eBilling Notice – Rate Reform – Benchmark Rates Effective January 1, 2025

To ensure invoices are generated on time, by January 28, 2025, RCOC processed rate increases as noted below.

Residential Facilities Codes 905, 910, 915, 920
Invoices generated for residential facilities will reflect the Base Rate for the service code (90% of the Benchmark Rate).  Full Benchmark Rates include the Base Rate for the service code (90% of the Benchmark Rate), plus the QIP of 10% for participating in the DDS Provider Directory.  Despite the rate reflected on a vendor’s invoice, vendors that are eligible to receive the Quality Incentive Payment (QIP) of 10% will receive the Full Benchmark Rates.

To be eligible for the QIP of 10%, vendors were required to participate in the DDS Provider Directory.  To find out if you are eligible for the QIP of 10%, please visit the DDS Provider Directory page on the DDS website at www.dds.ca.gov/initiatives/provider-directory/.  If you have any questions regarding the DDS Provider Directory, please contact DDS directly at providerdirectory@nulldds.ca.gov.

In-Home Respite Agencies Code 862
Benchmark Rates for in-home respite include mileage.  Vendors will no longer receive separate reimbursement for mileage.  RCOC has modified authorizations to reflect this change.

The rates for the following codes are in process:

  • 109 Supplemental Residential Program Support
  • 465 Participant-Directed Respite Service – Family Member
  • 950 Supported Employment Program – Group Services
  • 952 Supported Employment Program – Individual Services

If you do not see an invoice, we are working on updating your rate.  Once the update is complete, the invoice will be generated by the end of business on Wednesday, January 29, 2025.

The rates for the following codes have not been finalized by DDS:

  • 113 Specialized Residential Facility – Habilitative
  • 116 Early Start Specialized Therapeutic Services (ages 0-3)
  • 612 Behavior Analyst
  • 882 Transportation Assistant

The invoices will be generated with the old rates.  Once RCOC receives the new rates, the vendorization will be processed and RCOC will issue payment for the difference, if applicable.

RCOC is working with DDS to resolve additional rate issues and has notified affected vendors.

ATTENTION eBILLING VENDORS

To ensure payment, invoices should be submitted to RCOC as soon as possible but no later than one year from the provision of services, as per the Terms and Conditions of RCOC’s Purchase Order/Authorization.  If you have questions about invoices submitted that have not been paid, send an email to accounting@nullrcocdd.com

The Department of Developmental Services determines when prior fiscal years will close; fiscal year 2021-22 is closed.  RCOC cannot pay for services provider on before June 30, 2022.

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