Understanding DSP Compensation Survey and Its Impact on Direct Care Workforce

CY2024 DSP Compensation Survey Training and Guidance for April June 2025 Data Collection Period

Learning Objectives This training will help you and your agency: Understand the purpose and importance of the DSP Compensation Survey Know what data is needed to complete the survey Prepare your data using the optional Excel workbook Enter responses into the web-based survey platform Know where to turn for help

New This Year We are entering into our 5th and most exciting year of DSP compensation data collection! We will be gathering a full year of compensation/employment outcome data following the large 1/1/24 service rate increase (and subsequent 7/1/24 rate increase). Last year, we asked agencies to provide a rough estimate of 2024 starting and regular wage increases without providing total compensation estimates we will now be able to reconcile these estimates with a complete year of compensation data. New Survey Feature: Ability to review/edit responses without needing to restart the survey. Annual Optional Addendum Topic: Staff training and use of technology.

Survey Purpose Advocacy Accountability Data is used to educate policymakers and community members on DSP workforce needs. To ensure proper use of public funding, agencies demonstrate how Medicaid reimbursement is used to support the direct care workforce.

Reimbursement Rate Increases Leading to Wage and Total Compensation Increases Total Annual Waiver Reimbursement Categorized by Service Codes Included/Excluded in Survey CY 20-24 Non-Denied Claims as of 4/9/25 Note: Includes Independent Provider Reimbursement Annual DSP Compensation Survey Results CY2020-2023 with 2024 Preliminary Estimates from 7/1/2024 CY23 total $21.65 compensation includes bonuses from the DODD Retention Payment Initiative $3.546 B $19.84 $18.96 Excluded (OSOC, Transportation, Remote Support, Shared Living, Respite, Ancillary, Nursing, etc.) $701,117,052 $18.17 $17.04 $2.483 B Average Starting Hourly Wage $2.315 B $2.160 B $2.046 B $15.56 $503,288,131 $15.28 $461,150,123 $16.04 Average Regular Hourly Wage $401,864,632 $345,393,902 $13.72 $12.96 $2,845,215,131 Average Hourly Total Compensation $13.95 Included (HPC/Adult Day, VocHab, Career Planning, Employment Supports) $13.00 $1,980,181,430 $1,853,563,991 $1,757,748,315 $1,700,428,954 $12.10 $11.21 2020 2021 2022 2023 2024 Estimate 2020 2021 2022 2023 2024

Inclusionary/Exclusionary Criteria Inclusionary Exclusionary Provider agencies who billed for any HPC or any adult day array service in calendar year 2024 (i.e., adult day, vocational habilitation, employment supports, career planning) Independent providers ICFs New providers who did not bill in 2024 Any services funded through non-DODD waivers Owners, administrators, clinicians (e.g., nurses) of a higher pay grade. Data for DSPs who provide direct care services for at least 50% of their worked hours.

For Homemaker/Personal Care (HPC) and Employment/Day Services Agency annual totals: Regular hours and wages Overtime hour and wages Training hours and wages Paid time off hours and wages DSP Wages Agency annual totals: Bonuses Employer Share of Fringe Benefits Employer Share of Payroll Tax Workers Compensation Premiums Other compensation Data Collected Employer- Share of Fringe Benefits Staff size by full-time/part-time Vacancies by FT/PT Turnover by FT/PT Length of employment for current and former employees who worked anytime in CY2024 Workforce Composition Annual optional addendum questions This year s featured topic: Training & technology Training & Tech

Data Collection Cycle June 25 April 15 December C Report Released Survey Window Opens Survey Due Announces will be made in Memo Monday regarding the release of the annual report. Search for DSP Compensation Survey on our website to locate. Your agency s unique survey link will be sent to the DOO, billing, and office email addresses that are on file with DODD s provider certification team. Please review and update your email addresses on file!

DSP Compensation Survey Resources Located on the DSP Compensation Survey landing page on the DODD website Full survey instrument Excel workbook Previous year s summary reports Excel workbook: Best for agencies that track employment wages, hours, and compensation amounts by DSP Agencies are not required to use Excel workbook.

2024 Excel Workbook Workbook Tab Data Entered Data Calculated/Generated Employee Name/ID Current/Former Employee Status New Hire in 2024 Y/N Full-Time/Part-Time Designation Employment Start-End Dates Annual Hours Annual Wages Other Forms of Compensation Per DSP: Number of Months of Employment Length of Employment Category Total Hours Gross Pay Total Annual Compensation 1. Employee Data Data from Employee Data sheet is used to calculate agency totals for hours, wages, and other forms of compensation to be reported into the survey. 2. CY24 Compensation Totals N/A Data validation checks to determine if calculated results fit into an expected data range. 3. Fringe Benefits Select dropdown options to indicate what fringe benefits are offered to DSPs. N/A Data from Employee Data sheet is used to calculate total number of FT/PT employees, turnover and length of employment. 4. Tenure Counts Number of vacant full-time and part-time positions on 12/31/24. 5. Training & Technology Brief survey on types of trainings and technology offered. N/A

Excel Workbook: Tab 1 Employee Data, DSP Counts and Turnover Calculations Enter data on DSPs who: A. Spend 50% of their hours or more providing HPC or any day/employment service B. Worked for any duration in CY2024-exclude employees hired on or after 1/1/25 Columns C, D, E, are drop downs Enter MM/DD/YYYY employment start (Column F) and end dates (Column G) Employees still employed still need to enter an employment end date of 12/31/2024 for Excel to calculate length of employment as of 12/31/2024 Excel will autogenerate months of employment (Column H) and employment length category (Column I)

Excel Workbook: Tab 1 Employee Data, Hours and Gross Pay Per DSP Four types of hours to report (If applicable to your agency): Regular (Column J) Overtime (Column K) Training (Column L-remember not to double count these hours from regular hours) Paid time off (Column M) Column N will auto-calculate total hours per DSP Five types of gross pay categories to report (If applicable to your agency): For columns O-S, this is NOT hourly wages, but annual totals (the example above assumes $18/hour pay rate) OT wages should be 1.5x regular rate (Column P) Bonuses (Column S) can include the total monetary value of signing bonuses, longevity bonuses, performance bonuses, profit-sharing, hazard pay, holiday pay, shift differential (above usual rate). Column T will auto-calculate annual gross pay/wages per DSP

Excel Workbook: Tab 2 CY24 Compensation Totals Annual Agency totals from Tab 1: Employee Data will generate here Average hourly wages and hours are calculated to help assess data accuracy within the expected ranges Boxes are labeled with question numbers that correspond with data entry in the online survey For example, $100,080 annual regular wages will be entered into 5A into the survey

Excel Workbook: Tab 3 Fringe Benefits Indicate if your agency offers the specific fringe benefit to DSPs and if they are offered to all or some DSPs based on criteria defined by your agency Every row has a drop-down response option. Offers to All or Some DSPs Does Not Offer to DSPs

Excel Workbook: Tab 4 Tenure Counts Data will be generated from Tab 1: Employee data for all cells except for Q12A & B: Full and part time vacancies Report these numbers in the online survey using the corresponding question numbers

Excel Workbook: Tab 5 Optional Addendum Select dropdowns for questions 17-21

Use the survey link from DSPComp@dodd.ohio.gov that is unique to your agency that will be sent on 4/15/25 to the DOO, Office, Billing, Mailing emails on file. The URL may be sent to anyone. Online Survey

Section 1: Agency Information and New Review Feature Review responses at the end of each section, if you need to fix anything, select This information is not accurate.

Section 2: CY24 Total DSP Compensation ADS/HPC Providers: Agencies will not be required or able to separate business by service category. You will combine ADS and HPC hours and wages together.

Section 2: CY24 Starting Hourly Wage Enter the base starting DSP hourly wage for your agency as it was on 12/31/24

Section 2: CY24 Total Annual Regular Wages and Hours Enter calculated wages and hours from Tab 2 of the Excel spreadsheet, if used.

Section 2: CY24 Total Annual Overtime Wages and Hours Enter calculated wages and hours from Tab 2 of the Excel spreadsheet, if used.

Section 2: CY24 Total Annual Training Wages and Hours Enter calculated wages and hours from Tab 2 of the Excel spreadsheet, if used.

Section 2: CY24 Total Annual PTO Wages and Hours Enter calculated wages and hours from Tab 2 of the Excel spreadsheet, if used.

Section 2: CY24 Bonuses and Benefits

Section 2: CY24 Taxes and Workers Comp Premiums

Section 2: CY24 Other Compensation

Section 3: Fringe Benefit Offerings Indicate if any or none of your DSPs were offered the following benefits in CY24 Corresponds with Tab 3: Fringe from the Excel Workbook

Section 4: Workforce Composition Report your DSP workforce size and counts by length of employment by active work status and full-time/part-time Corresponds with Tab 5: Tenure Counts

Section 5: Training & Technology Provide your data on your agency s experience with recruitment and retraining DSPs Corresponds with Tab 5: Training and Technology

DSP Compensation Survey Questions Email: DSPComp@dodd.ohio.gov with questions and to schedule any office hours