DCPOD High Cost Student Worksheet (Other District)
Quick Reference
STAC ONLINE SYSTEM (EFRT) SCHOOL AGE PRE-VERIFICATION TOPICS
Printable Version

Guidance for Calculating 10-Month Annualized Costs for Other District Verifications:
A list of allowable costs for special education services which may be claimed for High Cost Aid and a list of other costs
which may not be claimed can be found by clicking on the link below:
https://www.oms.nysed.gov/stac/schoolage/payments/annualized_cost_calculation.html
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Contains the information entered on the approval on DSPUB.
- STAC ID, School Year, and Rec Num
The student’s STAC ID and the school year and record
number of the DSPUB approval.
- Start Date and End Date
Taken directly from DSPUB. To change, update
on DSPUB.
- FTE
Full Time Equivalent Enrollment, from DSPUB.
- The Go to DSPUB button
Takes the user to DSPUB to amend start and end dates.
- Public Excess Cost Aid Ratio
Ratio is used in the calculation of Public Excess Cost
Aid.
- District Threshold
The minimum 10-month annualized cost that will
generate High Cost Aid.
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- CSE District and Ed Provider
CSE school district and the education provider, taken
directly from DSPUB.
- Previous Annualized Rate
If the 10-Month Annualized Cost has changed, the
previous value is displayed here. This will update
whenever this screen is submitted.
- Current 10-Month Annualized Cost
Before the screen has been submitted,
this is the amount entered on DSPUB.
After the screen has been submitted, this
is the amount calculated by the
worksheet.
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This section is used to indicate whether the other educating district billed using an NRT rate
or billed using actual costs.
- Non Resident Tuition (NRT) Rate
(Full Day K-6 Student with Disabilities)
If the student is within the age range for grades
kindergarten through sixth grade and the non-resident
district has billed using the Non Resident Tuition Rate,
select this option.
- Non Resident Tuition (NRT) Rate
(Grade 7-12 Student with Disabilities)
If the student is within the age range for seventh grade
through twelfth grade and the non-resident district has
billed using the Non Resident Tuition Rate, select this
option.
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- Other Educating District Billed Using Actual Costs
(Provide Cost Breakdown Below)
If the non-resident district has billed using actual costs,
select this option and fill out the remaining sections of
the screen.
PLEASE NOTE:
If the other educating district has billed using the NRT
rate, the aid available for services provided by the other
educating district is capped at the NRT rate!
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Only to be used if the nonresident district billed using actual costs. If the student did not attend for the entire program
period, enter the costs as if the student had attended for the whole year.
- Placement Type
The type of period-based special education placement
the student is in, per the IEP
- IEP Ratio: Stud:Teach + Para
The ratio of students to teachers and paraprofessionals.
This should match the student’s IEP.
- Total Placement Cost
The total cost of the special education classroom, less
excluded costs.
- Actual Students in Class
The number of special education students in the
classroom. If the non-resident district has billed on a per
student basis, and the number of students in the class
has not been provided, enter a group size of 1 and
explain in the comments.
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- Total Child Cost
The total cost of the special education classroom
attributable to this student. This calculated field does not
permit data entry.
- Additional Special Education Classroom Costs
For use if the student has more than four special
education classroom placements. Enter as a lump sum
and provide a breakdown in the comments.
PLEASE NOTE:
Only special education services mandated
by the student’s IEP are eligible for High
Cost Public aid! Even if a cost doesn’t
appear on the Excluded Cost List, it still
may not be eligible for High Cost Public aid.
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Only to be used for aides, LPNs, RNs and interpreters assigned to specific students.
- Type of 1:1
Indicate type: Aide/Teaching Asst, LPN, RN, or
Interpreter.
- Provider Type
Indicate where this student aide, nurse, or interpreter is
provided by the non-resident district, the CSE district, a
BOCES, or some other provider.
- Total Cost
Enter billed amount, or salary and value of fringe benefits if
provided by CSE district. Annualize if student’s FTE is less
than 1.
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- # of Students Served
Enter the number of students assigned during the time
period covered by IEP. If assigned solely to this student
(1:1), enter 1 in this field
- Student Annual Cost
Student Annual Cost = (Annual Salary + Annual Fringe) /
# of Students Served. A calculated field that does not
permit data entry
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Services entered in this section cannot have been claimed in any of the sections above. You can enter up to six services
in this section, with space to enter lump sum totals by provider type for any additional services.
- Service Type
Select type of service from the
dropdown. If the service is not listed,
select "Other -- Explain in Comments".
- Provider Type
Indicate whether service was
provided by the non-resident district,
the CSE district, a BOCES, or some
other provider.
- Total Amount Billed Per Student
Enter the billed amount for the
service.
- IEP Session Length (Mins)
Enter the session length in minutes,
as specified on the student’s IEP.
- Provided to Individual / Group
Indicate whether the service was
provided to the student individually,
or as part of a group. Should match
the student’s IEP.
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- Actual # of Sessions Billed
Enter the actual number of sessions
billed for this student. Cannot
exceed the IEP.
- Session Cost Per Child
Total Amount Billed For Student,
divided by the Actual # of Sessions
Billed. A calculated field that does
not permit data entry.
- Non-Resident District, BOCES
Extra, CSE District, and Other
Provider
If more than six related services,
calculate and enter total cost by
provider type of any additional
services not included above.
Explain in comments.
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Only to be used for non-recurring costs not claimed in sections I through IV.
- Cost Category
Select type of cost from dropdown. If not listed, or if
more than one cost, select "OTHER -- Explain in
Comments".
- Additional Information
Provide additional detail on cost.
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- Total Other Child-Specific Costs
Enter total amount of all non-recurring costs. Since this
section is for non-recurring costs, this amount should
not be annualized.
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To be used to provide additional clarification and explanation, and to provide contact information in case there are
questions.
- Comments
Use to provide explanations for anything that is unclear
from the standardized fields above.
- Contact Name
Name of the person who can answer questions about
this High Cost Student Worksheet (DCPOD) submission
for the STAC and Medicaid Unit.
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- E-mail Address
E-mail address for the person indicated in Contact Name
field.
- Phone#
Phone number for the person indicated in Contact Name
field.
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Once you have completed all of the sections, click the ADD button to submit. If updating an existing DCPOD worksheet,
click Change to submit your changes.
- Non Resident Tuition
The non-resident tuition rate, if selected in section I.
- Special Classrooms Subtotal
Calculated Classroom Cost for this Student from section II.
- 1:1/Shared Aide Subtotal
Sum of the two calculated Student Annual Cost values
from the section III.
- Related Services Subtotal
Sum of the calculated Total Child Cost values for 6
services, plus 4 lump sum fields, from section IV.
- Other Child-Specific Costs Subtotal
Total Other Child-Specific Costs from section V.
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- Total 10-Month Annualized Cost
Sum of the five subtotals on left. A calculated value that
will update both DSPUB and DVPUB. Verify this amount
on DVPUB.
- High Cost Aid Available
An estimate of the Public High Cost Aid your district
would receive for this record, based on current district
threshold and public excess cost aid ratio.
- "SED use only" Section
Used by SED staff to note adjustments resulting from
review.
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