I wanted to clarify the information regarding the comparison of the rates between agency and CD services.

The reimbursement for PA, respite and companion alone is $9.40. There are several other services embedded in the CD that raise the average reimbursement to anywhere between $13.50 and $14.50 per hour billed. These services are tied to Service Facilitator billing that includes Routine visits, employee management training / consumer training, Individual and family caregiver training, CD management training and reassessment visits.