This case study looks at a house with two participants, Michael and David, who recently transitioned to a new provider partnered with Resolv. In this particular case, the service provider was at risk of significant backpay due to unintentional non-compliance due to under-rostering.

Please note that names, addresses, and exact amounts have been changed for privacy purposes.

INITIAL ANALYSIS
Our review identified that the combined funding for the house was $12,391 per week with a claimable roster cost averaging $11,089, showing an under-rostering of 11%, which equated to $1,302 per week ($67,704 per year) in non-compliance. 

In addition, as we reviewed current claiming practices we revealed further issues as the service provider was claiming $11,901 per week versus the claimable roster of $11,089. This meant that the service provider was engaging in further accidental non-compliance practices equating to an additional $812  per week ($42,224 per year), combined this was well over $100K in annual non-compliance.

Our analysis also identified that Michael and David had some CP funding that was unallocated.

MEETING WITH CLIENT SERVICES
To further understand the house we met with client services staff and learned that despite getting along, the different community interests of Michael and David combined with sharing one worker meant that 1:1 outing opportunities were limited.

In partnership with the participants, support coordinators, and client services team, we developed a new roster. Through alignment of CP schedules, uplifting support to match the funding amount and adding the unallocated CP hours, Michael and David were able to increase their access to the community to three times per week, for an additional total of 15 hours of community participation.

INCREASED COMMUNITY ACCESS
Within four weeks, we implemented new rosters and claiming procedures aligned with participant funding and delivered Schedules of Support facilitated by Resolv. This enhanced Michael and David’s community access and eliminated any further accidental non-compliance for the service provider.