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

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

2 Executive Budget Highlights Supportive Housing Rate Increase (Effective 4/1/2018): $600 for NYC ($17,375); $300 to Long Island ($17,133); $ 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) 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 RFP expected in near future to make $20 million available to RTFs and clinics serving children.

3 3 Supported Housing Stipend Increases by County SH # of Beds County 4/1/2018 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 Hudson Region Western Region Central Region 2,483 Nassau and Suffolk $16,833 $300 $17, Westchester $16,884 $300 $17, Rockland $15,486 $300 $15, Putnam $14,924 $300 $15, Dutchess and Orange $13,352 $300 $13, Ulster $10,315 $300 $10, Albany, Columbia, Greene, Rensselaer, Saratoga, Schenectady, and Schoharie $9,752 $300 $10, Sullivan, Warren, and Washington $9,547 $300 $9, Tompkins $9,866 $300 $10, Livingston, Monroe, Ontario, Orleans, and Wayne $8,803 $300 $9,103 1,169 Erie, Niagara, Seneca and Yates $8,599 $300 $8, Allegany, Cattaraugus, Chautauqua, Schuyler, Steuben, Tioga, and Wyoming $8,599 $120 $8, Chemung and Genesee $8,599 $300 $8, Jefferson $8,844 $300 $9, 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

4 4 SRO Increases Region Client Population Bed Type 4/1/2017 Salary Enhancement & Minimum Wage Eff. 1/1/2018 1/1/2018 Salary Enhancement Eff. 4/1/2018 4/1/2018 Rate Increase Revised Rate 4/1/2018 "Leveling Up" Amount 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) Hudson River (Lower) Hudson River (Upper) Hudson River (Upper) Revised Rate 7/1/2018 Non-Homeless CR SRO $ 14,877 $ 206 $ 15,083 $ 289 $ 15,372 $ 450 $ 15,822 $ 339 $ 16,161 Non-Homeless SP SRO $ 15,534 $ 115 $ 15,649 $ 276 $ 15,925 $ 450 $ 16,375 $ 131 $ 16,506 Non-Homeless CR SRO $ 13,155 $ 186 $ 13,341 $ 262 $ 13,603 $ 450 $ 14,053 $ 321 $ 14,374 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

5 5 Minimum Wage and Workforce Adjustments Chapter 57 of the Laws of 2017 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 ( ) and direct care ( ) professionals for each eligible state-funded program. Starting April 1, 2018 for direct support ( ), direct care ( ), and clinical ( ) professionals for each eligible state-funded program.

6 6 Distribution of Workforce Salary Increases 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: (NYC)/2015 (Upstate and LI) CFR Data

7 7 Title Listing Where can I find a description of eligible titles? Eligible titles can be found in the Consolidated Fiscal Report Manual, link below: /home.html

8 8 Where can I find the updated rates? Medicaid rates and fees for OMH services are found on the OMH website. *Historical rates may be accessed by scrolling down the sheet that opens when you click on each rate link.

9 9 Eligible Expenditures 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.

10 10 Attestation and Governing Body Resolution 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.

11 11 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, Direct Contract Payments will be reduced as of January 1, 2019 payment cycle. Questions may be directed to: Rachel Gaul Tel:

12 12 Prompt Contracting Annual Grant Contract Renewals o 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.

13 13 Prompt Contracting 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: Provider Approval Level OMH Field Office OMH Contract Office NYS Attorney General NYS Office of the State Comptroller Total number of days: Date Range 30 days 30 days 30 days 30 days 30 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.

14 14 Prompt Contracting 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!

15 15 QUESTIONS? Contact Information: April Wojtkiewicz Director Community Budget & Financial Management Office of Mental Health 44 Holland Ave., Albany, New York Fax Brett Hebner Director Housing Office of Mental Health 44 Holland Ave., Albany, New York