Paying for RBS Developing a Functional Funding Model for a Comprehensive Intervention

The Four Questions What are you buying? What is it worth to you? What will you pay for it with? How will the payments be made?

What are you buying? Commodities (items) – Bed days – Rental assistance – Parent training class – Assessments Activities (time spent) – Hours of therapy – Monthly care coordination – Hours of family finding Processes (performance) – Resource management – Family and youth involvement – Planning – Flexible service array – Quality assurance Outcomes (results) – Permanency – Safety – Well-being

What is it worth to you? Item based cost setting: – Set price by contractor estimate – Set price by resource availability Package based cost setting: – Set price by actuarial review – Set price by market custom – Set price by available resources Negotiated rate – Set price by civilized haggling

What are you using to pay for it? Tapping into multiple funding streams – Child by child blending Addition of the eligibility specialist to team – Program level blending – Program level braiding Finding a primary stream or streams Creating a new stream – New money – Old money redirected

How is it being paid for? Invoice per item – To a single source – To multiple sources Invoice per package – One for the entire package – One for each subset in the package Upfront payment plus cost reimbursement Base payments plus cost reconciliation Incentivized payments – The sooner it happens the more you make – Payment per milestone – The longer you take the less you make

An Emerging Question Can we create a prototype RCL alternative that is driven by quality points rather than quantity points? – If there was an RCL – RBS option what would it include and how would the assessment be conducted? – Keeping in mind that federal AFDC-FC payments can only be claimed for the costs of board and care – Would this alternative operate analogously to SB 163?