATED UNDUPLICATED PARTICIPANTS (from Table J-2-a) $212,651.18 FACTOR D (Divide grand total by number of participants) 347 AVERAGE LENGTH OF STAY ON THE WAIVER
Community Based Day Supports 15 Minute 221 3,561 $ 5.99 $ 4,714,016.19 Day Services Per Diem 357 127 $ 119.45 $ 5,415,743.55 Occupational Therapy Visit 108 53 $ 82.67 $ 473,203.08 Physical Therapy Visit 146 56 $ 79.29 $ 648,275.04 Shared Living-24 Hour Supports Per Diem 52 347 $ 245.52 $ 4,430,162.88 Specialized Medical Equipment Item 418 5 $ 438.65 $ 916,778.50 Speech Therapy Visit 48 72 $ 84.60 $ 292,377.60 Transitional Assistance –RH Episode 30 2 $ 1,194.26 $ 71,655.60 Transportation One-Way Trip 411 303 $ 39.93 $ 4,972,602.69 GRAND TOTAL: $156,511,266.23 TOTAL ESTIMATED UNDUPLICATED PARTICIPANTS (from Table J-2-a) 736 FACTOR D (Divide grand total by number of participants) $212,651.18 AVERAGE LENGTH OF STAY ON THE WAIVER 347
ABI-RH%20Renewal%20Application-Redlined%20draft-October%202017.docx