Skip to Main Content

Office of Mental Health

2011 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.

ACT | Adult Homes | BCM | ICM | SCM | RTF Coordinator

2011 Upstate Fiscal Year
Assertive Community Treatment Teams
Team & Service Dollar Information
Revised to include continuation of the 1.1% reduction, effective 4/1/11

ACT 68 Slot Model 48 Slot Model
Upstate Model
CM001
*Downstate Model
CM002
Upstate Model
CM003
*Downstate Model
CM004
Program Code 0800        
Gross Cost – Operating $891,532 $961,504 $650,439 $700,944
Gross Cost – Training $10,650 $10,650 $9,210 $9,210
Gross Cost – Total $902,182 $972,154 $659,649 $710,154
Medicaid Income $821,550 $884,523 $601,976 $647,431
Net Deficit Funding (State Aid) $80,632 $87,631 $57,673 $62,723
Program Code 8810        
Service Dollars (State Aid) $33,260 $33,260 $22,173 $22,173
State Cost        
State Aid        
(State Aid & Service Dollars) $113,892 $120,891 $79,846 $84,896
OMH Training $21,300 $21,300 $18,420 $18,420
**Medicaid $230,034 $247,666 $168,553 $181,281
Total State Cost per Team $365,226 $389,857 $266,819 $284,597
Gross Cost        
Gross Cost – Operating $891,532 $961,504 $650,439 $700,944
Gross Cost – Provider Training $10,650 $10,650 $9,210 $9,210
Gross Cost – OMH Training $10,650 $10,650 $9,210 $9,210
Service Dollars $33,260 $33,260 $22,173 $22,173
Total Gross Cost per Team $946,092 $1,016,064 $691,032 $741,537

*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.

2011 Upstate Fiscal Year
Adult Homes
Manager and Service Dollar Information
Caseload of 30 Individuals Served
Revised to include continuation of the 1.1% reduction, effective 4/1/11

Adult Home SCM Western Central Hudson River Long Island
Program Code 6820 CM005 CM006 CM007 CM008
*Gross Manager Cost $61,859 $61,859 $70,603 $74,501
Half-Time Peer $19,241 $19,241 $19,241 $19,241
Gross Group Cost $81,100 $81,100 $89,844 $93,742
Gross Medicaid $61,859 $61,859 $70,603 $74,501
Net Deficit (State Aid) $19,241 $19,241 $19,241 $19,241
Program Code 6920        
Service Dollars (State Aid) $6,751 $6,751 $6,751 $6,751
State Cost        
State Aid (Manager & Service) $25,992 $25,992 $25,992 $25,992
**Medicaid $18,558 $18,558 $21,181 $22,350
Total State Cost per Manager $44,550 $44,550 $47,173 $48,342
Gross Cost        
Gross Manager Cost $61,859 $61,859 $70,603 $74,501
Half-Time Peer $19,241 $19,241 $19,241 $19,241
Service Dollars $6,751 $6,751 $6,751 $6,751
Total Gross Cost per Manager $87,851 $87,851 $96,595 $100,493

*Gross Manager Cost includes training funds of $540
** Medicaid includes State Share plus the local share covered by the State for slots developed prior to the Local cap on Medicaid

2011 Upstate Fiscal Year
Blended Case Management
Manager & Service Dollar Information
Revised to include continuation of the 1.1% reduction, effective 4/1/11

2 ICM/1 SCM Western Central Hudson River Long Island
CM009 CM010 CM011 CM012
Program Code 0820        
*Gross Team Cost $185,577 $185,577 $211,809 $223,503
Gross Medicaid $153,739 $153,739 $175,464 $185,160
Net Deficit (State Aid) $31,838 $31,838 $36,345 $38,343
Program Code 0920        
Service Dollars (State Aid) $33,761 $33,761 $33,761 $33,761
State Cost        
State Aid (Manager & Service) $65,599 $65,599 $70,106 $72,104
**Medicaid $47,471 $47,471 $54,179 $57,173
Total State Cost per Team $113,070 $113,070 $124,285 $129,277
Gross Cost        
Gross Team Cost $185,577 $185,577 $211,809 $223,503
Service Dollars $33,761 $33,761 $33,761 $33,761
Total Gross Cost per Team $219,338 $219,338 $245,570 $257,264

*Gross Team Cost includes training funds of $1620
** 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 Western Central Hudson River Long Island
Program Code 0820 CM013 CM014 CM015 CM016
*Gross Team Cost $123,718 $123,718 $141,206 $149,002
Gross Medicaid $97,849 $97,849 $111,676 $117,847
Net Deficit (State Aid) $25,869 $25,869 $29,530 $31,155
Program Code 0920        
Service Dollars (State Aid) $20,256 $20,256 $20,256 $20,256
State Cost        
State Aid (Manager & Service) $46,125 $46,125 $49,786 $51,411
**Medicaid $30,514 $30,514 $34,826 $36,750
Total State Cost per Team $76,639 $76,639 $84,612 $88,161
Gross Cost        
Gross Team Cost $123,718 $123,718 $141,206 $149,002
Service Dollars $20,256 $20,256 $20,256 $20,256
Total Gross Cost per Team $143,974 $143,974 $161,462 $169,258

*Gross Team Cost includes training funds of $1080
** Medicaid includes State Share plus the local share covered by the State for slots developed prior to the Local cap on Medicaid.

2011 Upstate Fiscal Year
Blended Case Management
Manager & Service Dollar Information
Revised to include continuation of the 1.1% reduction, effective 4/1/11

1 ICM/2 SCM Western Central Hudson River Long Island
Program Code 0820 CM017 CM018 CM019 CM020
*Gross Team Cost $185,577 $185,577 $211,809 $223,503
Gross Medicaid $139,809 $139,809 $159,564 $168,381
Net Deficit (State Aid) $45,768 $45,768 $52,245 $55,122
Program Code 0920        
Service Dollars (State Aid) $27,007 $27,007 $27,007 $27,007
State Cost        
State Aid (Manager & Service) $72,776 $72,776 $79,252 $82,129
**Medicaid $44,071 $44,071 $50,299 $53,078
Total State Cost per Team $116,847 $116,847 $129,551 $135,207
Gross Cost        
Gross Team Cost $185,577 $185,577 $211,809 $223,503
Service Dollars $27,007 $27,007 $27,007 $27,007
Total Gross Cost per Team $212,584 $212,584 $238,816 $250,510

*Gross Team Cost includes training funds of $1620
** Medicaid includes State Share plus the local share covered by the State for slots developed prior to the Local cap on Medicaid.

2011 Upstate Fiscal Year
Intensive Case Management
Manager & Service Dollar Information
Caseload of 12 Individuals Served
Revised to include continuation of the 1.1% reduction, effective 4/1/11

ICM Western Central Hudson River Long Island
Program Code 1810 (Managers) CM021 CM022 CM023 CM024
*Gross Manager Cost $61,859 $61,859 $70,603 $74,501
Gross Medicaid $55,890 $55,890 $63,788 $67,313
Net Deficit (State Aid) $5,969 $5,969 $6,815 $7,188
Program Code 1910        
Service Dollars (State Aid) $13,505 $13,505 $13,505 $13,505
State Cost        
State Aid (Manager & Service) $19,474 $19,474 $20,320 $20,693
**Medicaid $16,957 $16,957 $19,353 $20,423
Total State Cost per Manager $36,431 $36,431 $39,673 $41,116
Gross Cost        
Gross Manager $61,859 $61,859 $70,603 $74,501
Service Dollars $13,505 $13,505 $13,505 $13,505
Total Gross Cost per Manager $75,364 $75,364 $84,108 $88,006

*Gross Manager Cost includes training funds of $540
** Medicaid includes State Share plus the local share covered by the State for slots developed prior to the Local cap on Medicaid.

2011 Upstate Fiscal Year
Supportive Case Management
Manager & Service Dollar Information
Caseload of 20 – 30 Individuals Served
Revised to include continuation of the 1.1% reduction, effective 4/1/11

SCM Western Central Hudson River Long Island
Program Code 6810 CM025 CM026 CM027 CM028
*Gross Manager Cost $61,859 $61,859 $70,603 $74,501
Gross Medicaid $41,959 $41,959 $47,888 $50,534
Net Deficit (State Aid) $19,900 $19,900 $22,715 $23,967
Program Code 6910        
Service Dollars (State Aid) $6,751 $6,751 $6,751 $6,751
State Cost        
State Aid (Manager & Service) $26,651 $26,651 $29,466 $30,718
**Medicaid $13,557 $13,557 $15,473 $16,328
Total State Cost per Manager $40,208 $40,208 $44,939 $47,046
Gross Cost        
Gross Manager Cost $61,859 $61,859 $70,603 $74,501
Service Dollars $6,751 $6,751 $6,751 $6,751
Total Gross Cost per Manager $68,610 $68,610 $77,354 $81,252

*Gross Manager Cost includes training funds of $540
** Medicaid includes State Share plus the local share covered by the State for slots developed prior to the Local cap on Medicaid.

2011 Upstate Fiscal Year
Residential Treatment Facility Transition Coordinators and Service Dollar Information
Caseload of 12 Individuals Served
Revised to include continuation of the 1.1% reduction, effective 4/1/11

RTF Coordinator All Regions (except NYC)
Program Code 2880 CM029
Salary $38,450
Fringe (20%) $7,690
OTPS $12,469
Subtotal: $58,609
Administration & Overhead $7,932
Total Cost: $66,541
Net Deficit Funding $16,636
Program Code 2980  
Service Dollars (per bed) $1,109
Total State Funding $17,745

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