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

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New York State Consolidated Budget and Claiming Manual Subject: Appendix G – OPWDD Program Types, Definitions and Codes For the Periods: January 1, 2010 to December 31, 2010 July 1, 2010 to June 30, 2011 Section/Page: 31.14 Issued: February 15, 2010 Revenue for transportation to and from HCBS Group Day Habilitation should be reported as “Transportation, Medicaid” (CFR-1, line 76) for Medicaid eligible consumers and/or “Transportation, Other” (CFR-1, line 77) for non-Medicaid eligible consumers. See Program Codes 0670 and 0880 for specifics on reporting expenses regarding transportation to and from HCBS Day Habilitation. Note: Do not include Day Treatment/HCBS Day Habilitation To/From Transportation expense in this program. If a vehicle or staff person is assigned to this program, but is used for to/from transportation, the related expenses must be reported under Program Code 0670. See Program Code 0670 for instructions on reporting and allocating these expenses. Units of Service: Report using billable units. (i.e.: one quarter hour equals one unit of service.) 0226 - HCBS Supplemental Individual Day Habilitation Service HCBS day habilitation provides assistance with acquisition, retention or improvement of selfhelp, socialization and adaptive skills. Supplemental Individual Day Habilitation services are provided with a staff-to-consumer ratio of no greater than one consumer per staff member and are delivered on weekdays with a service start time at 3:00 p. m. or later or anytime on weekends. Program type reporting is required for this program. All program sites expenses and revenues are aggregated and reported in one column. The Program/Site Identification Number is created by using the first four digits of the agency code and the last three digits of the program code. Revenue for transportation to and from HCBS Group Day Habilitation should be reported as “Transportation, Medicaid” (CFR-1, line 76) for Medicaid eligible consumers and/or “Transportation, Other” (CFR-1, line 77) for non-Medicaid eligible consumers. See Program Codes 0670 and 0880 for specifics on reporting expenses regarding transportation to and from HCBS Day Habilitation. Note: Do not include Day Treatment/HCBS Day Habilitation To/From Transportation expense in this program. If a vehicle or staff person is assigned to this program, but is used for to/from transportation, the related expenses must be reported under Program Code 0670. See Program Code 0670 for instructions on reporting and allocating these expenses. Units of Service: Report using billable units. (i.e.: one quarter hour equals one unit of service.)
New York State Consolidated Budget and Claiming Manual Subject: Appendix G – OPWDD Program Types, Definitions and Codes For the Periods: January 1, 2010 to December 31, 2010 July 1, 2010 to June 30, 2011 Section/Page: 31.15 Issued: February 15, 2010 0227 - HCBS Prevocational Services (Services on or after 1/1/06) Services that are aimed at preparing an individual for paid or unpaid employment, but which are not job task oriented. Services include teaching such concepts as compliance, attending, task completion, problem solving and safety. Prevocational services are provided to persons not expected to be able to join the general work force or participate satisfactory in a transitional sheltered workshop within one year (excluding supported employment programs). Report all similar services as one program/site. Program type reporting is required for this program. All program sites expenses and revenues are aggregated and reported in one column. The Program/Site Identification Number is created by using the first four digits of the agency code and the last three digits of the program code Units of Service: Half Unit: 2 or more hours with at least one face-to-face service Full Unit: 4 or more hours with at least two face-to-face services 0229 - Medicaid Service Coordination (MSC) A service which assists persons with developmental disabilities and mental retardation in gaining access to necessary services and supports appropriate to the needs of the individual. MSC is provided by qualified service coordinators and uses a person centered planning process in developing, implementing, and maintaining an Individualized Service Plan (ISP) with and for a person with developmental disabilities or mental retardation. MSC promotes the concepts of choice, individualized services and supports, and consumer satisfaction. The revenue is reported as Medicaid. Program type reporting is required for this program. All program sites expenses and revenues are aggregated and reported in one column. The Program/Site Identification Number is created by using the first four digits of the agency code and the last three digits of the program code. Units of Service: One month of service equals one unit of service. 0231 - HCBS Supervised IRA (Room and Board and Residential Habilitation Services) A Supervised IRA has staff onsite or proximately available at all times when the individuals are present. Report expenses for both Room and Board and Residential Habilitation Services. This includes assistance with acquisition, retention or improvements of self-help skills related to activities of daily living, such as personal grooming and cleanliness, bed-making and
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