CFR CROSSWALK

OPWDD Provider Webinar

November 30, 2018

  • Crosswalk also available in Portable Document Format (PDF)
Disclaimer: This is a CFR review tool and should only be used for that purpose

Agenda

  • Introduction
  • Work through the CFR Tool
  • Discussion

PURPOSE

  • The Tool is designed to:
    • Help with review of the CFR
    • Help providers understand the importance of correct CFR´s
  • The Tool is not designed to:
    • Calculate a reimbursement rate
    • Be used to make management decisions based on reimbursement

Crosswalk Services

This tool is for the following cost–based services:
  • Supervised IRA
  • Supportive IRA
  • Prevoc
  • Day Habilitation
  • ICF/IID (Excluding CRP Sites)

TEMPLATE OVERVIEW

  • Protected Cells
  • Data Entry on CFR Crosswalk Tab
  • Hard Coded Elements:
    • Minimum Wage
    • Acuity Factor
    • 3.25% DSP Compensation Increase
    • Regional Average Salaries
    • Budget Neutrality Factor
    • Regional Average Contracted Clinical Brick
    • Budget Neutrality Factor for Hours
    • Capital
    • Statewide Average Hours

CFR Crosswalk Template File

The file contains four tabs:
  • CFR Crosswalk
  • Rate Development IRA
  • Rate Development Prevoc and GDH
  • Rate Development ICF

CFR CROSSWALK TAB

Components:
  • CFR Schedule and Line Number
  • Category used in Rate
  • CFR Line Name Per CFR Manual
  • 2015 CFR Data (Used in Rate Development) – All 5 Services
  • CFR Review Tool (Agency can edit for overview)
  • Memo

RATE DEVELOPMENT – IRA

  • Data should be entered from the CFR
  • Room and Board supplement calculations have been deleted
  • Hard Coded Elements:
    • –Minimum Wage
    • Statewide Average Hours
    • 3.25% DSP Compensation Increase
    • Acuity Factor
    • Budget Neutrality Factor
    • Regional Average Salaries
    • Budget Neutrality Factor for Hours
    • Regional Average Contracted Clinical Brick
  • Rate calculates automatically
  • CAUTION:
    • As the rates are developed, the hard coded elements listed above will change with updates to the base year data, so the calculated rates will not be indicative of your final rate.

RATE DEVELOPMENT – PREVOC & DAY HAB

  • Data should be entered from the CFR
  • Hard Coded Elements:
    • Minimum Wage
    • Regional Average Salaries
    • 3.25% DSP Compensation Increase
    • Reginal Average Contracted Clinical Brick
    • Budget Neutrality Factor
    • Capital
  • Rate calculates automatically
  • CAUTION:
    • As the rates are developed, the hard coded elements listed above will change with updates to the base year data, so the calculated rates will not be indicative of your final rate.

RATE DEVELOPMENT – ICF/IID

  • Data should be entered from the CFR
  • Hard Coded Elements:
    • Minimum Wage
    • Regional Average Salaries
    • 3.25% DSP Compensation Increase
    • Reginal Average Contracted Clinical Brick
    • Budget Neutrality Factor
    • Capital
  • Rate calculates automatically
  • CAUTION:
    • As the rates are developed, the hard coded elements listed above will change with updates to the base year data, so the calculated rates will not be indicative of your final rate.

Open Discussion

Contact Information

Bureau of Mental Hygiene Services Rate Setting:
mhrs@health.ny.gov