2012 Upstate/Downstate Case Management Program Funding Models
The following fiscal models are available for the Adult Home Supportive Case Management, Intensive Case Management, Supportive Case Management, Blended Case Management, Residential Treatment Facility Coordinator, and Assertive Community Treatment programs. These fiscal models should be used for any Consolidated Budget Reporting Manual (CBR), Consolidated Claiming Report (CCR), or Consolidated Fiscal Reporting (CFR) reporting as well as other analytic activities.
Assertive Community Treatment (ACT) | Adult Homes | Blended Case Management (BCM) | Intensive Case Management (ICM)
Supportive Case Management (SCM) | Residential Treatment Facilities (RTF) Coordinator
2012 Upstate Fiscal Year
Assertive Community Treatment Teams Team & Service Dollar Information
| ACT Program Code 0800 |
68 Slot Model | 48 Slot Model | ||
|---|---|---|---|---|
| Upstate Model CM001 |
*Downstate Model CM002 |
Upstate Model CM003 |
*Downstate Model CM004 |
|
| Gross Cost – Operating | $889,060 | $958,838 | $648,635 | $699,000 |
| Gross Cost – Training | $10,620 | $10,620 | $9,184 | $9,184 |
| Gross Cost – Total | $899,680 | $969,458 | $657,819 | $708,184 |
| Medicaid Income | $819,272 | $882,070 | $600,307 | $645,636 |
| Net Deficit Funding State Aid) |
$80,408 | $87,388 | $57,512 | $62,548 |
| Program Code 8810 | ||||
| Service Dollars (State Aid) | $33,168 | $33,168 | $22,112 | $22,112 |
| State Cost | ||||
| State Aid | ||||
| (State Aid & Service Dollars) | $113,576 | $120,556 | $79,624 | $84,660 |
| Office of Mental Health (OMH) Training | $21,240 | $21,240 | $18,368 | $18,368 |
| **Medicaid | $229,396 | $246,979 | $168,086 | $180,778 |
| Total State Cost per Team | $364,212 | $388,775 | $266,078 | $283,806 |
| Gross Cost | ||||
| Gross Cost – Operating | $889,060 | $958,838 | $648,635 | $699,000 |
| Gross Cost – Provider Training | $10,620 | $10,620 | $9,184 | $9,184 |
| Gross Cost – OMH Training | $10,620 | $10,620 | $9,184 | $9,184 |
| Service Dollars | $33,168 | $33,168 | $22,112 | $22,112 |
| Total Gross Cost per Team | $943,468 | $1,013,246 | $689,115 | $739,480 |
*Downstate model includes Nassau, Suffolk, Westchester, Rockland and Putnam Counties
** Medicaid includes State Share plus the local share covered by the State for slots developed prior to the Local cap on Medicaid.
| Adult Home SCM Program Code 6820 |
Western CM005 |
Central CM006 |
Hudson River CM007 |
Long Island CM008 |
|---|---|---|---|---|
| *Gross Manager Cost | $61,687 | $61,687 | $70,407 | $74,294 |
| Half-Time Peer | $19,188 | $19,188 | $19,188 | $19,188 |
| Gross Group Cost | $80,875 | $80,875 | $89,595 | $93,482 |
| Gross Medicaid | $61,687 | $61,687 | $70,407 | $74,294 |
| Net Deficit (State Aid) | $19,188 | $19,188 | $19,188 | $19,188 |
| Program Code 6920 | ||||
| Service Dollars (State Aid) | $6,732 | $6,732 | $6,732 | $6,732 |
| State Cost | ||||
| State Aid (Manager & Service) | $25,920 | $25,920 | $25,920 | $25,920 |
| **Medicaid | $18,506 | $18,506 | $21,122 | $22,288 |
| Total State Cost per Manager | $44,426 | $44,426 | $47,042 | $48,208 |
| Gross Cost | ||||
| Gross Manager Cost | $61,687 | $61,687 | $70,407 | $74,294 |
| Half-Time Peer | $19,188 | $19,188 | $19,188 | $19,188 |
| Service Dollars | $6,732 | $6,732 | $6,732 | $6,732 |
| Total Gross Cost per Manager | $87,607 | $87,607 | $96,327 | $100,214 |
*Gross Manager Cost includes training funds of $539
** Medicaid includes State Share plus the local share covered by the State for slots developed prior to the Local cap on Medicaid
2012 Upstate Fiscal Year
Blended Case Management Manager & Service Dollar Information
| 2 ICM/1 SCM Program Code 0820 |
Western CM009 |
Central CM010 |
Hudson River CM011 |
Long Island CM012 |
|---|---|---|---|---|
| *Gross Team Cost | $185,061 | $185,061 | $211,221 | $222,882 |
| Gross Medicaid | $153,313 | $153,313 | $174,977 | $184,646 |
| Net Deficit (State Aid) | $31,748 | $31,748 | $36,244 | $38,236 |
| Program Code 0920 | ||||
| Service Dollars (State Aid) | $33,668 | $33,668 | $33,668 | $33,668 |
| State Cost | ||||
| State Aid (Manager & Service) | $65,416 | $65,416 | $69,912 | $71,904 |
| **Medicaid | $47,339 | $47,339 | $54,029 | $57,014 |
| Total State Cost per Team | $112,755 | $112,755 | $123,941 | $128,918 |
| Gross Cost | ||||
| Gross Team Cost | $185,061 | $185,061 | $211,221 | $222,882 |
| Service Dollars | $33,668 | $33,668 | $33,668 | $33,668 |
| Total Gross Cost per Team | $218,729 | $218,729 | $244,889 | $256,550 |
*Gross Team Cost includes training funds of $1617
** Medicaid includes State Share plus the local share covered by the State for slots developed prior to the Local cap on Medicaid.
| 1 ICM/1 SCM Program Code 0820 |
Western CM013 |
Central CM014 |
Hudson River CM015 |
Long Island CM016 |
|---|---|---|---|---|
| *Gross Team Cost | $123,374 | $123,374 | $140,814 | $148,588 |
| Gross Medicaid | $97,578 | $97,578 | $111,366 | $117,520 |
| Net Deficit (State Aid) | $25,796 | $25,796 | $29,448 | $31,068 |
| Program Code 0920 | ||||
| Service Dollars (State Aid) | $20,200 | $20,200 | $20,200 | $20,200 |
| State Cost | ||||
| State Aid (Manager & Service) | $45,996 | $45,996 | $49,648 | $51,268 |
| **Medicaid | $30,429 | $30,429 | $34,729 | $36,648 |
| Total State Cost per Team | $76,425 | $76,425 | $84,377 | $87,916 |
| Gross Cost | ||||
| Gross Team Cost | $123,374 | $123,374 | $140,814 | $148,588 |
| Service Dollars | $20,200 | $20,200 | $20,200 | $20,200 |
| Total Gross Cost per Team | $143,574 | $143,574 | $161,014 | $168,788 |
*Gross Team Cost includes training funds of $1078
** Medicaid includes State Share plus the local share covered by the State for slots developed prior to the Local cap on Medicaid.
2012 Upstate Fiscal Year
Blended Case Management Manager & Service Dollar Information
| 1 ICM/2 SCM Program Code 0820 |
Western CM017 |
Central CM018 |
Hudson River CM019 |
Long Island CM020 |
|---|---|---|---|---|
| *Gross Team Cost | $185,061 | $185,061 | $211,221 | $222,882 |
| Gross Medicaid | $139,421 | $139,421 | $159,121 | $167,914 |
| Net Deficit (State Aid) | $45,640 | $45,640 | $52,100 | $54,968 |
| Program Code 0920 | ||||
| Service Dollars (State Aid) | $26,932 | $26,932 | $26,932 | $26,932 |
| State Cost | ||||
| State Aid (Manager & Service) | $72,572 | $72,572 | $79,032 | $81,900 |
| **Medicaid | $43,949 | $43,949 | $50,159 | $52,931 |
| Total State Cost per Team | $116,521 | $117,521 | $129,191 | $134,831 |
| Gross Cost | ||||
| Gross Team Cost | $185,061 | $185,061 | $211,221 | $222,882 |
| Service Dollars | $26,932 | $26,932 | $26,932 | $26,932 |
| Total Gross Cost per Team | $211,993 | $211,993 | $238,153 | $249814 |
*Gross Team Cost includes training funds of $1617
** Medicaid includes State Share plus the local share covered by the State for slots developed prior to the Local cap on Medicaid.
2012 Upstate Fiscal Year
Intensive Case Management Manager & Service Dollar Information Caseload of 12 Individuals Served
| ICM Program Code 1810 (Managers) |
Western CM021 |
Central CM022 |
Hudson River CM023 |
Long Island CM024 |
|---|---|---|---|---|
| *Gross Manager Cost | $61,687 | $61,687 | $70,407 | $74,294 |
| Gross Medicaid | $55,735 | $55,735 | $63,611 | $67,126 |
| Net Deficit (State Aid) | $5,952 | $5,952 | $6,796 | $7,168 |
| Program Code 1910 | ||||
| Service Dollars (State Aid) | $13,468 | $13,468 | $13,468 | $13,468 |
| State Cost | ||||
| State Aid (Manager & Service) | $19,420 | $19,420 | $20,264 | $20,636 |
| **Medicaid | $16,910 | $16,910 | $19,300 | $20,366 |
| Total State Cost per Manager | $36,330 | $36,330 | $39,564 | $41,002 |
| Gross Cost | ||||
| Gross Manager | $61,687 | $61,687 | $70,407 | $74,294 |
| Service Dollars | $13,468 | $13,468 | $13,468 | $13,468 |
| Total Gross Cost per Manager | $75,155 | $75,155 | $83,875 | $87,762 |
*Gross Manager Cost includes training funds of $539
**Medicaid includes State Share plus the local share covered by the State for slots developed prior to the Local cap on Medicaid.
2012 Upstate Fiscal Year
Supportive Case Management Manager & Service Dollar Information Caseload of 20 – 30 Individuals Served
| SCM Program Code 6810 |
Western CM025 |
Central CM026 |
Hudson River CM027 |
Long Island CM028 |
|---|---|---|---|---|
| *Gross Manager Cost | $61,687 | $61,687 | $70,407 | $74,294 |
| Gross Medicaid | $41,843 | $41,843 | $47,755 | $50,394 |
| Net Deficit (State Aid) | $19,844 | $19,844 | $22,652 | $23,900 |
| Program Code 6910 | ||||
| Service Dollars (State Aid) | $6,732 | $6,732 | $6,732 | $6,732 |
| State Cost | ||||
| State Aid (Manager & Service) | $26,576 | $26,576 | $29,384 | $30,632 |
| **Medicaid | $13,519 | $13,519 | $15,430 | $16,282 |
| Total State Cost per Manager | $40,095 | $40,095 | $44,814 | $46,914 |
| Gross Cost | ||||
| Gross Manager Cost | $61,687 | $61,687 | $70,407 | $74,294 |
| Service Dollars | $6,732 | $6,732 | $6,732 | $6,732 |
| Total Gross Cost per Manager | $68,419 | $68,4199 | $77,139 | $81,026 |
*Gross Manager Cost includes training funds of $539
** Medicaid includes State Share plus the local share covered by the State for slots developed prior to the Local cap on Medicaid.
| RTF Coordinator Program Code 2880 |
All Regions (except NYC) CM029 |
|---|---|
| Salary | $38,344 |
| Fringe (20%) | $7,669 |
| OTPS | $12,435 |
| Subtotal: | $58,448 |
| Administration & Overhead | $7,906 |
| Total Cost: | $66,354 |
| Net Deficit Funding | $16,588 |
| Program Code 2980 | |
| Service Dollars (per bed) | $1,106 |
| Total State Funding | $17,694 |
Comments or questions about the information on this page can be directed to the Community Budget & Financial Management (CBFM) Group.