CRC has developed the following instructions and budget tool to be utilized by residential providers in the event the need arises for a residential provider to make such a request.

This request will be utilized to create a COVID-19 specific Supplemental Staffing rate under the service code 109.

If you feel your home needs a Health and Safety Wavier rate due to COVID-19 and the need to staff day program hours, please follow the below steps:

  • Complete the budget cost statement with your hourly staff wage and employment costs
  • Email these form to C19H&Swaiver@tri-counties.org
  • Contact your Service Coordinator and let them know that you need supplemental staffing during the day
  • Once the request is reviewed and approved, TCRC will complete a vendorization for a COVID-19 specific Supplemental Staffing (service code 109) rate. We will send you a temporary rate letter to confirm.
  • Please remember this means you are being required to provide staffing that is over and above what is required in Title 17 for your home. So if you are required to provide 168 hours a week, but now everyone is home an additional 30 hours a week, you will add an additional 30 hours of staffing and TCRC will be able to reimburse you via this Health and Safety waiver process.