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Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS) www.pcgeducation.com

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Page 1: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Pennsylvania School Based ACCESS Program Administrative Claiming SystemMedicaid Cost Reporting & Claiming System (MCRCS)

www.pcgeducation.com

Page 2: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Agenda

• Financial Process Overview• Medicaid Cost Reporting &

Claiming System (MCRCS) walk-through

• Reporting Guidelines• Benefits of the New Financial

Website• Questions?

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Page 3: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Medicaid Administrative Financial Reporting• After the close of each quarter PCG will open the financial website

• All allowable staff will be listed on the financial website• This list feeds directly from the active staff in the staff pool list

• Districts typically have 45 days to submit and certify their financial information for the previous quarter

• Website• https://costreporting.pcgus.com/Default.aspx?ReturnUrl=%2fpa• If you have trouble logging in, you should click on “Forgot Password” on the login

screen• Your username is always your email address

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Page 4: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Login Screen• When you enter the web-address on your web browser, you will come to the

following page to login (Your User Name is always your email address)

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Page 5: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Dashboard• Once you have logged in, you will be on the dashboard

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Page 6: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Quarterly Financial Submission Districts will submit their financial information on a quarterly basis via the

Medicaid Cost Reporting and Claiming System (MCRCS)

Select “Quarterly Financial Submission” to begin

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Page 7: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Quarterly Payroll Information Select “Quarterly Payroll Information” to begin entering costs

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Page 8: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Quarterly Payroll Information

• The system has been pre-populated with information from the RMTS Staff Pool Lists:

• Last Name;• First Name; • Staff Employment Status;• RMTS Job Code; and• District Job Title. A user with the Report Edit role can edit some of the pre-

populated fields.

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Page 9: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Quarterly Payroll Information Contacts can enter financial information directly in the site or download to

an Excel spreadsheet, enter the financial information, and upload

Now choose how many records per grid to view (10, 20, 50, 100, or 500)

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Page 10: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Quarterly Payroll Information

• You may click “Edit” next to the individuals name to enter their costs • This will open up the fields to the right of the employee and allow you to

enter costs• Click “Update” to save those costs

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Page 11: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Quarterly Payroll Information

• You may also use export the list of employees, add costs, and import it back into the system

• To use the upload functionality, simply scroll down and click “Export”• After the file is updated, save it to your computer

• Be sure to not change headers or delete columns or rows• Be sure to enter costs with no dollar signs or commas

• Go back to the below section, browse for the file, and import it back in

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Page 12: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Quarterly Other Costs

• Quarterly Other Costs

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Page 13: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Quarterly Other Costs

• You may enter “other costs” for each job category• Staff Travel and Training costs• Staff Professional Dues and Fees• Materials and Supplies

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Page 14: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Direct Support Staff Costs

• Click on the direct support staff costs tab

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Page 15: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Direct Support Staff Costs

• Direct Support Staff were not included in the random moment time study

• Direct Support Staff are strictly clerical and administrative staff that

support other staff included in the staff pool list (Must keep support

documentation)• Be sure to allocate percentage of costs with percentage of time spent

supporting

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Page 16: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Direct Support Staff Costs

• You may type the names of the direct support staff and enter their costs

• Must include allocation of time spent supporting

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Page 17: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Quarterly Edits

• Click on the Quarterly Edits

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Page 18: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Quarterly Edits

• You must ensure that all edits are resolved or explained before you may certify your quarter

• If you are entering an explanation for the costs, please be detailed and answer the question “why”

• Salaries Exceed Threshold• Benefits Exceed Threshold• No Payroll Information Reported

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Page 19: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Quarterly Certification

• Click on the Quarterly Certification

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Page 20: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Quarterly Certification

• Confirm totals and click certify

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Page 21: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Quarterly Certification• After you certified your costs, you will receive the Certified message which

means that you have completed the process

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Page 22: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Reporting Guidelines• Allowable Costs:

• These are all represented by the individual participants available on the web-system

• Salary and Benefits (includes FICA, retirement and insurance)• Operational Costs (travel/training, dues/fees, materials/supplies).

• Non-Allowable Costs:• Federal Funds• State-Flow Through Funds• Third party costs• Costs included in the calculation of the Unrestricted Indirect Cost Rate

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Page 23: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Benefits of MCRCS• Costs are per participant which makes it easier to tie the costs back

in the case of an audit• PCG is able to perform detailed desk reviews

on the data submitted to ensure that you are claiming all allowable costs

• Since the individual edit checks are done online, it allows for you to have more time to complete the financials

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Page 24: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Financial Frequently Asked Questions

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Q: I need to made revisions to my financials that I certified, but it is now locked. How can I make changes?

A: You must contact PCG. If the claim has not been processed, we can roll-back your quarter. If the claim has been submitted, we may be able to file an adjustment for your district depending on whether the costs are increasing or decreasing.

Q: I added a new staff person to the RMTS website on April 15th. I am entering financial information for the July-September quarter and this person is still not appearing. Why?

A: This is because there is no time study for the July-September quarter and the staff pool list certified for the April – June quarter is also used for the July-September quarter.

Page 25: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

Financial Frequently Asked Questions (Cont.)

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Q: Bob is listed on the financial spreadsheet, but left the district half-way through the quarter. Since he had a direct replacement (Frank), whose costs do I claim?

A: You may claim the costs for Bob up until the day he was replaced by Frank. After that day, you may claim the costs for Frank through the rest of the quarter. You may not claim both participant costs at the same time since they are only filling one position.

Q: There are professional dues and fees that were incurred for Bob Barker, but there is no field to enter these next to his name. Where do I enter them?

A: You must enter these costs in the “Quarterly Other Costs” section and include them in the job category section that Bob was listed under.

Q: What if I forgot my password to the new financial website?A: #1 – Use the “Forgot Password” feature on the login screen

- Your User Name is always your email address #2 – Call or email PCG to have us reset your password

Page 26: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

MCRCS Questions

The PA SBAP Team can be contacted at:

[email protected]

Please place “MCRCS” in the subject line of your email.

or

1-866-912-2976

You can find this presentation on the PA SBAP website, along with your designated IU and other useful information:

http://www.publicconsultinggroup.com/client/paaccess/

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Page 27: Pennsylvania School Based ACCESS Program Administrative Claiming System Medicaid Cost Reporting & Claiming System (MCRCS)

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Public Consulting Group, Inc.148 State Street, Tenth Floor, Boston, Massachusetts 02109

(617) 426-2026, www.publicconsultinggroup.com