Presentation of Initial Recommendations from the DD Rate and Payment Options Study


The Rhode Island Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH) is in the process of reviewing service requirements, provider payment rates, and processes for establishing individual budgets for services for individuals with intellectual and developmental disabilities. Burns & Associates, a division of Health Management Associates (HMA-Burns) is assisting with this review. HMA-Burns has developed initial recommendations for public review.  Two online public meetings were held on 9/28 and 9/29.

Public Review and Comment

Information on the proposed recommendations is available through the links below.

Updated Materials (10/14/22)

Revised draft rate models

Note: In the revised packet, the rates for the services below have changed from the original version. No changes were made to rate model assumptions.  Formula errors were discovered and correct in the rate models for the services listed below.

Since the publication of the proposed Rate Models, formula errors have been identified within the packet for certain services. The rate model assumptions are unchanged from the original publication, but there were incorrect references in certain calculations. Below is a listing of the service rate models that contained formula errors.

  • Shared Living Arrangement
    • Enhanced service
  • Remote Supports
    • o Monitoring
    • o In-Person Response
  • Community-Based Supports
    • o 1:1
  • Respite
    • Hourly (all Variations)
    • Daily (all Variations)
  • Workplace Assistance
  • Peer Supports
  • Family to Family Training
  • Supports Facilitation
  • Fiscal Intermediary

The revised presentation that provides background on the project, outlines the rate setting methodology, and highlights the results of the rate study has been updated as of October 14, 2022 to reflect the revised rates due to the above changes.

Original Materials

  • The original draft rate models which detail the specific assumptions related to direct care worker wages, benefits, and productivity; mileage; program support, and other factors can be accessed here.  Please see the revised draft rate models above for the most current version.
  • The original presentation that provides background on the project, outlines the rate setting methodology, and highlights the results of the rate study can be accessed herePlease see the revised presentation above that includes the corrections to the rate model formulas.
  • The compiled results of the provider survey can be accessed here.
  • A recording of the meeting held on September 28, 2022 can be accessed here
  • A recording of the meeting held on September 29, 2022 can be accessed here.


Written comments should be submitted to, and will be accepted until October 28, 2022.

Please also see the Burns & Associates website for more information.