fiscal officers training manual - New York State Conference of Local ...

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Business Process: (what is it?)FISCAL OFFICER TRAINING MANUALPERSONALIZED RECOVERY ORIENTED SERVICES (PROS)Personalized Recovery Oriented Services (PROS) is a comprehensive recovery oriented program for individuals withsevere and persistent mental illness. The goal of the program is to integrate treatment, support, and rehabilitation in amanner that facilitates the individual's recovery. Goals for individuals in the program are to: improve functioning, reduceinpatient utilization, reduce emergency services, reduce contact with the criminal justice system, increase employment,attain higher levels of education, and secure preferred housing.Brief Description of Process: (how does it work?)The PROS license gives counties and providers the ability to integrate multiple programs into a comprehensiverehabilitation service. There are four Components in the PROS program: Community Rehabilitation and Support (CRS);Intensive Rehabilitation (IR); Ongoing Rehabilitation and Support (ORS); and Clinical Treatment, an optional componentof a PROS program. A program can be fully licensed to operate a comprehensive program which includes all components(with or without clinical treatment) or have a limited license to provide only employment support and IntensiveRehabilitation.Frequency:Starting in the 3 rd year of the PROS programs, State Aid is recalculated annually based on CAIRS data. (Please seedetail regarding this determination in the Spending Plan Guideline link below)Instructions:County Specific Steps for PROS Conversion:1. Considerations for PROS Conversion:a. PROS conversion is a county plan. Planning discussions must occur with the LGU. PROS conversionrequires LGU sign off.b. PROS conversion programsi. There are several programs eligible to be converted to PROS. Planning discussions between theLGU, providers and OMH determine which programs will be phased out when converting toPROS.ii. State Aid associated with the agreed upon conversion programs will be removed from the CountyState Aid Letter and/or Direct Contract and supplanted by the Medicaid reimbursement plus theabove modeled State Aid per 100 clients.iii. COPS/CSP attached to a conversion program is supplanted by the Medicaid reimbursement forPROS.iv. Conversion programs may have different phase out requirements upon establishment of a PROS.Refer to Spending Plan Guidelines for a list of conversion programs and phase out details.c. Refer to Spending Plan Guidelines for formulas for State Aid for Start-up/Cash Flow. Discuss theavailability of Start-up funds with the local Field Office.d. County Steps for PROS conversioni. Interested providers should discuss possible conversion with County LGUii. The LGU should communicate interest to the OMH Field Officeiii. All interested providers must complete and submit a preliminary version of the PROS Fiscal Tool.The LGU and OMH will review the tool before additional planning conversations occur.iv. The LGU should coordinate conversations between impacted agencies and with the OMH FieldOffice to identify the county-wide impact of a PROS conversion.1. A call or meeting between interested providers, the LGU and OMH will occur to discussthe PAR process, time frames and county plan.v. The LGU will verify with OMH, using an OMH Fiscal Implication Form, whichagencies/programs/funding will be converted.vi. The LGU reviews and responds to the provider’s submitted PROS PAR.
PROS Reimbursement:PROS is primarily a Medicaid reimbursed program, with State Aid and Medicare as additional funding sources.The base Medicaid rate payment for PROS billing is an accumulation of each day’s PROS units within a calendar month(please see PROS program design link below on the description of a PROS Unit). The PROS monthly base rate paymentis provided at 5 different levels (tiers). The total number of units in the calendar month determines which of the 5 tiers youare able to bill, for that individual in that month (please see PROS program design link below on the detail of PROS tiers).Additional Medicaid payments are available for Medicaid individuals receiving the three components of the PROSprograms (IR, ORS, and Clinic Treatment). (Please see the Finance Chapter of the PROS handbook for all rates).Resources:1. NYS OMH PROS Summaryhttp://www.omh.ny.gov/omhweb/pros/2. PROS Handbook (main site)http://www.omh.ny.gov/omhweb/pros/Handbook.htma. PROS Provider Handbook – Finance Chapter:http://www.omh.ny.gov/omhweb/pros/finance.htmlb. PROS Provider Handbook – Overview of Program Design:http://www.omh.ny.gov/omhweb/pros/program_design.html3. Aid to Localities Spending Plan Guidelines (2010-2011)http://www.omh.state.ny.us/omhweb/spguidelines/PDF/10PKT34_PROS.pdf4. Title 14 of the New York Codes, Rules and Regulations Chapter XIII Part 512http://www.dos.state.ny.us/info/nycrr.html5. Part 512 PROS Regulations – OMH Text:http://www.omh.ny.gov/omhweb/policy_and_regulations/Adoption/Part_512_20100127.html6. NYAPRS PROS Ticket to Work/Employment Network Resourceshttp://www.nyaprs.org/community-economic-development/PROS-works/Date: May 1, 2011OMH Review: 3/8/11
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E. Program Budget Change Request (P
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FISCAL YEAR CYCLE (NYC) - STATE DEL
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It is the responsibility of the LGU
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1. To Sign up for Electronic Paymen
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7. NYS Department of Health Medicai
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for the accounting/tracking of the
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c. When a provider’s CSP revenue
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Business Process: (what is it?):FIS
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