Included in CFR Manual Only - New York State Office of Mental Health
Included in CFR Manual Only - New York State Office of Mental Health
Included in CFR Manual Only - New York State Office of Mental Health
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<strong>New</strong> <strong>York</strong> <strong>State</strong><br />
Consolidated<br />
Budget and Claim<strong>in</strong>g<br />
<strong>Manual</strong><br />
Subject: Appendix G – OPWDD Program<br />
Types, Def<strong>in</strong>itions and Codes<br />
For the Periods:<br />
January 1, 2010 to December 31, 2010<br />
July 1, 2010 to June 30, 2011<br />
Section/Page: 31.7<br />
Issued: February 15, 2010<br />
0101 – OPWDD Cl<strong>in</strong>ic Treatment Facility (Cl<strong>in</strong>ic Jo<strong>in</strong>t Venture)<br />
A Cl<strong>in</strong>ic Jo<strong>in</strong>t Venture is def<strong>in</strong>ed as a Voluntary operated Cl<strong>in</strong>ic Treatment Facility certified<br />
as a STATE cl<strong>in</strong>ic satellite on the local DDSO state-operated cl<strong>in</strong>ic operat<strong>in</strong>g certificate.<br />
There is a formal contractual arrangement between a DDSO and a Voluntary Provider to<br />
operate a Cl<strong>in</strong>ic Treatment Facility as a Cl<strong>in</strong>ic Satellite <strong>of</strong> the DDSO.<br />
Program type report<strong>in</strong>g is required for this program. All program sites expenses and<br />
revenues are aggregated and reported <strong>in</strong> one column. The Program/Site Identification<br />
Number is created by us<strong>in</strong>g the first four digits <strong>of</strong> the agency code and the last three digits <strong>of</strong><br />
the Program Code.<br />
All costs and services associated with this satellite and any other additional certified<br />
satellites under this affiliation should be <strong>in</strong>cluded <strong>in</strong> this cost center. Reimbursement<br />
received should be reported as Net Deficit Fund<strong>in</strong>g.<br />
Units <strong>of</strong> Service: Units <strong>of</strong> Service as def<strong>in</strong>ed (Part 679.5) is an allowable cl<strong>in</strong>ic service<br />
delivered at the ma<strong>in</strong> certified site, or at a certified satellite site or as an Off-site service.<br />
There is only one (1) billable visit per day per person regardless <strong>of</strong> the number <strong>of</strong> services<br />
provided dur<strong>in</strong>g a given visit.<br />
0120 - Specialty Cl<strong>in</strong>ic<br />
Intensive diagnosis and/or medically prescribed treatment services provided dur<strong>in</strong>g day<br />
and/or even<strong>in</strong>g hours to mentally retarded and developmentally disabled persons who are<br />
served as needed for short periods <strong>of</strong> actual service <strong>in</strong>volvement. Such programs are<br />
affiliated with a hospital or facility which holds, <strong>in</strong> addition to OPWDD certification,<br />
certification <strong>in</strong> accordance with Article 28 <strong>of</strong> the Public <strong>Health</strong> Law. The rates for payment<br />
and duration <strong>of</strong> visit are cost-related and determ<strong>in</strong>ed <strong>in</strong> accordance with procedures<br />
established by the <strong>Office</strong> <strong>of</strong> <strong>Health</strong> Systems Management for the specific facility and the<br />
particular service be<strong>in</strong>g <strong>of</strong>fered.<br />
Contract Budget Consistent report<strong>in</strong>g is required for this program. The same number <strong>of</strong><br />
columns used on the Consolidated Budget Report must be used on the <strong>CFR</strong> so that<br />
report<strong>in</strong>g is consistent.<br />
The Program/Site Identification Number is created by us<strong>in</strong>g the first four digits <strong>of</strong> the agency<br />
code and the last three digits <strong>of</strong> the program code. Where more than one column will be<br />
created for this program code, the last digit <strong>of</strong> the Program/Site Identification Number is<br />
<strong>in</strong>creased by one.<br />
Units <strong>of</strong> Service: Count each billable visit as one unit <strong>of</strong> service.<br />
0150 - Family Support Services<br />
Those services other than basic residential and habilitative services needed by people with<br />
developmental disabilities to susta<strong>in</strong> themselves <strong>in</strong> appropriate community sett<strong>in</strong>gs. They