For more information on

SELF-DIRECTED

SERVICES

VISIT www.dmh.mo.gov/dd/progs/

selfdirect.html

Or

Ask your Support Coordinator

D A T E :

Guide to

Managing Budget and

Employee Rate

Setting for

Individuals

Self-Directing

Supports

Page 2

If you have ever felt confused

about how to manage your

Individual Budget Allocation or

setting the rates for your

employees, then this book

is for you.

This book will help guide you

through the process of employee

rate setting and managing your

Individual Budget Allocation.

Other Helpful Guides and

Publications

Page 19

Self Directed Support Handbook

“Got Choice? Self-Directed Supports and

Self-Determination”

Adobe Printable http://dmh.mo.gov/docs/

dd/gotchoicehandbook.pdf

“My Choice!: Guide for Creating your Own

Individual Support Plan when Self-

Directing Supports”

Adobe Printable http://dmh.mo.gov/docs/

dd/mychoice.pdf

(Print two sided on ‘short end’)

“Guide to Understanding Reviews of

Individuals and Families Self-Directing

Supports”

Adobe Printable http://dmh.mo.gov/docs/

dd/guideunderstandingreviews.pdf

(Print two sided on ‘short end’)

Roles and Functions within

Self-Directed Supports

http://dmh.mo.gov/dd/progs/docs/

rolesandfunctionswithinselfd-

irectedsupports.pdf

Tips for completing the

“Monthly Summary & Budget Tracking Form”

1. It must include descriptive words that tell what

the individual was able to accomplish this month

and the overall status of individual.

2. It must include any unusual events that happened

throughout the month that may have affected the

individual.

3. It must include positive things that happened.

Has the individual made progress toward their

goal/outcomes when they have them?

4. It may include things the individual needs more

support with.

5. It must document correct information that will

give a clear picture of how the individual is

doing.

6. It must document that you are monitoring

your budget and are staying within your allo-

cation for the year. Use the PPL website to

view Budget Summary to check budget usage.

Page 18 Page 3

WHAT IS AN INDIVIDUAL BUDGET ALLOCATION?

Individual Budget Allocation The

amount of money approved, over

which the individual has employ-

ment and budget authority. This al-

lows the individual/Designated Rep-

resentative (DR) to hire their own

employees and set the rates of those

employees.

Employment Authority—the right

and responsibility of Individual/DR

(employer) to recruit, hire, train,

manage, supervise, fire, and

establish the wages for employees

Budget Authority—the right and

responsibility of the Individual/DR

(employer) to exercise control and

management of a yearly budget

allocation.

Page 4

CREATING AN INDIVIDUALIZED BUDGET

Part of the ISP (Individual Support Plan) process

is to figure out how to meet your needs and create

a good life and help you achieve your goals. Your

Support Coordinator will help you do this.

Individualized Budget Checklist You, your Designated Representative (if you have

selected one) and Support Coordinator will work

together to develop an individual budget

allocation.

Your Support Coordinator will work with you to:

Decide what support you must have in order to

be healthy and safe and to reach your personal

outcomes.

Look at all the resources you have right now

and what can be done to increase - natural

supports (relationship and community based),

the use of technology and your personal income.

Talk about eligibility specific supports and

programs available. Discuss the purpose of

each eligibility specific supports and how they

can be used.

MoHeathnet Services http://dmh.mo.gov/docs/dd/guidemohealthnet.pdf

Monthly Summary & Budget Tracking

Example

Page 17

Individual’s Name: Tom Smith Summary of the Month of: July 2017

Please describe that services, including budget spending were provid-

ed in accordance with the Individual Support Plan (ISP) and overall

status of the individual:

Tom is making good progress with keeping his room clean.

PAs provide assistance with making Tom's bed and give

instructions on where items need to go. PAs give Tom

positive feedback and do not rush him, which helps keep

him motivated. Tom went to the Animal Shelter once a week

this month. He enjoys volunteering and getting to socialize

outside of his home. We have hopes that he will become

comfortable with going other places within the community

in the future. Tom is also doing well with helping with meal

preparation. He continues to need prompts to complete steps

with making meals but does well with supervision on simple

meals. Tom had a choking incident this month and he was

able to dislodge the food on his own. The PA contacted me

and I came home immediately to check on him. We did not

go to the hospital as Tom was breathing normally when I got

there, he was just very shook up. I went back to work to

finish up what I was working on and put my things away

while the PA stayed with Tom and I then came home for the

remainder of that day.

Budget summary: We are on month 2 of our $12,000

budget and have used $2834. Budget usage is on track

because during the summer months we have high usage

due to Tom being out of school.

Monthly Summary & Budget Tracking

Every month the individual or designated

representative must review the service

documentation and make a summary of it on the

“Monthly Summary & Budget Tracking Form”.

Someone else might support an individual to

write the summary. The Support Coordinator

will review this at least quarterly.

The PPL Website provides

instructions on creating the

on line Monthly Summary

www.publicpartnerships.com/

programs/missouri/sds

Page 16

The Monthly

Summary will

look something

like this in the

web portal

Page 5

DESE-Vocational Rehabilitation

http://dese.mo.gov/vr/vocrehab.htm ,

Missouri Statewide Independent Living

Council http://www.mosilc.org/

and others

Use the SELF-DIRECTED SUPPORTS AS-

SESSMENT FOR PERSONAL ASSISTANT

AND TRAINING EXEMPTIONS as a tool to

decide the number of hours of supports that you

need after you have factored in all of your other

supports.

CREATING AN INDIVIDUALIZED BUDGET

Continued.. .

The SDS Individual Al-

location Tool is used to

create your total SDS

Individual Budget

Allocation.

You and/or your Designated Representative

will receive a copy of your SDS Individual

Budget Allocation from your Support

Coordinator. The form may look like this:

CREATING AN INDIVIDUALIZED BUDGET

ALLOCATION Continued.. .

Page 6

SDS Budget Usage Calculator is a tool, which can be used to create a visual of the budget status for Individuals and Designated Representative.

Tool can be found at www.publicpartnerships.com/programs/

missouri/sds/index.html

Information used to populate the form is found on the Authorization Summary

page of the PPL web portal.

www.fms.publicpartnership.com

Page 15

With your Budget Authority comes the

responsibility of managing your Individual Budget

Allocation.

BetterOnline™ User Guide Provides information on how to read your budget

summary on the PPL web portal.

www.publicpartnerships.com/programs/missouri/sds/index.html

MANAGING YOUR INDIVIDUAL BUDGET

ALLOCATION

Page 14

Chart ing Li feCourse Tools can be helpful

when hav ing discuss ion about creat ing your

Indiv idual Budget Allocat ion and creat ing a

good l i fe.

www.lifecoursetools.com

Page 7

Page 8

WHAT IS EMPLOYEE RATE SETTING?

Once you receive your SDS Individual Budget

Allocation, it is your responsibility to determine

the rate you would like to pay your employees.

Because you have Budget Authority you can

pay your employees any rate between minimum

wage and the Medicaid maximum rate.

The following are factors that you should

consider when establishing hourly pay rates for

your employees:

The higher the hourly wage you pay your

employees the lower number of hours of

service you will receive. It is important to

determine a pay rate that allows for

maintaining quality employees, yet fits

within the individual’s budget.

Would you like to set aside money for a

future pay increase to your employee?

Would you like for your employee to have

different wages or all paid at the same

hourly rate ?

You must also pay employer related taxes,

unemployment and workers’ compensation

insurance. These taxes come out of your

individual budget allocation.

7) Total Budget for Employee Services

Is the amount of money your total services will cost.

You must ensure that this amount is not greater then

your individual budget allocation.

The SDS Pay Rate Calculator can also be used any time during the year to deter-mine the number of hours you have left in the plan year based on current em-ployee pay rates and your current utili-zation.

Page 13

5) Total Hourly Loaded Wage

Is the amount of money that it will cost out of your Indi-

vidual Budget Allocation once the employer related cost

of Social Security, Medicare, State & Federal Unemploy-

ment and workers comp is taken out. For example if you

pay your employee $8.00 per hour the total cost out of

your budget is $9.04.

NOTE: The employee will have their portion of person tax deducted from their paycheck

6) Under/ (Over) Medicaid maximum

There is a Medicaid maximum rate of pay. For

example, if you enter an amount and see ($0.01) on

the Medicaid max line, the rate exceeds the

maximum allowed.

Page 12 Page 9

SDS PAY RATE CALCULATOR

The SDS Pay Rate Calculator is the tool to assist

you in setting employee wages.

SDS Pay Rate Calculator can be found on the PPL Program Website

http://www.publicpartnerships.com/programs/missouri/sds/index.html

Page 10

Steps to Using the SDS Pay Rate Calculator 1) SUTA Rate

State Unemployment Tax begins for each new employer at

2.511% (current 2018 rate) and changes after the first three

years, based on the number of people that are hired and

fired, and claims against unemployment.

Your current SUTA rates can be found on the Individual

Profile page on the PPL web portal.

Your SUTA rate is put in the top right hand corner of the

form.

2) Select service from drop down box This is found on the Authorization page of your ISP.

Page 11

3) Hourly Pay Rate

This is the rate you would like to pay your employees. The high-

er the rate you pay your employee the lower the number of hours

of service you receive. You must ensure the rate you pay your

employees does not cause a situation where you do not have

enough hours of service to meet your needs.

4) Put in the number of hours per year in line #7 of Calculator.

The total of hours that your team determined you needed

can be found on the SDS Individual Allocation Tool

Or the SELF-DIRECTED SUPPORTS ASSESS-

MENT FOR PERSONAL ASSISTANT AND TRAIN-

ING EXEMPTIONS can be helpful in determining pro-

jected hours.