Included in CFR Manual Only - New York State Office of Mental Health

New York State
Consolidated
Budget and Claiming
Manual
Subject: AC-1171 State Aid Voucher Section/Page: 21.1
For the Periods:
January 1, 2010 to December 31, 2010
July 1, 2010 to June 30, 2011
Issued: February 15, 2010
The State Aid Voucher (AC-1171) is used by the New York State (NYS) The Office for
People with Developmental Disabilities (OPWDD) to provide a certified statement of
expenditures as a provision of receiving State Aid under Mental Hygiene Law. It also
establishes a basis for reconciling advance payments made to Local Governmental
Units (LGUs) and direct contract funded service providers.
The (NYS) Office of Mental Health (OMH) and the NYS Office of Alcoholism and
Substance Abuse (OASAS) do not require the submission of State Aid Vouchers for
advance payments or State Aid claim payments.
General Instructions
1. State Aid Vouchers contain the following information relevant to the payee:
• Identification of the funding State Agency (OPWDD),
• the name and address of the payee,
• the payee identification number,
• reference information that will be printed on the check stub to identify
the payment to the payee,
• identification of the period the advance payment or State Aid claim
covers, and
• payee certification that the advance payment requested or State Aid
claim is in accordance with all applicable laws or regulations
2. State Aid Vouchers may be completed using the multi-part form issued by the
Office of the State Comptroller or a computer generated facsimile.
3. Manually completed vouchers must be prepared using blue or black ink or
typewritten.
4. Computer generated State Aid Voucher facsimiles must be identical
reproductions of the multi-part form.
5. All State Aid Vouchers submitted must be legible.
6. All advance payments requested, expenditures and revenues reported and/or
State Aid claimed must be rounded to the nearest whole dollar.