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Technical Assistance Community Budget and Fiscal Management New York State Office of Mental Health

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Page 1: Office Of Mental Healthaclnys.org/wp-content/uploads/2018/05/10_Technical-Assistance.pdf · Up" Amount 7/1/2018 Revised Rate 7/1/2018 Central Non-Homeless CR SRO $ 13,155 $ 186 $

Technical Assistance

Community Budget and Fiscal Management

New York State Office of Mental Health

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Supportive Housing Rate Increase (Effective 4/1/2018):

• $600 for NYC ($17,375); $300 to Long Island ($17,133); $120-300 for ROS ($8,131 to

$17,184)

SRO, applicable to homeless and non-homeless CR-SROs and SP-SROs Rate Increase:

• $500 for NYC ($17,275-$17,621); $450 to Long Island/ROS ($14,374-$16,506)

2018-2019 State Budget also includes:

• $50 million capital initiative to develop residential crisis programs. RFP in development.

• $10 million in capital funds to support children’s behavioral health services. An

enhancement to the $10 million in SFY 17-18. RFP expected in near future to make

$20 million available to RTFs and clinics serving children.

2018-19 Executive Budget Highlights

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Supported Housing Stipend Increases by County

SH # of Beds County4/1/2018 Stipend

2018 Proposed Increase

New Stipend Amount

NYC Region 9,725 Bronx, Kings, New York, Queens, and Richmond $16,775 $600 $17,375

Long Island Region

2,483 Nassau and Suffolk $16,833 $300 $17,133

Hudson Region

925 Westchester $16,884 $300 $17,184

212 Rockland $15,486 $300 $15,786

68 Putnam $14,924 $300 $15,224

575 Dutchess and Orange $13,352 $300 $13,652

170 Ulster $10,315 $300 $10,615

723 Albany, Columbia, Greene, Rensselaer, Saratoga, Schenectady, and Schoharie $9,752 $300 $10,052

125 Sullivan, Warren, and Washington $9,547 $300 $9,847

Western Region

78 Tompkins $9,866 $300 $10,166

802 Livingston, Monroe, Ontario, Orleans, and Wayne $8,803 $300 $9,103

1,169 Erie, Niagara, Seneca and Yates $8,599 $300 $8,899

446 Allegany, Cattaraugus, Chautauqua, Schuyler, Steuben, Tioga, and Wyoming $8,599 $120 $8,719

197 Chemung and Genesee $8,599 $300 $8,899

Central Region

66 Jefferson $8,844 $300 $9,144

128 Clinton, Essex, and Otsego $8,033 $300 $8,333

1,459 Broome, Cayuga, Chenango, Cortland, Delaware, Franklin, Fulton, Hamilton, Herkimer,

Lewis, Madison, Montgomery, Oneida, Onondaga, Oswego, and St. Lawrence$7,831 $300 $8,131

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SRO IncreasesRegion Client Population Bed Type 4/1/2017

Salary Enhancement & Minimum Wage

Eff. 1/1/2018

1/1/2018Salary

Enhancement Eff. 4/1/2018

4/1/2018Rate

Increase

Revised Rate

4/1/2018

"Leveling Up"

Amount 7/1/2018

Revised Rate

7/1/2018

Central Non-Homeless CR SRO $ 13,155 $ 186 $ 13,341 $ 262 $ 13,603 $ 450 $ 14,053 $ 321 $ 14,374

Central Non-Homeless SP SRO $ 13,648 $ 103 $ 13,751 $ 247 $ 13,998 $ 450 $ 14,448 $ 131 $ 14,579

Hudson River (Lower)

Non-Homeless CR SRO $ 14,877 $ 206 $ 15,083 $ 289 $ 15,372 $ 450 $ 15,822 $ 339 $ 16,161

Hudson River (Lower)

Non-Homeless SP SRO $ 15,534 $ 115 $ 15,649 $ 276 $ 15,925 $ 450 $ 16,375 $ 131 $ 16,506

Hudson River (Upper)

Non-Homeless CR SRO $ 13,155 $ 186 $ 13,341 $ 262 $ 13,603 $ 450 $ 14,053 $ 321 $ 14,374

Hudson River (Upper)

Non-Homeless SP SRO $ 13,648 $ 103 $ 13,751 $ 247 $ 13,998 $ 450 $ 14,448 $ 131 $ 14,579

Long Island Non-Homeless CR SRO $ 14,877 $ 206 $ 15,083 $ 289 $ 15,372 $ 450 $ 15,822 $ 339 $ 16,161

Long Island Non-Homeless SP SRO $ 15,534 $ 115 $ 15,649 $ 276 $ 15,925 $ 450 $ 16,375 $ 131 $ 16,506

NYC Homeless CR SRO $ 16,243 $ 213 $ 16,456 $ 299 $ 16,755 $ 500 $ 17,255 $ 20 $ 17,275

NYC Non-Homeless CR SRO $ 14,877 $ 213 $ 15,090 $ 299 $ 15,389 $ 500 $ 15,889 $ 1,386 $ 17,275

NYC Homeless NY/NY III CR SRO $ 16,246 $ 220 $ 16,466 $ 309 $ 16,775 $ 500 $ 17,275 $ - $ 17,275

NYC Homeless NY/NY III SP SRO $ 16,696 $ 125 $ 16,821 $ 300 $ 17,121 $ 500 $ 17,621 $ - $ 17,621

NYC Homeless SP SRO $ 16,692 $ 120 $ 16,812 $ 288 $ 17,100 $ 500 $ 17,600 $ 21 $ 17,621

NYC Non-Homeless SP SRO $ 15,534 $ 120 $ 15,654 $ 288 $ 15,942 $ 500 $ 16,442 $ 1,179 $ 17,621

Western Non-Homeless CR SRO $ 13,155 $ 186 $ 13,341 $ 262 $ 13,603 $ 450 $ 14,053 $ 321 $ 14,374

Western Non-Homeless SP SRO $ 13,648 $ 103 $ 13,751 $ 247 $ 13,998 $ 450 $ 14,448 $ 131 $ 14,579

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Pursuant to Chapter 57 of the Laws of 2017, the Commissioner of OMH shall

provide funding to support an overall average of 3.25% increases in annual salary

and salary-related fringe benefits for staff at not-for profit providers within eligible

titles as described below.

• Starting January 1, 2018 for direct support (100-199) and direct care (200-299) professionals

for each eligible state-funded program.

• Starting April 1, 2018 for direct support (100-199), direct care (200-299), and clinical (300-399)

professionals for each eligible state-funded program.

Minimum Wage and Workforce AdjustmentsChapter 57 of the Laws of 2017

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• For Medicaid Reimbursed Programs: All Medicaid eligible fees and rates were adjusted

to reflect January 2018 and April 2018 workforce funding enhancements. Managed care

plans have been notified.

• For State Aid Letter Payments: For eligible programs funded by State Aid through a

county contract, counties received funding for the salary enhancements and will be

processing amendments and adjusting contracts to reflect the additional funds received.

• For Direct Contracts: For eligible State Aid funded programs on OMH direct contract,

contract allocations will be adjusted to reflect the value of a provider’s increases effective

1/1/18 and 4/1/18.

❖ Data Source: 2014-15 (NYC)/2015 (Upstate and LI) CFR Data

Distribution of Workforce Salary Increases

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Where can I find a description of eligible titles?

• Eligible titles can be found in the Consolidated Fiscal

Report Manual, link below:

• http://www.oms.nysed.gov/rsu/Manuals_Forms/Manuals/CFRManual

/home.html

Title Listing

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Medicaid rates and fees for OMH services are found

on the OMH website.

https://omh.ny.gov/omhweb/medicaid_reimbursement/

*Historical rates may be accessed by scrolling down the sheet that opens when you click on

each rate link.

Where can I find the updated rates?

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• Salary enhancements given to the designated title codes beginning

April 1, 2017 are considered an eligible use of the workforce

enhancement funding.

• Funding added to salaries to meet minimum wage standards is not an

eligible use of additional workforce enhancement funding.

• Providers have flexibility to best address their recruitment, retention

and staffing needs and may allocate resources to eligible titles codes

as needed.

Eligible Expenditures

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Any agency receiving workforce enhancement funding from Medicaid

rate increases, on direct contract or via state aid letter must develop an

allocation plan and submit the following:

An attestation and governing body resolution that attests that they

provided increases to the Direct Care, Direct Care Support and Clinical

staff consistent with the statute.

A boiler plate attestation was provided by OMH.

Attestation and Governing Body Resolution

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Failure to submit an attestation and board resolution by November 30, 2018 will

result in the following:

Providers receiving Medicaid reimbursement will be referred to the OMIG for

action.

State Aid Letter Funding will be recovered January 1, 2019.

Direct Contract Payments will be reduced as of January 1, 2019 payment cycle.

Questions may be directed to:

Rachel Gaul

Tel: 518-474-5968

[email protected]

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Annual Grant Contract Renewalso Renewal notifications must be sent at least 90 days prior to

renewal date

o Contract must be submitted to the NYS Office of Attorney General and/or Office of State Comptroller no later than 60 days prior to contract renewal start date

o To ensure the timely processing of contracts and payments, it is OMH’s policy to mail renewal notices six months (180 days) in advance of the contract renewal date.

Prompt Contracting

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Final contract approval and execution is contingent upon the review and approval of the Office of the State Comptroller. OMH’s anticipated timeline for the contract approval process is as follows:

Prompt Contracting

Approval Level Date Range

Provider 30 days

OMH Field Office 30 days

OMH Contract Office 30 days

NYS Attorney General 30 days

NYS Office of the State Comptroller 30 days

Total number of days: 150 days

Should the documents and CBR not be returned within 30 days, or other events occur during the review process, the above timeline will be impacted, potentially resulting in your contract not being approved on time and a delay in payment.

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Common Errors/What holds up the contract?

• Not downloading the most recent documents from the Website

• Missing or incorrect information on Master Contract Face Page

• Missing documents

• Notary’s signature date and Authorized Staff signature date do not match

• The Workplan does not match the contract

• Prequalification Issues in the Grants Gateway Vault

• Vendor Responsibility Questionnaire not reviewed/updated and certified timely

• Vendor Responsibility issues discovered during OMH review that are not addressed

promptly

• Charities Reg., Workers Comp. and Disability Insurance not up to date

• Consolidated Budget Reporting (CBR) is done inaccurately

All of the above impact the timeline!

Prompt Contracting

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QUESTIONS?

Contact Information:

April WojtkiewiczDirector Community Budget & Financial ManagementOffice of Mental Health44 Holland Ave., Albany, New York 12229518-474-5968 | Fax 518-486-6767 | [email protected]

Brett HebnerDirector HousingOffice of Mental Health44 Holland Ave., Albany, New York 12229518-474-5191 | [email protected]