Bill Summary: SF2140

• Establishes new statewide prospective payment rate-setting methodologies for home and community-based waiver services for individuals with disabilities, effective January 1, 2013, contingent on implementing a concurrent assessment methodology.

• Creates "support teams" composed of the service recipient, case manager, legal representative, advocate, and service providers to make decisions about services and determine staffing needs and vulnerability mitigation plans under community residential setting licenses.

• Implements a base wage index system using Bureau of Labor Statistics occupational classifications to determine staffing costs, with annual adjustments and customization add-ons ranging from $1.79-$2.01 per hour for individuals with high medical, behavioral, or mental health needs, or who are deaf or hard-of-hearing.

• Specifies detailed payment rate calculations for three service categories (residential services, day programs, and individualized services) with components for direct staffing, employee benefits (10.3% for taxes/workers' comp, 16.2% for benefits), transportation, programming, and administrative overhead.

• Requires cost neutrality and budget neutrality adjustments to align spending with current law levels, and includes rate exception processes for individuals being discharged when standard rates are inadequate to meet health and safety needs.