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 CC – Compliance Review (LGUs Only) For the Periods: January 1, 2010 to December 31, 2010 July 1, 2010 to June 30, 2011 Section/Page: 53.4 Issued: February 15, 2010 The agreed upon procedures are substantially less in scope than an examination, the objective of which is an expression of an opinion on the CFR. Accordingly, we do not express such an opinion. Also we do not express an opinion on the LGU's/municipality’s system of internal control taken as a whole. In performing the procedures, except for the information and findings described above, no matters came to our attention which caused us to believe that the information included in the CFR for the fiscal year-ending (date) is not presented in conformity with the requirements established by DMH. Had we performed additional procedures, other matters might have come to our attention that would have been reported to you. This report relates only to the information described above, and does not extend to the LGU's/municipality’s financial statement taken as a whole.
New York State Consolidated Budget and Claiming Manual Subject: Appendix DD – OMH Level I COPS/CSP/Level II COPS Medicaid Revenue For the Periods: January 1, 2010 to December 31, 2010 July 1, 2010 to June 30, 2011 Section/Page: 54.1 Issued: February 15, 2010 The following guidelines are to be used for the purpose of budgeting and claiming Medicaid Revenue from: (a) Level I Comprehensive Outpatient Program ( Level I COPS), (b) Community Support Program (CSP), and (c) Level II COPS fee supplement. General Instructions 1. For Article 31 and Diagnostic and Treatment Center (D&TC) providers, Level I COPS, CSP, and Level II COPS revenue should be reported on the Consolidated Budget Report (CBR) and Consolidated Claiming Report (CCR) on the cash basis of accounting consistent with Section 3.0 of the Consolidated Budget Report (CBR) manual (the Methods of Accounting Section). This reporting requirement was implemented for the purpose of preventing discrepancies between the reserve amounts (overpayments) calculated by providers, and the revenue reconciliations calculated by the Office of Mental Health (OMH). (b) For Article 28 providers, Level I COPS and CSP revenue should be reported on the CBR and CCR on the accrual basis of accounting. (c) For all providers, Level I COPS, CSP, and Level II COPS revenue should be reported on the core CFR schedules (CFR-1 through DMH-1) on the accrual basis of accounting in the column of the licensed outpatient program which generated the revenue up to the threshold limit. Level I COPS, CSP, and Level II COPS revenue received over the threshold limit must be reported on Line 39 - Other Non-Generally Accepted Accounting Principles (GAAP) Adjustments of the DMH-2. (d) To assist providers in properly segregating and tracking their Level I COPS/CSP/Level II COPS Medicaid revenue, and identify any revenue that was received in excess of the threshold, OMH has designed a worksheet to help aid in this process. The worksheet is located at the end of this appendix. Level I COPS Level I COPS providers have the potential to generate Level ! COPS revenue in excess of the Level I COPS threshold (the Level I COPS threshold represents the 110% Level I COPS amount (110% of corridor eligible funding and 100% of non-corridor eligible funding (500, Non-COPS, Shared Staff) that can be retained by the provider on an annual basis)). You may receive your threshold amount from the county, the field office, or the OMH COPS/CSP Rate Setting Unit. When Level I COPS overpayments occur, they will be recovered by the State through the Level I COPS reconciliation process by direct payment (a check) of the full amount to DOH or the 15% withhold method (a series of reductions that is no more than 15% of any Medicaid check). The recovery process is described in great detail in the letter DOH will send should a recovery take place. Therefore, it is in the best interest of all providers to monitor their Level I COPS revenue collections, and set aside those amounts that will be recovered (amounts set aside for recoveries are also referred to as Level I COPS reserves).
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New York State Office of Alcoholism
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New York State Consolidated Budget
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Included in CFR Manual Only - New York State Office of Mental Health

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