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Office of Mental Health

2009 Case Management Program Funding Models

The following fiscal models are available for the Adult Home Case Management, Intensive Case Management, Supportive Case Management, Blended Case Management 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.

ACT | Adult Homes | BCM | ICM | SCM

2009 Upstate Fiscal Year
Assertive Community Treatment Teams
Team & Service Dollar Information

ACT 68 Slot Model 48 Slot Model
  Upstate Model *Downstate Model Upstate Model *Downstate Model
Program Code 0800
Gross Cost – Operating $898,948 $969,502 $655,851 $706,776
Gross Cost – Training $21,480 $21,480 $18,576 $18,576
Gross Cost – Total $920,428 $990,982 $674,427 $725,352
Medicaid Income $828,384 $891,882 $606,983 $652,816
Deficit Funding $92,044 $99,100 $67,444 $72,536
Training Retainage $10,740 $10,740 $9,288 $9,288
Net Deficit Funding (State Aid) $81,304 $88,360 $58,156 $63,248
Program Code 8810
Service Dollars (State Aid) $33,536 $33,536 $22,356 $22,356
State Cost
State Aid (Team & Service Dollars) $125,580 $132,636 $89,800 $94,892
Medicaid $233,051 $250,915 $170,764 $183,637
Total State Cost per Team $358,631 $383,551 $260,564 $278,529
Gross Cost
Gross Cost – Operating $898,948 $969,502 $655,851 $706,776
Gross Cost – Training $21,480 $21,480 $18,576 $18,576
Service Dollars $33,536 $33,536 $22,356 $22,356
Total Gross Cost per Team $953,964 $1,024,518 $696,783 $747,708

*Downstate model includes Nassau, Suffolk, Westchester, Rockland and Putnam Counties

2009 Upstate Full Annual Value
Adult Homes
Manager and Service Dollar Information
Caseload of 30 Individuals Served

Adult Home SCM Western Central Hudson River Long Island
Program Code 6810
*Gross Manager Cost $62,375 $62,375 $71,191 $75,122
Half-Time Peer $19,400 $19,400 $19,400 $19,400
Gross Group Cost $81,775 $81,775 $90,591 $94,522
Gross Medicaid $62,375 $62,375 $71,191 $75,122
Net Deficit (State Aid) $19,400 $19,400 $19,400 $19,400
Program Code 2830
Service Dollars (State Aid) $6,808 $6,808 $6,808 $6,808
State Cost
State Aid (Manager & Service) $26,208 $26,208 $26,208 $26,208
Medicaid $18,713 $18,713 $21,358 $22,537
Total State Cost per Manager $44,921 $44,921 $47,566 $48,745
Gross Cost
Gross Manager Cost $62,375 $62,375 $71,191 $75,122
Half-Time Peer $19,400 $19,400 $19,400 $19,400
Service Dollars $6,808 $6,808 $6,808 $6,808
Total Gross Cost per Manager $88,583 $88,583 $97,399 $101,330

*Gross Manager Cost includes training funds of $543

2009 Upstate Fiscal Year
Blended Case Management
Manager & Service Dollar Information

2 ICM/1 SCM Western Central Hudson River Long Island
Program Code 0820
*Gross Team Cost $187,125 $187,125 $213,574 $225,367
Gross Medicaid $155,017 $155,017 $176,930 $186,703
Net Deficit (State Aid) $32,108 $32,108 $36,644 $38,664
Program Code 2810/2830
Service Dollars (State Aid) $34,044 $34,044 $34,044 $34,044
State Cost
State Aid (Manager & Service) $66,152 $66,152 $70,688 $72,708
Medicaid $47,869 $47,869 $54,633 $57,654
Total State Cost per Team $114,021 $114,021 $125,321 $130,362
Gross Cost
Gross Team Cost $187,125 $187,125 $213,574 $225,367
Service Dollars $34,044 $34,044 $34,044 $34,044
Total Gross Cost per Team $221,169 $221,169 $247,618 $259,411

*Gross Team Cost includes training funds of $1629

1 ICM/1 SCM Western Central Hudson River Long Island
Program Code 0820
*Gross Team Cost $124,750 $124,750 $142,383 $150,245
Gross Medicaid $98,662 $98,662 $112,611 $118,829
Net Deficit (State Aid) $26,088 $26,088 $29,772 $31,416
Program Code 2810/2830
Service Dollars (State Aid) $20,424 $20,424 $20,424 $20,424
State Cost
State Aid (Manager & Service) $46,512 $46,512 $50,196 $51,840
Medicaid $30,769 $30,769 $35,118 $37,063
Total State Cost per Team $77,281 $77,281 $85,314 $88,903
Gross Cost
Gross Team Cost $124,750 $124,750 $142,383 $150,245
Service Dollars $20,424 $20,424 $20,424 $20,424
Total Gross Cost per Team $145,174 $145,174 $162,807 $170,669

*Gross Team Cost includes training funds of $1086

1 ICM/2 SCM Western Central Hudson River Long Island
Program Code 0820
*Gross Team Cost $187,125 $187,125 $213,574 $225,367
Gross Medicaid $140,969 $140,969 $160,898 $169,783
Net Deficit (State Aid) $46,156 $46,156 $52,676 $55,584
Program Code 2810/2830
Service Dollars (State Aid) $27,232 $27,232 $27,232 $27,232
State Cost
State Aid (Manager & Service) $73,388 $73,388 $79,908 $82,816
Medicaid $44,438 $44,438 $50,718 $53,533
Total State Cost per Team $117,826 $117,826 $130,626 $136,349
Gross Cost  
Gross Team Cost $187,125 $187,125 $213,574 $225,367
Service Dollars $27,232 $27,232 $27,232 $27,232
Total Gross Cost per Team $214,357 $214,357 $240,806 $252,599

*Gross Team Cost includes training funds of $1629

2009 Upstate Full Annual Value
Intensive Case Management
Manager & Service Dollar Information
Caseload of 12 Individuals Served

ICM Western Central Hudson River Long Island
Program Code 1810 (Managers)
*Gross Manager Cost $62,375 $62,375 $71,191 $75,122
Gross Medicaid $56,355 $56,355 $64,319 $67,874
Net Deficit (State Aid) $6,020 $6,020 $6,872 $7,248
Program Code 2810/2830
Service Dollars (State Aid) $13,616 $13,616 $13,616 $13,616
State Cost
State Aid (Manager & Service) $19,636 $19,636 $20,488 $20,864
Medicaid $17,099 $17,099 $19,514 $20,593
Total State Cost per Manager $36,735 $36,735 $40,002 $41,457
Gross Cost
Gross Manager $62,375 $62,375 $71,191 $75,122
Service Dollars $13,616 $13,616 $13,616 $13,616
Total Gross Cost per Manager $75,991 $75,991 $84,807 $88,738

*Gross Manager Cost includes training funds of $543

2009 Upstate Fiscal Year
Supportive Case Management
Manager & Service Dollar Information
Caseload of 20 – 30 Individuals Served

SCM Western Central Hudson River Long Island
Program Code 6810
*Gross Manager Cost $62,375 $62,375 $71,191 $75,122
Gross Medicaid $42,307 $42,307 $48,287 $50,954
Net Deficit (State Aid) $20,068 $20,068 $22,904 $24,168
Program Code 2830
Service Dollars (State Aid) $6,808 $6,808 $6,808 $6,808
State Cost
State Aid (Manager & Service) $26,876 $26,876 $29,712 $30,976
Medicaid $13,669 $13,669 $15,602 $16,463
Total State Cost per Manager $40,545 $40,545 $45,314 $47,439
Gross Cost
Gross Manager Cost $62,375 $62,375 $71,191 $75,122
Service Dollars $6,808 $6,808 $6,808 $6,808
Total Gross Cost per Manager $69,183 $69,183 $77,999 $81,930

*Gross Manager Cost includes training funds of $543

Comments or questions about the information on this page can be directed to the Community Budget & Financial Management (CBFM) Group.