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Traditional providers receive a monthly minimum room and board payment set by the State. A Difficulty of Care (DOC) rating may be set based on the required level of care. The payment is usually a combination of the client's pension, Social Security income, Social Security Disability, and Group Residential Housing (GRH) funds. Residents who have the financial resources to pay can negotiate a fee with the provider.
Corporate providers must first respond to a Request for Proposal and go through the County selection process. If selected, a representative of the corporation must meet with a county contract manager to negotiate a contract. The contracted rate consists of the base rate set by the State Department of Human Services (DHS) plus a supplement which comes from any waiver money the resident is qualified to receive.