(v) The existing and desired staff qualifications; [and]

(vi) The existing and desired ability of providers to operate on a
solvent basis in the delivery of effective and efficient services that are in the public
interest;

[(2)] (VII) The comparability of direct care and managerial staff salaries
and wages, including fringe benefits, in provider organizations relative to similar
positions in State and local government and in similar human service fields;

[(3)] (VIII) The extent and amount of uncompensated care delivered by
providers; and

(IX) OTHER FACTORS AS THE COMMISSION DEEMS APPROPRIATE;

[(4)] (2) The adequacy, efficiency, and effectiveness of the methods of
payments to providers, including the reimbursement rate structures employed by the
Department, the Developmental Disabilities Administration, and the Mental Hygiene
Administration; AND

(3) OTHER REIMBURSEMENT RATE ISSUES THE COMMISSION DEEMS
APPROPRIATE.

13-807.

THE COMMISSION SHALL MAKE RECOMMENDATIONS TO THE DEPARTMENT:

(1) ANNUALLY ABOUT THE EXTENT TO WHICH THE REIMBURSEMENT
RATES PAID BY THE DEVELOPMENTAL DISABILITIES ADMINISTRATION AND THE
MENTAL HYGIENE ADMINISTRATION SHOULD BE ADJUSTED TO ACCOUNT FOR THE
COST OF LIVING AND OTHER SIMILAR FACTORS;

(2) PERIODICALLY BASED ON THE EVALUATION OF THE COMMISSION OF
RATE CHANGES PROPOSED BY THE DEPARTMENT; AND

(3) PERIODICALLY ON OTHER RATE SYSTEM CHANGES THE
COMMISSION DEEMS APPROPRIATE.

(1) THE EXTENT AND AMOUNT OF UNCOMPENSATED CARE DELIVERED
BY PROVIDERS;

(2) THE RELATIONSHIP OF CHANGES IN WAGES PAID BY PROVIDERS TO
CHANGES IN RATES PAID BY THE DEPARTMENT;

(3) THE ABILITY OF PROVIDERS TO OPERATE ON A SOLVENT BASIS IN
THE DELIVERY OF EFFECTIVE AND EFFICIENT SERVICES THAT ARE IN THE PUBLIC
INTEREST;

(4) THE INCENTIVES AND DISINCENTIVES:

(I) INCORPORATED IN THE RATE SETTING METHODOLOGIES
UTILIZED AND PROPOSED BY THE MENTAL HYGIENE ADMINISTRATION AND THE
DEVELOPMENTAL DISABILITIES ADMINISTRATION; AND