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
- Come to meetings prepared.
- Workgroups are intended to serve the larger Task Force. The workgroup
will make recommendations but the ultimate responsibility lies with the
- If a workgroup member cannot attend a meeting, a substitute may sit in. The
role of the substitute would be to listen, take notes and report back to
the workgroup member.
- Implications of decisions will be important to this group, however they
should not distract from the broader impact.
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
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.
- Definition of full day program and examination of the STAC
- What is a school day and what is the responsibility for services?
- Fiscal operation.
- Why don’t school districts run the Pre-School Special Ed programs
- What is the justification for the county paying initially and later
state reimbursement? Is there a more efficient way?
- Examine the redundancies and inefficiencies.
- 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.
- Special Education Itinerant Teacher (SEIT)
- Review SEIT services.
- How are they paid for?
- Difficulty in getting services
- Recruitment and retention issues.
- Expense of related services.
- 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.
- 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
- Review add-ons (i.e. nursing)
- Look to ensure reimbursements actually cover the cost of services.
- Medicaid reimbursement in pre-schools.
- Review inconsistency of rates between counties and pay for fee services.
- Reimbursement methods of SEIT programs, tuition reimbursement, fee
for service programs.
- Efficiency measures for supportive services.
- Incentivize group vs. individual instructional services.