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Special Terms and Conditions <br />b. Fees: <br />(1) Approval of fees is the responsibility of the DDA. The DDA Region reserves the right to approve <br />fees/rates for the services being provided. The County will submit a fee/rate schedule with the <br />initial Program Agreement. The County will submit updated fee/rate schedules to the DDA <br />Region for approval as changes occur. The rate schedule will include the following information: <br />(a) County(s) name; <br />(b) Time period for which the schedule is applicable; and <br />(c) Each contracted direct service (IE, GSE, PVS, CA, ITA, CDS) and its associated rate. <br />(2) Fee Limitations: The DDA will set limitations on the Hourly Rate for each direct service. Hourly <br />rates must be divisible by four. The current rates are as follows: <br />(a) Employment services. <br />Individual Employment services will not exceed $75.00/hour. <br />ii. Group Supported Employment services will not exceed $65.00/hour. <br />iii. Prevocational services will not exceed $55.00/hour. <br />(b) Community Access services will not exceed an hourly rate of $35.00. <br />(c) Child Development services will not exceed a monthly rate of $500.00. <br />c. Budget and Spending Plan, attached as Exhibit B: <br />(1) Budget amount listed in Exhibit B: The County may not exceed the state only revenue dollar <br />amount or the total revenue dollar amount indicated on the Program Budget Agreement <br />included in Exhibit B. The waiver revenue dollar amount may be exceeded to accommodate <br />Clients moving from state -only employment and day services to waiver employment and day <br />services. <br />(2) Spending Plan: DDA will provide the initial Spending Plan. Funding shall be distributed under <br />planned expenditures as well as allocated under State and Medicaid shall function as a line item <br />budget for expenditures under this agreement. The planned expenditures for Consumer <br />Support are based on Client numbers as well as planned additional consumer services <br />expenditures. The spending plan may only be modified by mutual agreement of the parties in <br />writing and shall not require a contract amendment. <br />d. If a County provides Community Information and Education services under additional consumer <br />services, then activities must include outreach efforts to federally recognized local tribes. <br />e. Funds Designated for Adult Day Care Consumers: Funds designated for Adult Day Care <br />Consumers are available to Clients who were served between December 1996 and December 2003 <br />in Adult Day Health agencies and were subsequently determined ineligible for Level II or III services <br />(Adult Day Health). Level II and III services are licensed rehabilitation and skilled nursing services <br />along with socialization. Level I services (Adult Day Care) are supervised day programs where frail <br />and disabled adults can participate in social, educational, and recreational programs without the <br />need for skilled nursing. These Clients may be referred to services defined in the statement of <br />DSHS Central Contract Services Page 11 <br />1769CS County Agreement 6-15-2017 <br />