New York State Education Department

2005-06 CFR MANUAL

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 Reserved for Future Use 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

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Section 34.0 - 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.

Section 35.0 - Appendix B - Table of Acronyms

   The following lists commonly used 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

 

Section 36.0 - Appendix C - County Codes

New York State Counties:

 

County                          Code                                        County                          Code

Albany                          01                                            Niagara                        32

Allegany                       02                                            Oneida                          33

Bronx                           03                                            Onondaga                   &nbs