{
  "schema_version": "2026-09-published-rate-comparison-v1",
  "name": "Published wage and Medicaid rate comparison",
  "export_date": "2026-09-23",
  "source_review_date": "2026-08-30",
  "source_page": "https://www.david-medeiros.com/wage-vs-medicaid-rate-squeeze/",
  "source_page_sha256": "b837c536541d8e76ae37f625b6076a3131137d0e941fe102cc6ec9fca13b8b30",
  "scope": "Transcription of the already-published comparison, not a fresh government-source review, current fee schedule, reimbursement recommendation, provider-margin calculation or legal finding.",
  "reuse_notice": "Public access does not grant rights in government or third-party source material. Consult each source and its applicable terms; no new license is asserted.",
  "fields": {
    "measures": "Three existing comparison measures; units, effective dates and source URL are explicit.",
    "rate_build_rows": "The seven source-stated example rows, preserving the displayed component, label, basis and amount as strings; not a current ABI fee schedule.",
    "sources": "Four existing official-source references with their original descriptions.",
    "source_review_date": "Date stated on the existing comparison, not the export date."
  },
  "measures": [
    {
      "label": "Connecticut minimum wage",
      "value": 16.35,
      "unit": "USD/hour",
      "effective_date": "2025-01-01",
      "source_url": "https://portal.ct.gov/dol/Divisions/Wage-and-Workplace-Standards?language=en_US"
    },
    {
      "label": "Connecticut minimum wage",
      "value": 16.94,
      "unit": "USD/hour",
      "effective_date": "2026-01-01",
      "source_url": "https://portal.ct.gov/dol/Divisions/Wage-and-Workplace-Standards?language=en_US"
    },
    {
      "label": "ABI waiver service-provider rate increase",
      "value": 4.9,
      "unit": "percent change in reimbursement rates",
      "effective_date": "2026-01-01",
      "source_url": "https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/spas/spas-2026/spa-26-a-january-2026-hipaa-updates-and-other-changes-website-notice.pdf"
    }
  ],
  "displayed_calculation": {
    "wage_change_usd_per_hour": 0.59,
    "wage_change_percent_rounded": 3.61,
    "method": "(16.94 - 16.35) / 16.35 * 100, rounded to two decimal places",
    "limit": "Do not subtract the wage-change percentage from the reimbursement-adjustment percentage to infer a provider margin; the bases differ."
  },
  "rate_build_source_url": "https://portal.ct.gov/dss/-/media/dss/legislative-reports/2025/dss-medciaid-rate-study-phase-2.pdf",
  "rate_build_rows": [
    {
      "component": "A",
      "label": "Hourly wage",
      "statedBasis": "$19.43",
      "statedAmount": "$19.43"
    },
    {
      "component": "B",
      "label": "Employee-related expenses",
      "statedBasis": "25.05%",
      "statedAmount": "$4.87"
    },
    {
      "component": "C",
      "label": "Productivity factor",
      "statedBasis": "1.24588",
      "statedAmount": "$5.97"
    },
    {
      "component": "Subtotal",
      "label": "Direct-service-provider wage and benefits",
      "statedBasis": "Study subtotal",
      "statedAmount": "$30.27"
    },
    {
      "component": "D",
      "label": "Program-related expenses",
      "statedBasis": "20.40%",
      "statedAmount": "$3.96"
    },
    {
      "component": "E",
      "label": "General / administrative",
      "statedBasis": "11.25%",
      "statedAmount": "$4.34"
    },
    {
      "component": "Total",
      "label": "Total cost per hour",
      "statedBasis": "Study total",
      "statedAmount": "$38.57"
    }
  ],
  "sources": [
    {
      "agency": "Connecticut Department of Labor",
      "title": "Wage and Workplace Standards",
      "href": "https://portal.ct.gov/dol/Divisions/Wage-and-Workplace-Standards?language=en_US",
      "use": "Source for the $16.35 minimum wage effective January 1, 2025, and the $16.94 minimum wage effective January 1, 2026."
    },
    {
      "agency": "Connecticut Department of Social Services",
      "title": "SPA 26-A public notice",
      "href": "https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/spas/spas-2026/spa-26-a-january-2026-hipaa-updates-and-other-changes-website-notice.pdf",
      "use": "Source for the 4.9% ABI waiver service-provider rate increase effective January 1, 2026."
    },
    {
      "agency": "Connecticut Department of Social Services",
      "title": "Connecticut Medicaid Rate Study — Phase 2",
      "href": "https://portal.ct.gov/dss/-/media/dss/legislative-reports/2025/dss-medciaid-rate-study-phase-2.pdf",
      "use": "Source for the worked HCBS rate-build example and its express limitation that the example is a point of comparison, not a recommended reimbursement rate."
    },
    {
      "agency": "Connecticut Medical Assistance Program",
      "title": "Current provider fee schedules",
      "href": "https://www.ctdssmap.com/CTPortal/Provider/Provider-Fee-Schedule-Download",
      "use": "Official location for current service-specific maximum fees, effective dates, end dates, and billing units after accepting the site terms."
    }
  ]
}