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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 CC – Compliance<br />

Review (LGUs <strong>Only</strong>)<br />

For the Periods:<br />

January 1, 2010 to December 31, 2010<br />

July 1, 2010 to June 30, 2011<br />

Section/Page: 53.3<br />

Issued: February 15, 2010<br />

Community <strong>Mental</strong> <strong>Health</strong> Board<br />

(name <strong>of</strong> LGU/municipality)<br />

We understand that the (name <strong>of</strong> LGU/municipality) receives Medicaid reimbursement and/or<br />

Aid to Localities for programs funded by the <strong>New</strong> <strong>York</strong> <strong>State</strong> Department <strong>of</strong> <strong>Mental</strong> Hygiene<br />

(DMH) and <strong>in</strong> connection therewith, the LGU/municipality is required to report certa<strong>in</strong><br />

<strong>in</strong>formation to DMH.<br />

DMH has established the follow<strong>in</strong>g standards with regard to the data reported to it <strong>in</strong> the<br />

Consolidated Fiscal Report (<strong>CFR</strong>):<br />

• A system is <strong>in</strong> place and ma<strong>in</strong>ta<strong>in</strong>ed for record<strong>in</strong>g data <strong>in</strong> accordance with <strong>CFR</strong> def<strong>in</strong>itions.<br />

• Source documents are available to support the reported data and ma<strong>in</strong>ta<strong>in</strong>ed for DMH<br />

review and audit for a m<strong>in</strong>imum <strong>of</strong> seven years follow<strong>in</strong>g DMH's receipt <strong>of</strong> the <strong>CFR</strong>. The<br />

data are fully documented and securely stored.<br />

• A system <strong>of</strong> <strong>in</strong>ternal controls is <strong>in</strong> place to assure the accuracy <strong>of</strong> the data collection process<br />

and that the record<strong>in</strong>g system and reported documents are not altered. Documents are<br />

reviewed and signed by a supervisor, as required.<br />

• The data collection methods are adequate to support the amounts reported.<br />

• Reported amounts agree to support<strong>in</strong>g documentation.<br />

• Reported amounts are consistent with prior report<strong>in</strong>g periods and other facts known about<br />

LGU/municipality operations.<br />

We have applied procedures to the data conta<strong>in</strong>ed <strong>in</strong> the accompany<strong>in</strong>g <strong>CFR</strong> with Document<br />

Control Number __________, for the fiscal year-end<strong>in</strong>g (date). Such procedures, which were<br />

agreed to and specified by DMH, were applied to assist you <strong>in</strong> evaluat<strong>in</strong>g whether the<br />

LGU/municipality complied with the standards described <strong>in</strong> the second paragraph <strong>of</strong> this report.<br />

Additional procedures performed, which are agreed to by the LGU/municipality but not by DMH,<br />

are described <strong>in</strong> a separate attachment to this report. This report is <strong>in</strong>tended solely for your<br />

<strong>in</strong>formation and DMH, and should not be used by those who did not participate <strong>in</strong> determ<strong>in</strong><strong>in</strong>g<br />

the procedures.<br />

The follow<strong>in</strong>g <strong>in</strong>formation and f<strong>in</strong>d<strong>in</strong>gs came to our attention as a result <strong>of</strong> perform<strong>in</strong>g the<br />

procedures described <strong>in</strong> the attachments to this report.<br />

Itemize all <strong>in</strong>formation and f<strong>in</strong>d<strong>in</strong>gs. If none, so state.

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