Collective bargaining is a process of negotiations between the state and Adult Family Home Council, primarily to set Medicaid reimbursement rates, but also to provide for a process to resolve disputes and an official Communications Committee.
The Adult Family Home Council is the exclusive representative of Adult Family Home Providers who receive Medicaid payments. The organization negotiates and enforces the Collective Bargaining Agreement, which is re-negotiated every two years, coinciding with the state’s budget biennium.
Bargaining for the 2017-19 biennium resulted in a negotiated contract including:
- Variable rate increases averaging a 16% increase to base daily rates
- Increase to specialty contracts
- Expanded Community Services (ECS) rate
- Specialized Behavioral Support (SBS) Add-On Rate
- HIV/AIDS House Rates
- Private Duty Nursing Services
- Respite Services
- Meaningful Home-Based Activities Pilot Project Add-On Rate
- Payments for providing community integration
- Reimbursement for Mileage
The Adult Family Home Council is continuing to work for better compensation of residents requiring awake staff at night, two person assist, transportation, and exhibit mood and behavior that cause increased time to provide assistance with activities of daily living.