Page updated: 12/15/22

Rate management worksheets

Rate Management Worksheets, DHS-6790 can help providers organize information and communicate it to lead agencies.

Providers should complete the applicable worksheet(s) and then follow their lead agency’s direction for how to submit the form to the lead agency. (Please note: Unencrypted email is a not a secure form of communication).

The worksheets include:

· Community Residential Services or Family Residential Services, DHS-6790C (PDF)

· Customized Living Services and 24-Hour Customized Living Services, DHS-6790G

· Day and Employment Services, DHS-6790M

· Integrated Community Supports, DHS-6790O (PDF)

Companion documents

· Instructions to complete the combined RMS worksheet for day and employment services (DHS-6790M), DHS-6790N (PDF)

· Instructions to complete the Customized Living Worksheet (DHS-6790G), DHS-6790I (PDF)

· CBSM – Resource: Customized living component service definitions and guide for computing time for rate-setting tools

RMS quick reference guides and resources

To assist RMS users in specific situations, DHS created the following resources:

· Billable indirect time

· Community residential services: Business rules for residential staffing

· Day services staffing ratios for RMS input

· Deaf/hard of hearing customization in the RMS

· DWRS day services individual client staffing worksheet (.XLS)

· DWRS residential daytime staffing hours worksheets (.XLS)

· DWRS residential shared staffing hours worksheet, DHS-6910 (PDF)

· Family residential services: Business rules for residential staffing

· Integrated community supports: Business rules for staffing

· Integrated community supports staffing hours

· Integrated community supports staffing hours worksheet, DHS-6910O (PDF)

· Lead Agency Provider Tool for DWRS Exceptions (Customized Living), DHS-5820E

· MAPCY and community residential services or family residential services in foster care settings

· Projected weekly revenue calculator (.XLS) and instructions for the employment services revenue estimator tool

· Rate calculations for customized living/24-hour customized living for disability waivers

· Residential shared staffing hours for RMS input

· Transportation for framework services in the RMS

Additional information

· CBSM – Briefcase resource document: Transportation and day and employment services

· CBSM – RMS

· CBSM – DWRS exception requests

· DHS – DWRS initiative

· DHS – DWRS frequently asked questions