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Special Program Finances DCMO BOCES

Special Program Finances DCMO BOCES. Finanical Tracking and Medicaid Reimbursement Services. Our Mission. To provide our districts with high quality and cost effective means to maximize State and Federal Revenues

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Special Program Finances DCMO BOCES

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  1. Special Program FinancesDCMO BOCES Finanical Tracking and Medicaid Reimbursement Services

  2. Our Mission • To provide our districts with high quality and cost effective means to maximize State and Federal Revenues • To provide districts with consistent and timely best practices for Tracking and Accounting for Students • To work collaboratively with school districts, SED and various agencies for the Benefit of our Students!

  3. Under Our Umbrella Consulting & Training Audit Support

  4. DCMO BOCES Financial Tracking Services STAC - $8,997 Medicaid Reimbursement - $2,690 Supporting documentation review Maintenance of files and systems Medicaid eligibility monitoring Submission of service claims Exclusion List review Regular district visits Payment Reconciliation Cost Reporting support • Identify and verification of eligible students • Tracking and STACing of all high needs/cost students • Regular district visit • Preapprovals for Private Placements • Verification of High Cost State Aid Reports • Summer programming (4408) • Summer Transportation • STAC 200 Review • Ongoing STAC review and maintenance

  5. Kinney Services – Medicaid Only • Service based on estimated statistics provided by NYS • Based on this information; a rate of about $38.65 per Medicaid Eligible student for a small school district with a population of around 580. For school districts that are average to large in population, the rate per student would reach $100 and up. • In addition, there is the fee to purchase Kinney’s software. KSYSTEMS for actual billing - $4500 to $5000 per year • School districts already have the billing component built into their Special Education software • ClearTrack annually around $5000 • IEP Direct/Medicaid Direct annually around $10,000 -$15,000

  6. Questar III BOCES – STAC only • Vendor offers a STAC service at $500 a day • They will do the actual STACing for districts but prefer to train and consult • They will visit a school district at request • Most work is done in office and over the phone • If a district has 12 contacts a year their annual cost would be $6000

  7. Program/Cost Comparison Management Advisory Group Medicaid Program modeled after DCMO BOCES Work/copies are sent to OCM and the work essentials are done from the office Fee is based on Medicaid Eligibility at $50 per student STAC is a new program this year and fee is based on Classified/Special Education population at $90 per student OCM BOCES • Runs a similar Medicaid service to DCMO BOCES • Average district fee is around $4500 – $5000 and is based on district statistics • Tends to increase annually • Limited district contact and support • No support for Cost Reporting • No information on their STAC service

  8. Baseline Comparison - STAC Cost to District versus Cost of Special Program Finances CSE Chair/Director Business Official/Manager Secretary to CSE ($25,000 base salary) • $113,098.84 – Total Salary with Fringes Included • $67.32 – Average Hourly Salary (Working 180 days, 7 hours/day) • $5,654.94 – Total Cost of CSE Director Working 84 hours/year (7 hours/month x 12 months) • $46,409.50 – Total Salary with Fringes Included • $27.62 – Average Hourly Rate (Using 240 Work Days – 7 hours/day) • $2,068.08 – Total Cost of Secretary Working 84 hours/year (7 hours/month x 12 months) • $98,152.27 – Total Salary with Fringes Included • $58.42 – Average Hourly Salary (240 work days, 7 hours/day) • $2,804.16 – Total Cost of Business Manger Working 48 hours/year (4 hours/ month x 12 months) $10,527.18 – Estimated Cost for District

  9. Medicaid Comparison Essential Elements of Medicaid • Parental Consents • Scripts • E-Med Providers • Demographic uploads and downloads (Matching Claim Rejects, etc.) • Service uploads and downloads – claiming process • Exclusion Lists • Transportation • Systems management

  10. Baseline Comparison - Medicaid Cost to District versus Cost of Special Program Finances CSE Chair/Director Secretary to CSE ($25,000 base salary) • $113,098.84 – Total Salary with Fringes Included • $67.32 – Average Hourly Salary (Working 180 days, 7 hours/day) • $5,385.60 – Total Cost of CSE Director Working 80 hours/year (7 hours/month x 12 months) • $46,409.50 – Total Salary with Fringes Included • $27.62 – Average Hourly Rate (Using 240 Work Days – 7 hours/day) • $2,762.00 – Total Cost of Secretary Working 100 hours/year (7 hours/month x 12 months) $8,147.60 – Estimated Cost for District

  11. Intangibles(The things we cannot measure in monetary value) • Experience and Expertise – The process & navigating the system • Rapport/Relationships • Teamwork Concept • The Gift of Time… • Best Practices • Current • Maximize all available funding streams • Compliance • Documentation • Educating, Assisting and Guiding

  12. In closing “The Secret to Success” http://www.youtube.com/watch?v=SyxWWYeXKBw

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