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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 EE – OPWDD<br />

Reimbursement Pr<strong>in</strong>cipals<br />

For the Periods:<br />

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

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

Section/Page: 55.1<br />

Issued: February 15, 2010<br />

The follow<strong>in</strong>g is a set <strong>of</strong> guidel<strong>in</strong>es which the <strong>Office</strong> for People With Developmental Disabilities<br />

(OPWDD) issued to all OPWDD funded service providers. The reimbursement pr<strong>in</strong>ciples<br />

became effective January 1, 1999 and set forth the decision pr<strong>in</strong>ciples by which OPWDD will<br />

determ<strong>in</strong>e allowed levels <strong>of</strong> reimbursement for the follow<strong>in</strong>g categories <strong>of</strong> expense: meals,<br />

travel, pr<strong>of</strong>essional fees and dues and subscriptions for personal purposes, enterta<strong>in</strong>ment,<br />

personal automobile use, agency provided vehicles, gifts, <strong>of</strong>fice furnish<strong>in</strong>gs, tuition, and<br />

hous<strong>in</strong>g. OPWDD will not reimburse provider expenses which exceed the guidel<strong>in</strong>es conta<strong>in</strong>ed<br />

<strong>in</strong> this document.<br />

Costs Eligible for Reimbursement by OPWDD<br />

The follow<strong>in</strong>g pr<strong>in</strong>ciples shall be used by OPWDD to determ<strong>in</strong>e costs eligible for reimbursement:<br />

(1.) Any cost must be related to the provision <strong>of</strong> services to consumers, the<br />

enhancement <strong>of</strong> agency staff skill and tra<strong>in</strong><strong>in</strong>g, the direct provision <strong>of</strong> services<br />

to consumers, or the operation <strong>of</strong> the agency.<br />

(2.) In order to be considered eligible for reimbursement, any cost is subject to the<br />

“prudent buyer” concept (i.e., the maximum spent should be what a typical<br />

buyer would reasonably expect to pay).<br />

Meals<br />

The cost <strong>of</strong> meals is eligible for reimbursement when staff and/or board members are <strong>in</strong><br />

bus<strong>in</strong>ess related travel status, meet<strong>in</strong>g with outside parties, or when engaged <strong>in</strong> board related<br />

bus<strong>in</strong>ess.<br />

The cost <strong>of</strong> staff meals for those staff be<strong>in</strong>g honored at employee recognition events is eligible<br />

for reimbursement. In all cases, the expense <strong>of</strong> a meal <strong>in</strong>cludes the amount spent for food, nonalcoholic<br />

beverages, taxes and tip only.<br />

Costs <strong>in</strong>curred by staff <strong>in</strong> the provision <strong>of</strong> direct service to consumers are considered program<br />

costs.<br />

Travel Status<br />

The cost <strong>of</strong> travel is eligible for reimbursement if the trip is related to the bus<strong>in</strong>ess <strong>of</strong> the agency.<br />

Expenses <strong>in</strong>clude the travel cost to and from the dest<strong>in</strong>ation where the agency’s bus<strong>in</strong>ess will<br />

be transacted and any bus<strong>in</strong>ess related travel expenses (e.g., lodg<strong>in</strong>g, car rental, park<strong>in</strong>g, tolls,<br />

taxi) while at the bus<strong>in</strong>ess dest<strong>in</strong>ation. The least costly reasonable mode <strong>of</strong> transportation is<br />

eligible for reimbursement with reasonable consideration given to the requirements <strong>of</strong> the<br />

particular bus<strong>in</strong>ess circumstances at hand.

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