CONSOLIDATED FISCAL REPORTING AND CLAIMING
MANUAL
For the Period: January 1, 2005 to December 31,
2005
APPENDICES
Appendix A
Glossary 34.0
Appendix B Table of Acronyms
35.0
Appendix C County Codes 36.0
Appendix D General CFR
Rejection Criteria 37.0
Appendix E OASAS Program
Types, Definitions and Codes 38.0
Appendix F OMH Program Types,
Definitions and Codes 39.0
Appendix G OMRDD Program
Types, Definitions and Codes 40.0
Appendix H SED Program Types,
Definitions and Codes 41.0
Appendix I Agency
Administration 42.0
Appendix J Allocating Expenses
for Shared Program/Site 43.0
Appendix K LGU Administration
Allocation and Percentage Splits 44.0
Appendix L Acceptable Time
Studies 45.0
Appendix M Rules for Counting
Visits and Days 46.0
Appendix N DMH Funding Source
Codes 47.0
Appendix O Guidelines for
Depreciation and Amortization 48.0
Appendix P Program Development
Grants (PDGs) and Start-up for OMH & OMRDD 49.0
Appendix Q Guidelines for OMH
Residential Exempt Income 50.0
Appendix R Position Titles and
Codes 51.0
Appendix S Revenue Codes for
Federal and State Grants 52.0
Appendix T Abbreviated
Submissions 53.0
Appendix U Splits for Counties
with Populations of Less Than 200,000 54.0
Appendix V Guidelines for
Federal Medicaid Salary (OMH
Budgeting and Claiming Only) 55.0
Appendix W Prompt Contracting
56.0
Appendix X Adjustments to
Reported Costs 57.0
Appendix Y Procedures for
Hospitals 58.0
Appendix Z In-Contract vs.
Out-of-Contract (DMH) 59.0
Appendix AA Audit Guidelines
60.0
Appendix BB Reserved for
Future Use 61.0
Appendix CC Compliance Review
(LGU Only) 62.0
Appendix DD COPS and CSP
Medicaid Revenue (OMH Only) 63.0
Appendix EE OMRDD
Reimbursement Principles (OMRDD Only) 64.0
Appendix A - Glossary
Adaptive Equipment: Devices, aids, controls,
appliances or supplies of either a communication or adaptive type,
determined necessary to enable the person to increase his or her
ability to function in a home and community based setting with
independence and safety.
Affiliate: An associate with respect to a
partnership - each partner within the partnership; a corporation -
each officer, director, principal stockholder and controlling person
within the corporation; a natural person - each member of the person's
immediate family; each partnership; and each partner of the person;
each corporation in which the person or any affiliate of the person is
an officer, director, principal stockholder, or controlling person.
Agency Administration: Those expenses which are not
directly attributable to a specific program but rather to the overall
administration of all the programs, or a support function for the
agency, such as personnel, that is not specific to any particular
program, service, or contract.
Amortization: The process of writing off a regular
portion of the cost of an intangible asset over a fixed period of
time. Refer to Appendix O - Guidelines for Depreciation and
Amortization.
Arm's Length Transaction: A transaction entered
into by unrelated parties, each acting in their own best interest. It
is assumed that in this type of transaction, the prices used are the
fair market values of the property or services being transferred in
the transaction.
Asset: Property and service rights, measurable in
terms of money, which the entity acquires for their economic benefit
or value.
Building: The basic structure, shell and additions.
The remainder is identified as fixed equipment. Land costs are not
depreciable and should be excluded from building costs.
Capital Expenditure: The acquisition of both
property and equipment having a useful life which extends over more
than one accounting period. A capital expenditure either adds a fixed
asset unit or increases the value of an existing fixed asset.
Expenditures benefiting only the current year should be treated as an
operating expense.
Closely allied entities (CAEs): Closely allied
entities include corporations, partnerships, unincorporated
associations or other bodies that have been formed or are organized to
provide financial assistance and aid for the benefit of the service
provider or receive financial assistance and aid from the service
provider. Financial assistance and aid include engaging in fund
raising activities, administering funds, holding title to real
property, having an interest in personal property of any nature, and
engaging in any other activities for the benefit of the service
provider or the closely allied entity.
Community Support Programs (CSP revenue): Medicaid
revenue that is added to the Medicaid rate of certain OMH outpatient
programs in proportion to the amount of community support program
state and local net deficit funding that has previously been replaced
by CSP. This Medicaid revenue is regulated in law 14NYCRR Part 588.
Comprehensive Outpatient Programs (COPS revenue):
Medicaid revenue that is added to the Medicaid rate of certain OMH
outpatient programs in proportion to the amount of state and local net
deficit funding that has previously been replaced by COPS . This
Medicaid revenue is regulated in law 14NYCRR parts 592.
Controlling Party: Any person or organization who
by reason of a direct or indirect ownership interest or designated
responsibility (whether of record or beneficial) has the ability,
acting either alone or in concert with others with ownership interest
or designated responsibility, to direct or cause the direction of the
management or policies of a corporation, partnership or other entity.
Neither the commissioner nor any employee of DMH, SED nor any member
of a local legislative body of a county or municipality, nor any
county or municipal official except when acting as the administrator
of a program shall, by reason of his or her official position, be
deemed a controlling party of any corporation, partnership or other
entity. For SED purposes, "Controlling Party" shall have the
same meaning as "less-than-arm's-length relationship" as
defined in Section 200.9 of the SED Commissioner's Regulations.
Department of Mental Hygiene (DMH): The agency in
New York State charged with the responsibility for providing services
for the care and treatment of mental illness, mental retardation and
developmental disabilities, alcoholism and substance abuse as well as
the prevention of such conditions.
Depreciation: The process of writing off the
acquisition cost of a fixed asset over the estimated useful life.
Depreciation is the decline in economic potential of limited life
assets originating from wear and tear, natural deterioration through
interaction of the elements, and technical obsolescence. Refer to
Appendix O - Guidelines for Depreciation and Amortization.
Disproportionate Share Income (DSH):
Disproportionate Share Income (DSH) Legislation (Bill #5550-A, 1997-98
Budget initiative) signed by the Governor in 1997 allows for the
Office of Mental Health and the Office of Alcohol and Substance Abuse
Services to replace net deficit financing with Disproportionate Share
Funding in Article 28 voluntary non-profit general hospitals. Payments
shall not exceed such general hospital’s cost of providing services
to uninsured and Medicaid patients after taking into consideration all
other Medical Assistance received, including disproportionate share
payments made to general hospital and payments from and on behalf of
such uninsured patients and shall also not exceed the amount of State
Aid and Local Aid Grants for which the hospital or its successor would
have been eligible pursuant to Articles 25 & 41 of the Mental
hygiene Law for fiscal year 1996-97.
Expensed Adaptive Equipment: Includes the costs of
all adaptive equipment purchased during the CFR reporting period with
a value of less than $1,000 or a useful life of less than two years.
Expensed Equipment: Includes the costs of all
equipment purchased during the CFR reporting period with a value of
less than $1,000 or a useful life of less than two years.
Federal Grants: Sources of revenue in the form of
grants received directly from the federal government to support
service provider programs.
Federal Medicaid Salary Sharing: A Medicaid
revenue. Through the Federal Medicaid Salary Sharing program, counties
can be reimbursed for part of the cost of county staff time related to
the management of certain aspects of mental health or mental
retardation Medicaid Programs. (Costs associated with staff who
operate medical programs or who provide direct care are, however, not
included).
Fixed Equipment: Includes attachments to buildings,
such as wiring, electrical fixtures, plumbing, elevators, heating and
air conditioning systems, etc. The general characteristics of this
equipment are: a) affixed to the building and not subject to transfer;
and b) minimum useful life of two years, but shorter than the life of
the building to which affixed.
Fund Raising: All expenses associated with the
activities a service provider may use to supplement its revenues in
obtaining contributions, gifts, grants, etc. All fund raising and
special events expenses (personal services, leave accruals, fringe
benefits, OTPS, equipment and property) are to be included as
"other programs" (column 7) on Schedule CFR-2 and the
appropriate operating expenses (personal services, leave accruals,
fringe benefits and OTPS) included on Schedule CFR-3, line 48.
Historical Cost: The cost at date of acquisition of
an asset, less discounts plus all normal incidental costs necessary to
bring the asset into existing use and location.
Immediate Family: A relationship including brother,
sister, grandparent, grandchild, first cousin, aunt or uncle, spouse,
parent, or child of such person, whether such relationship arises by
reason of birth, marriage or adoption.
Improvement(s): A capital expenditure which extends
or improves the useful life of an asset or improves it in some manner
over and above the original asset. Thus, if an expenditure adds years
to an asset's useful life or improves its rate of output, it would be
considered an improvement. In contrast, a maintenance or repair
expense is not capitalized.
In-Contract vs. Out of Contract: Programs that are
approved to receive Aid to Localities net deficit funding on the
Consolidated Budget Report (CBR) are designated as in-contract (i.e.,
utilizing one of the funding codes listed in Appendix N, except for
the non-funded code 090), while programs not receiving Aid to
Localities net deficit funding (i.e., utilizing funding code 090) are
regarded on the CBR as out-of-contract. See Appendix Z for Policy
Statement and Procedures.
Leasehold: An agreement between the lessee and the
lessor specifying the lessee's rights to use the leased property for a
given time at a specified rental payment.
Leasehold Improvements: Modifications or upgrades
made by a lessee to leased property which revert to the lessor at the
expiration of the lease term. See Appendix O for amortization rules.
Local Governmental Unit (LGU) Administration: A
program category which includes all local government costs related to
administering services for the mentally ill, mentally retarded and
developmentally disabled, alcohol and/or substance abuser. These costs
should not include agency and program administration costs, but should
include community service board costs.
Maintenance in Lieu of Rent: Expenditures should
include the rent of premises or the cost to own and maintain the
premises. If the building is occupied jointly with other tenants, this
cost should be allocated on the basis of the service provider's
proportionate share of the total usable square footage of the
building.
Medicaid: A revenue category representing payments
received for services to eligible participants under the combined
Federal/State program which pays for medical care for those who cannot
afford it, regardless of age.
Medicare: A revenue category representing payments
received for services to eligible participants under the Federal
programs which pay for medical care for those 65 years old or over
and/or disabled under Title II and in receipt of Social Security
disability benefits for 24 months.
Moveable Equipment: The general characteristics of
this equipment are:
a. capable of being moved as
distinguished from fixed equipment;
b. a unit cost sufficient to justify
ledger control;
c. sufficient size and identity to make
control feasible by means of identification tags; and
d. a minimum useful life of approximately
two years.
Refer to Appendix O - Guidelines for
Depreciation and Amortization.
Net Deficit Funding: All revenues resulting from:
a. direct contract with New York State
Department of Mental Hygiene (DMH);
b. contract with Local Government Unit (LGU)
(State and County Share);
Not-for-Profit Organization: A group, institution,
or corporation formed for the purpose of providing goods and services
under a policy where no individual (e.g., trustee) will share in any
profits or losses of the organization. Profit is not the primary goal
of not-for-profit entities. Profit may develop, however, under a
different name (e.g., surplus, increase in fund balance). Assets are
typically provided by sources that do not expect repayment or economic
return. Usually, there are restrictions on resources obtained. All
income and earnings will be used exclusively for the purpose of the
corporation and no part shall inure to the benefit or profit of any
private individual firm or corporation.
Organizational Expense: Expenditures incurred in
starting a business. They include attorney's fees and various
registration fees paid to State governments. The total of all the
expenditures is considered to be an intangible asset. Theoretically,
these expenditures may benefit the company throughout its operating
life, but must be amortized. Refer to Appendix O for amortization
rules.
Principal Stockholder: A person who beneficially
owns, holds or has the power to vote, ten percent (10%) or more of any
class of securities issued by said corporation.
Program Administration Expense: Administrative
expenses directly attributable to a specific program which may include
but are not limited to personal services and fringe benefits of
Program Director, Billing Personnel, etc.
Related Party Transaction: A transaction between
the reporting entity, its affiliates, principal owners, management and
members of their immediate families and any other party with which the
reporting entity may deal when one party has the ability to
significantly influence management or operating policies of the other
to the extent that one of the transacting parties might be prevented
from fully pursuing its own separate interests.
Salvage Value: The amount expected to be realized
upon the sale or other disposition of the asset when it is no longer
useful to the program.
Site Specific Methodology: An accepted cost
development and reporting methodology in which costs of programs are
related to specific sites where services are provided, as opposed to
aggregating and averaging costs for all sites (cost averaging).
State Grant: A revenue category which represents
income from State agencies other than OASAS, OMH, OMRDD and SED.
Third Party: A revenue category which includes
payments received for services to participants from private health
insurance coverage such as Blue Cross, etc.
Unit of Service: The workload measure by which
programs are evaluated. Units of service vary with the type of program
provided.
The following lists commonly used acronyms:
Appendix B - Table of
Acronyms
|
Acronym |
Translation |
|
ACD |
Agency for Child Development |
|
ACT |
Assertive Community Treatment |
|
CAE |
Closely Allied Entity |
|
CBR |
Consolidated Budget Report |
|
CCR |
Consolidated Claiming Report |
|
CDT |
Continuing Day Treatment |
|
CEO |
Chief Executive Officer |
|
CFDA |
Catalog of Federal Domestic Assistance |
|
CFR |
Consolidated Fiscal Report |
|
CFRS |
Consolidated Fiscal Reporting System |
|
CFO |
Chief Fiscal Officer |
|
CMHS |
Federal Community Mental Health Services Block Grant |
|
COPs |
Comprehensive Outpatient Providers |
|
CPA |
Certified Public Accountant |
|
CPEP |
Comprehensive Psychiatric Emergency Program |
|
CPSE |
Committee for Preschool Special Education |
|
CQR |
Claiming Quarterly Report |
|
CSE |
Committee for Special Education |
|
CSP |
Community Support Program |
|
CSS |
Community Support Services |
|
DA |
Dormitory Authority |
|
DCJS |
Division of Criminal Justice Services |
|
DCN |
Document Control Number |
|
DDSO |
Developmental Disabilities Service Office |
|
DHHS |
Federal Department of Health and Human Services |
|
DMH |
Department of Mental Hygiene |
|
DMV |
Department of Motor Vehicles |
|
DOH |
Department of Health |
|
DOL |
Department of Labor |
|
FBTP |
Family-Based Treatment Program |
|
FTE |
Full Time Equivalent |
|
GAAP |
Generally Accepted Accounting Principles |
|
HCBS |
Home and Community Based Services |
|
HUD |
Federal Department of Housing and Urban Development |
|
ICF |
Intermediate Care Facility |
|
ICM |
Intensive Case Management |
|
IDEA |
Federal Individuals with Disabilities Education Act Funds |
|
IPRT |
Intensive Psychiatric Rehabilitation Treatment |
|
IRA |
Individual Residential Alternative |
|
ISO |
Information Services Office |
|
ISP |
Individual Service Plan |
|
JAIBG |
Federal Juvenile Accountability Incentive Block Grant |
|
JCAHO |
Joint Commission on the Accreditation of Health Care
Organizations |
|
LA |
Local Assistance |
|
LGU |
Local Governmental Unit |
|
LTSE |
Long Term Sheltered Employment |
|
MATS |
Managed Addiction Treatment Services |
|
MCFFA |
Medical Care Facilities Finance Agency |
|
MHL |
Mental Hygiene Law |
|
MICA |
Mentally Ill Chemical Abusers |
|
NDF |
Net Deficit Funding |
|
NYCDOHMH |
New York City Department of Health and Mental Hygiene |
|
NYCRO |
New York City Regional Office |
|
OASAS |
Office of Alcoholism and Substance Abuse Services |
|
OCFS |
Office of Children and Family Services |
|
OMH |
Office of Mental Health |
|
OMRDD |
Office of Mental Retardation and Developmental Disabilities |
|
OSC |
Office of the State Comptroller |
|
OTPS |
Other Than Personal Services |
|
PDG |
Program Development Grant |
|
PHP |
Permanent Housing Program |
|
PRU |
Program Reporting Unit |
|
RCCA |
Residential Care Center for Adults |
|
RIV |
Reinvestment |
|
RRSY |
Residential Rehabilitation Services for Youth |
|
RTF |
Residential Treatment Facility |
|
RV |
Ratio Value |
|
SCM |
Supportive Case Management |
|
SED |
State Education Department |
|
SEIT |
Special Education Itinerant Teacher |
|
SPMI |
Seriously and Persistently Mentally Ill |
|
SRO |
Single Room Occupancy |
|
SSA |
Social Security Administration |
|
SSI |
Supplemental Security Income |
|
TANF |
Temporary Assistance for Needy Families |
|
TPUR |
Targeted Provider Utilization Review |
|
TUBS |
Temporary Use Beds |
|
UPK |
Universal Pre-K |
|
VESID |
Vocational and Educational Services for Individuals with
Disabilities |
Appendix C - County Codes
New York State Counties:
County Code County Code
Albany 01 Niagara 32
Allegany 02 Oneida 33
Bronx 03 Onondaga 34
Broome 04 Ontario 35
Cattaraugus 05 Orange 36
Cayuga 06 Orleans 37
Chautauqua 07 Oswego 38
Chemung 08 Otsego 39
Chenango 09 Putnam 40
Clinton 10 Queens 41
Columbia 11 Rensselaer 42
Cortland 12 Richmond 43
Delaware 13 Rockland 44
Dutchess 14 St. Lawrence 45
Erie 15 Saratoga 46
Essex 16 Schenectady 47
Franklin 17 Schoharie 48
Fulton 18 Schuyler 49
Genesee 19 Seneca 50
Greene 20 Steuben 51
Hamilton 21 Suffolk 52
Herkimer 22 Sullivan 53
Jefferson 23 Tioga 54
Kings 24 Tompkins 55
Lewis 25 Ulster 56
Livingston 26 Warren 57
Madison 27 Washington 58
Monroe 28 Wayne 59
Montgomery 29 Westchester 60
Nassau 30 Wyoming 61
New York 31 Yates 62
Statewide – OMH Budgets and Claims Only
OMH Statewide Contracts (OMH Only) – Use County Code 63
OMH Legislative Special Projects (OMH Only) - Use County Code 64
Non-New York State Counties:
All Non-New York State Counties – Use County Code
80
Appendix D - General CFR
Rejection Criteria
Listed below are reasons why a Consolidated Fiscal
Report (CFR) may be rejected. Reasons for rejection include but are
not limited to the following:
All required programs have not been
reported.
A separate CFR was submitted for each State
Agency instead of submitting a single consolidated CFR.
Schedule CFR-i is not signed and dated by
the Executive Director.
Schedule CFRii/iiA, if required, is not
signed and dated by an independent licensed or independent
certified public accountant.
Schedule CFR-ii/iiA is altered to an
unacceptable format.
The letter submitted by your independent
accountant in lieu of CFR-ii/iiA differs significantly from
the wording on Schedule CFR-ii/iiA.
A review was performed by your independent
accountant when an audit is required.
The left-hand portion of Schedule CFR-iii
(for service providers receiving Aid to Localities funding
only) is not signed by the voluntary local service provider
director or, if county-operated, the LGU’s chief fiscal
officer.
Areas of non-compliance addressed on desk
reviews of prior period CFRs are not addressed by the service
provider on their current CFR submission.
Programs site indexes are incorrect.
Fundraising expenses and revenues are not
reported in accordance with the CFR manual.
When reporting periods coincide, total
expenses and revenues reported on the service provider’s
certified financial statements differ materially from the
total expenses and revenues reported on the CFR and the
service provider did not submit a reconciliation of the
differences.
All required schedules have not been
completed for all funding CFR State Agencies.
Required financial statements are not
submitted.
CFRs submitted using non-approved CFR
software, computer generated facsimiles or pre-printed CFR
schedules.
CFRs which have not been transmitted
electronically via the Internet.
The Document Control Number (DCN) of the
Internet CFR submission does not match the DCN that appears on
the certification schedules CFR-i, CFR-ii/CFR-iiA and CFR-iii.
Software approved for a prior period is
used to prepare the current CFR document.
The wrong type of CFR submission was
submitted (for example, an abbreviated CFR was submitted
instead of a full CFR)
Management services contracts are not
reported in accordance with the CFR Manual.
For manually prepared CFR submissions (for OMRDD
abbreviated and mini-abbreviated filers with prior written approval):
Submission is not legible.
Submission prepared on CFR forms for a
prior period.
The identifying program/site codes or
program codes are either left blank or are invalid codes.
Agency administration costs are not
allocated using the ratio value methodology.
Submission type is full and service
provider is funded by OASAS, OMH, OMRDD and/or SED.
Appendix E - OASAS
Program Types, Definitions and Codes
Below is an alphabetical listing of program
types and the corresponding codes grouped by service type.
Following this alphabetic list is a numeric list of program
definitions and the corresponding codes.
Service providers who operate more than one
certified chemical dependence site must report each site separately
(in accordance with the approved budget) by indexing the appropriate
program code as indicated in the examples below:
Example: A service provider operating an
outpatient medically supervised chemical dependence clinic with
three certified sites would report program codes 3520-00,
3520-01, 3520-02.
|
Program Name |
Service Type |
Program Code |
|
CRISIS |
|
Primary Care Alcoholism (Alcohol Crisis Center) |
Crisis |
2020 |
|
Medically Supervised Withdrawal Services –
Inpatient/Residential |
Crisis |
3039 |
|
Medically Supervised Withdrawal Services – Outpatient |
Crisis |
3059 |
|
Medically Managed Detoxification |
Crisis |
3500 |
|
Medically Monitored Withdrawal |
Crisis |
3510 |
|
INPATIENT |
|
Chemical Dependence Inpatient Rehabilitation Services |
Inpatient |
3550 |
|
Residential Chemical Dependency Program for Youth
(Short-Term) |
Inpatient |
4030 |
|
METHADONE |
|
Methadone Maintenance – Outpatient |
Methadone |
2050 |
|
Methadone-to-Abstinence – Outpatient |
Methadone |
0605 |
|
Methadone Maintenance – Residential |
Methadone |
2030 |
|
KEEP Units – Prison – Methadone |
Methadone |
2110 |
|
KEEP Units – Outpatient - Methadone |
Methadone |
2150 |
|
Methadone-to-Abstinence – Residential |
Methadone |
6030 |
|
Methadone-to-Abstinence – Day Service |
Methadone |
6040 |
|
Enhanced Methadone Maintenance – Outpatient |
Methadone |
2058 |
|
OUTPATIENT |
|
Outpatient Chemical Dependence for Youth |
Outpatient |
0140 |
|
Innovative Outpatient Treatment Services |
Outpatient |
0940 |
|
Compulsive Gambling Treatment |
Outpatient |
2780 |
|
Medically Supervised Outpatient |
Outpatient |
3520 |
|
Outpatient Rehabilitation Services |
Outpatient |
3530 |
|
Non-Medically Supervised Chemical Dependence Outpatient |
Outpatient |
3540 |
|
Enhanced Medically Supervised Outpatient |
Outpatient |
3528 |
|
Enhanced Outpatient Rehabilitation Services |
Outpatient |
3538 |
|
Enhanced Non-Medically Supervised Chemical Dependence
Outpatient |
Outpatient |
3548 |
|
Managed Addiction Treatment Services (MATS) |
Outpatient |
3810 |
|
PREVENTION |
|
DAPC (Drug Abuse Prevention Council) |
Prevention |
0407 |
|
Prevention – Outpatient |
Prevention |
0505 |
|
Underage Drinking Prevention (eff. July 2004) |
Prevention |
0507 |
|
Criminal Justice Intervention/ DWI |
Prevention |
0830 |
|
Innovative Prevention & Intervention Services |
Prevention |
0970 |
|
Risk Protection Framework Prevention Services |
Prevention |
0975 |
|
Compulsive Gambling Education, Assessment and Referral
Services |
Prevention |
2790 |
|
Community Mobilization |
Prevention |
3001 |
|
Prevention – School Based |
Prevention |
5060 |
|
Community Education & Intervention |
Prevention |
0710 |
|
Youth Education & Intervention |
Prevention |
0720 |
|
PROGRAM SUPPORT |
|
Local Governmental Unit (LGU) Administration |
Program Support |
0890 |
|
Road to Recovery Supplemental Payments |
Program Support |
0893 |
|
Intake, Outreach & Referral Units |
Program Support |
4071 |
|
Support Services - Medical/Legal/Psychological |
Program Support |
4073 |
|
Support Services - Educational |
Program Support |
4074 |
|
Community Services |
Program Support |
4075 |
|
Resource |
Program Support |
4077 |
|
Program Administration |
Program Support |
4078 |
|
COSA (Children of Substance Abusers) |
Program Support |
4175 |
|
AIDS Resource |
Program Support |
4470 |
|
Legislative Member Item |
Program Support |
4778 |
|
RESIDENTIAL |
|
Intensive Residential |
Residential |
3560 |
|
Community Residential |
Residential |
3570 |
|
Supportive Living |
Residential |
3580 |
|
Residential Chemical Dependency Program for Youth (Long-Term) |
Residential |
4060 |
|
Residential Rehabilitation Services for Youth (RRSY) |
Residential |
3551 |
|
TREATMENT SUPPORT |
|
Job Placement Initiative |
Treatment Support |
0465 |
|
Case Management |
Treatment Support |
0810 |
|
Shelter Plus Care Housing |
Treatment Support |
3070 |
|
Vocational Rehabilitation |
Treatment Support |
4072 |
|
MICA Network |
Treatment Support |
5990 |
0140 - Outpatient Chemical Dependence for Youth
Such programs serve youth between the ages
12 and 18 by providing a drug-free setting supporting
abstinence from alcohol and/or other substances of abuse.
Active treatment is rendered through multi-disciplinary
clinical services designed to assist the youth in achieving
and maintaining an abstinent lifestyle and to serve youth
whose normal adolescent development, in one or more major life
areas, has been impaired as a result of the use of alcohol
and/or other substances by a parent or significant other.
Units of Service:
Visit 30 minutes-less than two hours: A period of
scheduled participation by a client which includes the receipt of
one or more types of treatment services for at least 30 minutes but
less than two hours in duration.
Visit two hours-less than four hours: A period of
scheduled participation by a client which includes the receipt of
one or more types of treatment services for at least two hours but
less than four hours in duration.
Visit of four or more hours: A period of scheduled
participation by a client which includes the receipt of one or more
types of treatment services for at least four hours in duration.
Off-Premises Treatment Visits: A period of direct
evaluation, therapy or counseling provided by an ambulatory alcoholism
treatment program to a client in his or her home or convenient place
thereto when the client is temporarily or intermittently unable to be
served at the alcoholism treatment program premises. Visits should
extend at least 30 minutes.
Socialization/Recreation Visit: A period of
attendance in an alcoholism program or on the premises thereof during
which only companionship, social activity, recreation or a combination
thereof is received by the client.
0301 - Drug Free – Prison
0407 - DAPC (Drug Abuse Prevention Council)
0465 – Job Placement Initiative
0505 - Prevention – Outpatient
0507 –Underage Drinking Prevention (eff. July
2004)
0605 - Methadone-to-Abstinence – Outpatient
0710 - Community Education & Intervention
A program providing services limited to
dissemination of information about alcohol abuse and
alcoholism studies to groups, organizations or individuals
suffering from alcoholism and their significant others.
Referrals to service providers and short-term counseling
incidental to the provision of information and/or referral may
also be provided. Intensive prevention/educational services
may be provided to persons evaluated by a qualified evaluator,
and not diagnosed to be suffering from alcoholism or found to
be in need of treatment. This may include staff support and
assistance for family-based, planned interventions.
Units of Service: Not applicable.
0720 - Youth Education & Intervention
A program providing alcohol and drug
abuse education and intervention services for young people
with problems. Additional intensive program activities are
also offered for high risk persons, including children of
alcoholic families in order to eliminate the high risk
status of these groups, if evaluated not to be in need of
alcoholism treatment. Linkage for persons in need of
treatment to appropriate services is also a function of
these programs. These programs may be based in schools or
community based youth agencies.
Units of Service: Not applicable.
0810 - Case Management
Activities aimed at linking the client to
the service system and at coordinating the various services in
order to achieve a successful outcome. The objective of case
management in a mental health system is continuity of care and
service. Services may include linking, monitoring and
case-specific advocacy.
Linking: The process of referring or
transferring a client to all required internal and external
services that include the identification and acquisition of
appropriate service resources.
Monitoring: Observation to assure the
continuity of service in accordance with the client's
treatment plan.
Case-Specific Advocacy: Interceding on the
behalf of a client to assure access to services required in
the individual service plan. Case management activities are
expediting and coordinative in nature rather than the primary
treatment services ordinarily provided by a therapist.
Case management services are provided to
enrolled clients for whom staff are assigned a continuing case
management responsibility. Thus, routine referral would not be
included unless the staff member making the referral retains a
continuing active responsibility for the client throughout the
system of service.
Units of Service:
Direct staff hours: The number of staff
hours spent by staff in providing case management services
face-to-face or by telephone directly to clients or
collaterals.
Indirect staff hours: The number of staff
hours spent by staff in providing case management services on
behalf of clients other than face-to-face or by telephone
directly with clients or collaterals.
0830 - Criminal Justice Intervention/ DWI
A program consisting of organized
activities designed to ensure that persons who are charged
with an alcohol-related driving or other criminal offense are
screened and evaluated for the need for alcoholism treatment.
Some activities are carried out directly by criminal justice
agencies, and others by the staff of a local governmental unit
(LGU) to ensure that appropriate treatment services are made
available to persons identified to be in need. Included in
this category are LGU coordination activities related to
alternatives to incarceration and non-treatment interventions.
This category does not include DMV-certified programs for
drinking drivers often operated by local councils on
alcoholism, which may also be used for intervention purpose.
Units of Service: Not applicable.
0893 – Road to Recovery Supplemental
Payments
0890 – Local Governmental Unit (LGU)
Administration
The Local Governmental Unit is defined in
Article 41 of the Mental Hygiene Law. This program category
includes all local government costs related to administering
mental hygiene services that are provided by a local
government or by a voluntary agency pursuant to a contract
with a local governmental unit. LGU Administration is funded
cooperatively by OASAS, OMH and/or OMRDD. As such, this
program is reported as a shared program on the core schedules
(CFR-1 through CFR-6) of the CFR. LGU Administration expenses
and revenues related to each State Agency are reported on
State Agency specific claiming schedules (DMH-2 and DMH-3).
Note: This program type is exempt from the Ratio Value
allocation of agency administration.
Units of Service: Not applicable.
0940 - Innovative Outpatient Treatment
Services
These programs are authorized to operate
either as separate entities or as units within existing Office
of Alcoholism and Substance Abuse Services (OASAS) certified
settings in order to provide innovative treatment models to a
specified target population. Innovative treatment programs
operate within the existing regulatory framework pursuant to
an OASAS operating certificate. However, these programs or
units are required to report their administrative and service
activities under a separate code so that the innovative model
may be monitored separately. Treatment programs formerly
funded through the Task Force on Integrated Projects (TFIP)
should report such continuing activities under this program
code.
Units of Service: Services should be
reported consistent with the regulatory class of program under
which the innovative treatment service is certified.
0970 - Innovative Prevention and
Intervention Services
School and community based alcohol and
other drug abuse programs which provide innovative prevention,
education and intervention programs to a specified target
population. Such programs should be innovative with
comprehensive approaches to establish and use linkages with a
variety of service providers in the area served. Components of
such programs may include:
Accurate alcohol and drug information;
Development of social competency
skills;
Promotion of positive alternatives;
Impact on public policy;
Training of teachers, parents, peers
and others;
Identification of an alcohol and/or
substance abuse problem and intervention services for high
risk population, where appropriate; and information on
stress reduction.
Prevention and Intervention programs
formerly funded through the Task Force on Integrated Projects
(TFIP) should report such continuing activities under this
program code.
Units of Service: Not applicable.
0975 - Risk Protection Framework Prevention
Services (1997-98 New Initiative)
A specialized prevention services program
component initially funded in 1997-98 with new initiative
award monies from OASAS.
Units of Service: Services should be
reported consistent with approved OASAS Workscope Objectives
established for this specialized program component.
2020 - Primary Care Alcoholism Program
(Alcohol Crisis Center)
A program providing inpatient care in a
medically supported environment until clients are safely
alcohol-free and can be referred to an appropriate treatment
program. Persons admitted to this program may present a need
for withdrawal from alcohol but will not require medical
services at the time of admission. Length of stay is generally
3 to 14 days. Supportive services are provided by the program
during the time necessary to link clients with needed
treatment and rehabilitation services. Continued stay beyond
three to five days is based on the availability of a suitable
alternative environment in which effective treatment can be
continued. When operated in an alcoholism treatment center,
these programs may provide medical detoxification which is not
provided in a freestanding program based in an alcohol crisis
center.
2030 – Methadone Maintenance –
Residential
2050 – Methadone Maintenance –
Outpatient
2058 – Enhanced Methadone Maintenance –
Outpatient
2110 - KEEP Units – Prison - Methadone
2150 - KEEP Units – Outpatient –
Methadone
2780 – Compulsive Gambling Treatment
To provide outpatient treatment to
compulsive gamblers designed to reduce symptoms, improve
functioning and provide ongoing support. A compulsive
gambling treatment program shall provide assessment and
treatment planning specific to compulsive gambling,
screening and referral for other problems, financial
management planning, connection to self help groups for
compulsive gamblers, individual, group and family therapy
specific to this diagnosis and crisis intervention.
2790 – Compulsive Gambling Education,
Assessment and Referral Services
To participate in the statewide public
information campaign, assess the existence of compulsive
gambling and make referrals and linkages to compulsive
gambling treatment programs, other human services, and self
help groups for compulsive gamblers.
3001 – Community Mobilization
3039 – Medically Supervised Withdrawal
Services – Inpatient/Residential
As defined in Part 816 of OASAS’
regulations, medically supervised withdrawal services provided
in an inpatient or residential setting must be provided under
the supervision and direction of a licensed physician, and
shall include medical supervision of persons undergoing
moderate withdrawal or who are at risk of moderate withdrawal,
as well as persons experiencing non-acute physical or
psychiatric complications associated with their chemical
dependence.
Such services are appropriate for persons
who are intoxicated by alcohol and/or substances, who are
suffering from mild withdrawal, coupled with situational
crisis, or who are unable to abstain with an absence of past
withdrawal complications.
3059 – Medically Supervised Withdrawal
Services – Outpatient
As defined in Part 816 of OASAS’
regulations, medically supervised withdrawal services provided
in an outpatient setting must be provided under the
supervision and direction of a licensed physician, and shall
include medical supervision of persons undergoing moderate
withdrawal or who are at risk of moderate withdrawal, as well
as persons experiencing non-acute physical or psychiatric
complications associated with their chemical dependence.
Such services are appropriate for persons
who are intoxicated by alcohol and/or substances, who are
suffering from mild withdrawal, coupled with situational
crisis, or who are unable to abstain with an absence of past
withdrawal complications.
3070 - Shelter Plus Care Housing
A federally funded program of housing
assistance specifically targeted to homeless persons with
disabilities and their families. For programs administered by
OASAS and/or OMH, "persons with disabilities" are
"persons who are seriously mentally ill and/or have
chronic problems with alcohol, drugs or both". Funds may
be used for the payment of rent stipends up to the
federally-established Fair Market rent, and associated
administrative expenses. OASAS and OMH require any
not-for-profit agency in receipt of these funds to report the
funds in a separate program column, indexed if necessary on
the CBR and CCR. Shelter Plus Care Grants are made for five or
ten years at a time. This program code is used in cases where
the federal funds flow through OASAS or OMH.
Units of Service: Not applicable.
3500 - Medically Managed Detoxification
As defined in Part 816 of OASAS’
regulations, medically managed detoxification services are
designed for patients who are acutely ill from alcohol-related
and/or substance-related addictions or dependence, including
the need for medical management of persons with severe
withdrawal or risk of severe withdrawal symptoms, and may
include individuals with or at risk of acute physical or
psychiatric comorbid condition. Individuals who are
incapacitated to a degree which requires emergency admission
may be admitted to such facility in accordance with Section
21.09 or 23.02 of the Mental Hygiene Law. Such services shall
not be provided on an ambulatory basis.
3510 – Medically Monitored Withdrawal
As defined in Part 816 of OASAS’
regulations, medically monitored withdrawal services can be
provided by any provider of services certified by OASAS to
provide inpatient or residential chemical dependence services
and are designed for persons intoxicated by alcohol and/or
substances, or who are suffering from mild withdrawal coupled
with situational crisis, or who are unable to abstain with an
absence of past withdrawal complications, or who are
individuals in danger of relapse. Such services do not require
physician direction or direct supervision by a physician, and
are designed to provide a safe environment in which a person
may complete withdrawal and secure a referral to the next
level of care.
3520 - Medically Supervised Outpatient
3528 – Enhanced Medically Supervised
Outpatient
3530 - Outpatient Rehabilitation Services
3538 – Enhanced Outpatient Rehabilitation
Services
3540 – Non-Medically Supervised Chemical
Dependence Outpatient
3548 – Enhanced Non-Medically Supervised
Chemical Dependence Outpatient
3550 – Chemical Dependence Inpatient
Rehabilitation Services
An intensive program for clients
requiring evaluation and treatment services in a highly
structured setting. The length of stay is determined on the
basis of client characteristics and usually ranges from 21
to 60 days. The program is medically supported and should
also provide chemical dependence education and counseling
services for significant others of chemical dependence
clients. This type of program is appropriate for clients who
need concentrated, therapeutic service prior to community
residence, or as their sole form of residential care.
Generally, inpatient rehabilitation programs should be
freestanding facilities. They may also be operated as
special discrete units in a general hospital or hospital for
mental illness, organized separately from acute care
services.
3551 – Residential Rehabilitation
Services for Youth (RRSY)
As defined in Part 817 of OASAS’
regulations, residential rehabilitation services for youth
is an inpatient treatment program which provides active
treatment to adolescents in need of chemical dependence
services. Active treatment is provided through a
multi-disciplinary team. In an RRSY program, the
multi-disciplinary team defined in Part 800 of OASAS’
regulations is expanded to include (1) a psychiatrist, or a
physician and a clinical psychologist and (2) a CSW or an RN
or an Occupational Therapist.
Admission to an RRSY is based on a
Pre-Admission Certification by an Independent Pre-Admission
Certification team.
Units of Service: Patient Day.
3560 – Intensive Residential
3570 – Community Residential
3580 - Supportive Living
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