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Special Terms and Conditions <br />(a) Employment services . <br />i. 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 $30.00. <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'" services <br />(Adult Day Health). Level II and 1\1 services are licensed rehabilitation and skilled nursing services <br />along with socialization. Levell 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 />work, or to an Adult Day Care service other than Level II or III. If a Client no longer needs and <br />wants services, the funds are available for other Clients who are not part of the group of original <br />Clients identified between December 1996 and 2003. An Adult Day Care service shall only be <br />provided by Adult Day Care agencies certified by the local Area Agency on Aging. Adult Day Care <br />service is not a waiver approved service. <br />f. Exemptions: The DDA Assistant Secretary may approve in writing an exemption to a specific <br />program agreement requirement. . <br />9. Billing and Payment: <br />a. Program Agreement Budget: DSHS shall pay the County all allowable costs, which are defined by <br />DDA as: <br />(1) Administration : Costs of the County Human Services Department or similar county office. <br />responsible for administration of the Developmental Disabilities Program. Allowable costs <br />DSHS Central Contract Services <br />1169CS County Agreement 7-14-2015 <br />Page 13