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

New York State
Consolidated
Budget and Claiming
Manual
Subject: CQR-1 Agency Quarterly Fiscal
Summary
For the Periods:
January 1, 2010 to December 31, 2010
July 1, 2010 to June 30, 2011
Section/Page: 22.6
Issued: February 15, 2010
Line Instructions – CQR-1.1 - Revenues (Columns 4-7)
10. Methodology (OPWDD Only)
For OASAS program. Make no entry.
11. Medicaid Revenue
For each reported program, enter the actual Medicaid revenue received for the
reporting period. (See notes to line 12 below.)
12. Non-Medicaid Revenue
For each reported program, enter the revenues received from all sources other than
Medicaid for the reporting period. This includes DSH revenue and revenue received
from Medicaid MCOs.
Disproportionate Share (DSH):
Medicaid Managed Care:
OASAS service providers should report any DSH
revenue received on line 12, Non-Medicaid
Revenue.
Revenues received directly from a Medicaid
Managed Care Organization (MCO) should be
reported on line 12, Non-Medicaid Revenue.
13. Total Revenues
For each reported program, enter the sum of lines 11 and 12.
14. Net Operating Costs
For each reported program, enter the result of line 9 minus line 13.
Line Instructions – CQR-1.1 - Miscellaneous (Columns 4-7)
15. State Contract Number/Local Contract Number
For each reported program, enter the contract number as follows:
State Contract Number:
LGU Contract Number:
For direct contracts with OASAS, enter the State
contract number.
For local contracts with a county, enter the local
contract number if one is assigned.
Note:
A State or LGU contract number must be entered. If the funding LGU does not