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Office of Mental Health

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.

2012 Upstate Fiscal Year
Adult Homes Manager and Service Dollar Information Caseload of 30 Individuals Served

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.

2012 Upstate Fiscal Year
Residential Treatment Facility Transition Coordinators and Service Dollar Information
Caseload of 12 Individuals Served

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.