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

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: 54.2
Issued: February 15, 2010
Clinic services rendered on or after July 1, 2008 will no longer be subject to the Level I COPS
Reconciliation process. All periods prior to July 1, 2008 are still subject to the Level I COPS
Reconciliation process. For Upstate and Long Island providers the final Level I COPS clinic
threshold is for the time period January 1, 2008 – June 30, 2008. For New York City providers the
final Level I COPS Clinic Threshold is for the time period July 1, 2007 – June 30, 2008.
Budgeting on the CBR
(a) Level I COPS revenue is to be budgeted on Line 17 - Medicaid of the DMH-2 in the
column of the licensed outpatient program that is to generate the Level I COPS revenue.
For Level I COPS clinic programs this amount is considered with the projected Level I
COPS Clinic revenue for the outpatient program. For all other outpatient programs this
amount is consistent with the Level I COPS Threshold.
(b) Level I COPS revenue is to be allocated on the DMH-3 with all other Medicaid revenue
consistent with the direction provided in Section 15.0 of the CBR manual (the DMH-3
Section).
(c) Level I COPS overpayments from prior years do not need to be included on the budget
(but need to be included on the claim).
Claiming on the CCR
(a) Total Level I COPS revenue is to be claimed on Line 17 - Medicaid of the DMH-2. Use
the Level I COPS line to record the Level I COPS revenue.
(b) Level I COPS revenue that was reported on Line 39 - Other Non-GAAP Adjustments of
the previous year’s DMH-2 is to be reported on Line 29 - Other Revenue of the current
year’s DMH-2. Record the previous year’s Level I COPS reserves (revenue in excess of
the threshold (overpayments) generated during previous local fiscal years that have not
yet been recovered by the State) on the Level I COPS Prior Years line.
(c) Level I COPS reserves (revenue in excess of the threshold (overpayments) generated
during the current local fiscal year plus any overpayments generated during previous
local fiscal years that have not yet been recovered by the State) are to be reported on
Line 39 - Other Non-GAAP Adjustments of the DMH-2. Use the Level I COPS reserve
line to record the COPS reserve. Clinic services rendered on or after July 1, 2008 will no
longer be subject to level I COPS Reconciliation process; therefore, a reserve is no
longer applicable for the Level I COPS clinic program for services rendered on or after
July 1, 2008. All periods prior to July 1, 2008 are still subject to the Level I COPS
Reconciliation process and any Level I COPS Clinic reserves collected for those periods,
if they have not yet been recovered by OMH, will need to be reported here.