Oregon's ODDS previews new rate setting tool for developmental disability services

The House Committee on Early Childhood and Human Services convened on March 27, 2025, to discuss the Office of Developmental Disabilities Services (ODDS) and its rate-setting framework. The meeting focused on the implementation of a uniform assessment tool and the development of rate models for services supporting individuals with intellectual and developmental disabilities.

The session began with an overview of ODDS's mission to provide quality support for children and adults with developmental disabilities, including those who are medically fragile. The committee highlighted the importance of accessible and responsive services that allow individuals to thrive within their communities.

A significant portion of the discussion centered on the Oregon Needs Assessment, a tool established in 2019 to streamline the assessment process for determining individuals' needs and corresponding service rates. This tool replaced multiple previous assessments, simplifying the process for families and service providers.

The committee reviewed the development of rate models, which began in 2015 and were finalized by 2021. These models are based on various factors, including direct support professional (DSP) wages, benefits, and productivity. Currently, the assumed wage for DSPs is set at $18.38 per hour, which is lower than the actual wages reported by providers. The committee acknowledged the challenges posed by Medicaid reimbursement limitations, which restrict claims to actual service delivery time, complicating compensation for non-billable activities such as travel and meetings.

The meeting also covered specific rate structures for adult residential services and children's residential rates, emphasizing the need for a 344-day billing model to account for residents' absences. Additionally, the committee discussed hourly attendant care rates, which vary based on individuals' assessed needs.

Finally, the committee addressed exceptions within the rate models for individuals with more significant support needs. These exceptions allow for higher staffing ratios and additional hours of care beyond standard allocations, ensuring that the system can adapt to meet unique individual requirements.

In conclusion, the meeting underscored the ongoing efforts of ODDS to refine its rate-setting processes and enhance service delivery for individuals with developmental disabilities in Oregon. The committee expressed commitment to exploring creative solutions to better support those with varying needs, ensuring they remain valued members of their communities.