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2006 CFR 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
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 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
Section 37.0 - 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.
Section 38.0 - 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
Rehabilitation Services for Youth (RRSY) |
Inpatient |
3551 |
| Residential
Chemical Dependency Program for Youth (Short-Term) |
Inpatient |
4030 |
|
METHADONE |
|
Methadone-to-Abstinence – Outpatient |
Methadone |
0605 |
| Methadone
Maintenance – Residential |
Methadone |
2030 |
| Methadone
Maintenance – Outpatient |
Methadone |
2050 |
| Enhanced
Methadone Maintenance – Outpatient |
Methadone |
2058 |
| 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 |
|
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 |
|
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 & Referral Services |
Prevention |
2790 |
| Community
Mobilization |
Prevention |
3001 |
| Prevention –
School Based |
Prevention |
5060 |
| Chemical
Dependence Prevention Services |
Prevention |
5550 |
|
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 Abuse) |
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 |
|
TREATMENT SUPPORT |
| Job Placement
Initiative |
Treatment Support |
0465 |
| Case Management |
Treatment Support |
0810 |
| Shelter Plus
Care Housing |
Treatment Support |
3070 |
| Managed
Addiction Treatment Services (MATS) |
Treatment Support |
3810 |
| Vocational
Rehabilitation |
Treatment Support |
4072 |
| Dual Diagnosis
Coordinator |
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.
0407 - DAPC (Drug Abuse Prevention Council)
0465 - Job Placement Initiative
Vocational rehabilitation focusing on job
referrals and placement.
0505 - Prevention – Outpatient
Prevention and intervention strategies
including the provision of accurate and age-appropriate and
culturally competent information, personal and social skill
development, alternative choice making, training of those who
are in a position to influence others (i.e., community leaders,
parents, teachers, peer groups, and others), public policy
development around alcoholism and substance abuse issues,
community networking, and the identification of and intervention
with those at high risk.
0507 - Underage Drinking Prevention
Activities designed to decrease underage
drinking.
0605 - Methadone-to-Abstinence – Outpatient
Methadone treatment delivered on an
ambulatory basis in gradually decreasing doses to the point of
abstinence, followed by continued drug-free treatment.
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.
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.
0893 - Road to Recovery Supplemental Payments
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.
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
Methadone treatment programs (MTPs) that
administer methadone by prescription, in conjunction with a
variety of other rehabilitative assistance in a residential
setting, to control the physical problems associated with heroin
dependence and to provide the opportunity for patients to make
major life-style changes over time.
2050 - Methadone Maintenance – Outpatient
Methadone treatment delivered primarily on an
ambulatory basis, with most programs located in either a
community or hospital setting. Methadone is administered daily
at a stabilized dose over an extended period of time.
2058 - Enhanced Methadone Maintenance –
Outpatient
2110 - KEEP Units – Prison – Methadone
Methadone treatment delivered in a prison
setting. KEEP is an interim (not more than 180 days) protocol
that provides intensive medical and support services in order to
evaluate the long-term treatment needs of patients
2150 - KEEP Units – Outpatient – Methadone
Methadone treatment delivered on an
ambulatory basis. KEEP is an interim (not more than 180 days)
protocol that provides intensive medical and support services in
order to evaluate the long-term treatment needs of patients
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 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
Promising prevention programs, activities and
strategies that are targeted to decrease risk factors and
increase protective factors related to problem gambling
behaviors.
3001 - Community Mobilization
To bring science/evidence-based prevention
strategies to locally identified risks and protective factors
through local coalitions that develop strategic action plans.
OASAS supports this initiative with a six-phase training
process, using certified trainers and provision of technical
assistance.
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.
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
These programs assist individuals who suffer
from chemical abuse or dependence and their family members
and/or significant others through group and individual
counseling; education about, orientation to, and opportunity for
participation in, relevant and available self-help groups;
alcohol and substance abuse disease awareness and relapse
prevention; HIV and other communicable diseases, education, risk
assessment, supportive counseling and referral; and family
treatment. In addition, social and health care services, skill
development in accessing community services, activity therapies,
information and education about nutritional requirements, and
vocational and educational evaluation must be available either
directly or through written agreements. Procedures are provided
according to an individualized assessment and treatment plan.
This service mandates that medical staff be part of the
multi-disciplinary team and the designation of a Medical
Director, which provides for medical oversight and involvement
in the provision of outpatient services. These services are
Medicaid eligible providing other standards pertaining to
fee-for-service Medicaid are met.
3528 - Enhanced Medically Supervised Outpatient
3530 - Outpatient Rehabilitation Services
This service level is designed to serve more
chronic individuals who have inadequate support systems, and
either have substantial deficits in functional skills or have
health care needs requiring attention or monitoring by health
care staff. These programs provide social and health care
services, skill development in accessing community services,
activity therapies, information and education about nutritional
requirements, and vocational and educational evaluation.
Clients initially receive these procedures five days a week for
at least four hours per day. There is a richer staff to client
ratio for these services compared to other outpatient levels and
these services are required to have a half-time staff person
qualified in providing recreation and/or occupational services
as assistant or registered nurse. Like=
half-time nurse practitioner, physician medically supervised
outpatient, outpatient rehabilitation services, mandate that
medical staff be part of the multi-disciplinary team and the
designation of a Medical Director, which provides for medical
oversight and involvement in the provision of outpatient
services. These services are Medicaid eligible providing other
standards pertaining to fee-for-service Medicaid are met.
3538 - Enhanced Outpatient Rehabilitation
Services
3540 - Non-Medically Supervised Chemical
Dependence Outpatient
These services do not require that medical
staff be part of the multi-disciplinary team or the designation
of a Medical Director. Medical oversight or involvement in the
provision of services is not required. Services may be provided
in a more or less intensive manner as determined by client need.
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
These programs assist individuals who suffer
from chemical dependence, who are unable to maintain abstinence
or participate in treatment without the structure of a
24-hour/day, 7 day/week residential setting and who are not in
need of acute hospital or psychiatric care or chemical
dependence inpatient services. In addition to counseling, peer
group counseling, supportive services, educational services,
structured activity and recreation and orientation to community
services, intensive residential programs provide the following,
either directly or by referral: vocational procedures such as
vocational assessment, job skills training and employment
readiness training; parenting, personal, social and community
living skills training including personal hygiene and leisure
activities. These services provide a minimum of 40
hours/week of procedures within a therapeutic milieu.
3570 - Community Residential
These services provide a structural
therapeutic milieu while residents are concurrently enrolled in
an outpatient chemical dependence service which provides
addiction counseling. Community residential services provide the
following procedures either directly or by referral: vocational
procedures such as vocational assessment, job skills training
and employment readiness training; parenting, personal,
social and community living skills
training including personal hygiene and leisure
activities. Individuals appropriate for this level of care
include persons who are homeless or whose living environment is
not conducive to recovery and maintaining abstinence.
3580 - Supportive Living
A community residence program providing
continued congregate living to chronic alcoholic persons with a
poor prognosis for independent living. Clients will be referred
from halfway houses or recovery homes. The facility will consist
of a group home or apartment without regular on-site staffing.
This type of setting provides fellowship and peer group support
for the maintenance of recovery for clients who do not otherwise
have the opportunity to live in an environment supportive of
recovery. Length of stay is long term and can be indefinite.
3810 - Managed Addiction Treatment Services
(MATS)
Managed Addiction Treatment Services (MATS)
is a program that provides case management services to Medicaid
eligible recipients of chemical dependence services. The goal of
MATS is to assure effective and appropriate access to needed
treatment services and positive treatment outcomes for Medicaid
recipients. Services may include linking recipients with
appropriate services, case-specific advocacy and monitoring
access to and utilization of services to avoid duplicative
services. Case management services will be provided by the Local
Governmental Unit through a partnership between the local mental
hygiene agency and the local department of social services
(LDSS).
Units of Service: To be determined.
4030 - Residential Chemical Dependency Program
for Youth (Short-Term)
A voluntary intensive inpatient
rehabilitation program for youthful clients who require
concentrated therapeutic services in a drug-free setting. It
provides active treatment through multi-disciplinary clinical
services designed to achieve dependence-free discharge to
non-residential settings. The program is part of a continuum of
care for chemically dependent youth and may be operated by
public, private not-for-profit or proprietary sponsors. The
planned length of stay is 45 to 60 days.
4060 - Residential Chemically Dependency Program
for Youth (Long-Term)
A voluntary residential recovery home program
for youthful clients in a drug-free setting. It provides
residential therapeutic care to those youths with a history of
chronic chemical dependency. The program is part of a continuum
of care for chemically dependent youths and may be operated by
public, private not-for-profit or proprietary sponsors. The
planned length of stay is more than 60 days but does not exceed
15 months.
4071 - Intake, Outreach & Referral Units
Specialized chemical dependence related
support services to provide intake, outreach, and referral.
4072 - Vocational Rehabilitation
Vocational rehabilitation is a process that
prepares people for employment by helping them choose a
vocational role and function that is consistent with their
abilities, achievements, interests, and functioning capacity.
The specific goals of a vocational rehabilitation program vary
with the needs of the target population. The process includes
the following services: vocational testing, assessment,
counseling, pre-vocational activities, training, educational
services, life skills/employability referrals, job referrals and
placement, and post-placement counseling and follow-up. Programs
provide these vocational rehabilitation services directly or by
referring the client to an appropriate resource.
4073 - Support Services –
Medical/Legal/Psychological
Specialized chemical dependence related
support services of medical, legal, and psychological
activities.
4074 - Support Services – Educational
Specialized chemical dependence related
support services to provide educational services.
4075 - Community Services
Specialized chemical dependence related
support services to provide community services by program staff,
such as telephone crisis counseling.
4077 - Resource
Specialized chemical dependence related
support services to provide resource support, such as training.
4078 - Program Administration
Specialized chemical dependence related
support services to provide program administration.
4175 - COSA (Children of Substance Abusers)
Prevention and intervention strategies
focused on Children of Substance Abusers (COSAs),
4470 - AIDS Resource
Programs that provide AIDS/HIV resource
services (e.g., AIDS/HIV Coordinators, staff training in
AIDS/HIV issues, informational materials, intake, outreach and
referral services, medical, legal and psychological services,
etc.) to substance abuse programs and substance abuse program
clients.
4778 - Legislative Member Item
Programs that provide chemical dependence
projects and services funded by General Fund, Local Assistance
Account Member Item appropriations.
5060 - Prevention – School Based
Prevention and intervention strategies
implemented in a school setting.
5550 - Chemical Dependence Prevention Services
Activities designed to decrease risk factors
and increase protective factors for substance use and abuse.
5990 - Dual Diagnosis Coordinator
Specialized chemical dependence related
support services to provide coordination of care for dually
diagnosed patients.
6030 - Methadone-to-Abstinence – Residential
Methadone treatment delivered in a
residential setting in gradually decreasing doses to the point
of abstinence, followed by continued drug-free treatment.
6040 - Methadone-to-Abstinence – Day Service
Methadone treatment delivered in a day
service setting in gradually decreasing doses to the point of
abstinence, followed by continued drug-free treatment.
Section 39.0 -
Appendix F - OMH Program Types, Definitions and Codes
General OMH Reporting Requirements
OMH service providers are required to report
expenses and revenues for each program/site on the core and
supplemental schedules of the CFR. In most cases, program/sites of
the same program type are then aggregated on Schedules DMH-1, DMH-2
and DMH-3. The general program/site and program type reporting
requirements are:
Program/Site reporting on Schedules
CFR-1, CFR-4, CFR-4A, OMH-1, OMH-2 and OMH-3.
Program Type reporting on Schedules
DMH-1, DMH-2, and DMH-3.
Exceptions to Program/Site Reporting (on CFR-1,
CFR-4, CFR-4A, OMH-1, OMH-2 and OMH-3):
OMH Satellites
A satellite is defined as a physical
extension of a program under that program’s operating
certificate. Do not report these satellite
programs on a site specific basis. The expenses,
revenues, and units of service will be included in the
certified program.
OMH Start-up
OMH programs having a start-up component
(as approved on their budget) will treat the start-up as a
separate program and report revenue and expenses in the
column adjacent to the program column that received the
start-up funds. For OMH start-ups, enter "A0" as the program
code index. Example: 6070 A0. If there are two or more
start-ups for a particular program type, enter "A1" for the
first occurrence, "A2" for the second occurrence, etc.
OMH Programs with multiple sites under
the same license
Licensed programs are reported by
program/site as designated under a specific operating
certificate (i.e., for Treatment/Apartment programs (program
code 7070), all apartments operating under a specific
license must be reported together).
Exceptions to Program Type Reporting (on DMH-1,
DMH-2 and DMH-3):
The following programs must be
reported by program/site throughout the CFR (including the
claiming schedules): Permanent Housing Program (program code
1070), Family Based Treatment (program code 2040), Transient
Housing (program code 2070), Treatment/Congregate (program
code 6070), Support/Congregate (program code 6080),
Community Residence, Children & Youth (program code 7050)
and Community Residence, Single Room Occupancy (program code
8050), supported SRO (program code 5070).
The following OMH licensed programs must
be reported by program/site on Schedules CFR-1, CFR-4 and
CFR-4A and can be reported by program type on
Schedules DMH-2 and DMH-3: Treatment/Apartment (program code
7070) and Support/Apartment (program code 7080).
CBR vs. CFR reporting
Programs should only be reported discretely if
they are operated as individual programs and are not part of a
larger program. Additionally, a program reported discretely on the
approved CBR must also be reported discretely on all other fiscal
documents submitted to OMH and the Health Department. For example,
providers may not report a case management program’s expenses and
revenues as a discrete program on one document, but include those
expenses and revenues as part of a clinic treatment program on a
different document. Refer to the next item if a program/site is
reported by funding source on the CBR.
When to report program/sites by funding source
OMH program/sites may be split by funding source
(i.e., reinvestment versus non-reinvestment funding) ONLY on
the claiming schedules (DMH-2 and DMH-3) NOT on the cost
reporting schedules (CFR-1 through CFR-6). Please refer to the
software instructions on the creation of additional sites on
schedules DMH-2 and DMH-3 to accommodate these multiple occurrences.
When to Index Program Codes
OMH program codes may need to be indexed in
certain situations when using software. If a service provider
operates more than one program/site of the same program type (i.e.,
two treatment/ congregate facilities), which are not aggregated by
program type on the claiming schedules, the program codes must be
indexed.
The program codes are indexed on approved CFR
software by the use of a two digit field following the four digit
program code.
Example: A service provider operates three
treatment/congregate facilities (6070). These program/sites are
reported in three separate columns on the core schedules. This
program type is not aggregated by program type on the claiming
schedules, so these program/sites are also reported in three
separate columns on Schedules DMH-1, DMH-2 and DMH-3. The
program codes are indexed throughout the CFR document as
6070 01, 6070 02, and 6070 03.
Note: A person in crisis is an adult, child or
adolescent who needs immediate intervention for the purpose of
reducing acute and/or escalating psychiatric symptoms. The
individual may be experiencing serious deterioration of social,
personal and/or medical conditions that put him/her at risk for
requiring hospitalizations and may be at risk of harming
himself/herself or others.
There have been a significant number of changes to the OMH
listing of Program Codes and Definitions for periods beginning
7/1/05 for NYC; 1/1/06 Upstate and Long Island. The following
crosswalk is provided to identify changes you may need to
accommodate on your CFR submission.
Codes with Changes Effective 7/1/05 for NYC;
1/1/06 Upstate and Long Island
|
Program Type |
Program Code |
New Code or Name |
| Advocacy
Services |
1760 |
Renamed
Advocacy/Support Services |
| Advocacy/Support
Services |
1760 |
Name Change;
Revised Definition |
| Alternative
Crisis Support |
0660 |
Delete – Use
Code 1760 Advocacy/Support Services |
| Assertive
Community Treatment (ACT) Program |
0800 |
Revised
Definition |
|
Bridger/Transition Management Services |
1990 |
Divided into two
programs – 1990 Bridger; 1970 Transition Management Services |
| Bridger Services |
1990 |
Revised
Definition – Transitional Management section placed in new
Program Code 1970 |
| Case Management |
0810 |
Revised
Definition |
| Consumer Service
Dollars (Non ICM/SCM/ACT) |
2820 |
Revised Name and
Definition |
| Clinic Treatment |
2100 |
Revised
Definition |
| Community
Residence, Children & Youth |
7050 |
Revised
Definition |
| Conference of
Mental Hygiene Directors |
2860 |
New Name;
Revised Definition |
| Coordinated
Children's Services Initiative |
2990 |
Revised
Definition |
| CPEP Crisis Beds |
2600 |
New |
| CPEP Crisis
Intervention |
3130 |
Revised
Definition |
| CPEP Crisis
Outreach |
1680 |
Revised
Definition |
| CPEP Extended
Observation Beds |
1920 |
Revised
Definition |
| Crisis
Intervention |
3130 |
Name Changed to
CPEP Crisis Intervention – Revised Definition |
| Crisis
Intervention |
2680 |
New |
| Crisis Outreach |
1680 |
Name Changed to
CPEP Crisis Outreach |
| Crisis/Respite
Beds |
1600 |
New |
| Crisis Residence
|
0910 |
Revised
Definition |
| Emergency Unit
Clinic Treatment |
0130 |
Deleted – Use
Program Code 2680 – Crisis Intervention |
| 