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

New York State
Consolidated
Budget and Claiming
Manual
Subject: CQR-3 LGU Fiscal Summary Section/Page: 24.2
For the Periods:
January 1, 2010 to December 31, 2010
July 1, 2010 to June 30, 2011
Issued: February 15, 2010
4. Additional CQR-3 continuation schedules are required if:
i. there are more than seven (7) funded service providers and/or
ii.
more than five (5) unique funding code and funding code index combinations.
5. The overall flow of the CQR-3 schedule is as follows:
• Column 2 displays the sum of columns 3–7 (or more if required) exclusive of
line 28.
6. Do not include OASAS and OPWDD direct contract funded programs’ fiscal
information on the CQR-3 schedule.
Heading Instructions
State Agency *
Indicate whether the reported programs are for either OASAS services or OPWDD services.
Fiscal Period *
Enter the beginning and ending dates of the complete 12 month fiscal reporting period (i.e.
01/01/XX to 12/31/XX).
Quarter Reported *
Indicate the specific claim period the CQR-3 covers (i.e. 1 st quarter, 2 nd quarter, mid-year or
final).
County Name and Code *
Enter the name and associated two (2) digit code for the county where the reported
programs operated and/or were funded through a local county contract. Please see
Appendix C of this manual and the Consolidated Fiscal Reporting and Claiming Manual
(CFR Manual) for a list of New York State counties and their associated county codes.
Prepared by *
Title *
Enter name of person that prepared the CQR-3 and can answer questions about the
information contained in the document.
Enter the title of the person that prepared the CQR-3 and can answer questions about the
information contained in the document.