Download - Special Program Finances DCMO BOCES
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Special Program Finances
DCMO BOCES
Finanical Tracking and Medicaid Reimbursement Services
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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!
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Under Our Umbrella
STACHigh Cost District
BOCES PlacementsPrivate Placements Chapter Placements
Summer programming Transportation
Homeless Youth (McKinney Vento)
Non-Resident
Billing
MedicaidCompliance
ClaimingCost Report
Consulting &
Training Audit Support
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DCMO BOCES Financial Tracking ServicesSTAC - $8,997• 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
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
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Kinney Services – Medicaid Onlyo Service based on estimated statistics provided by NYSo 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.
o In addition, there is the fee to purchase Kinney’s software. KSYSTEMS for actual billing - $4500 to $5000 per year
o School districts already have the billing component built into their Special Education software
o ClearTrack annually around $5000o IEP Direct/Medicaid Direct annually around $10,000 -
$15,000
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Questar III BOCES – STAC only
o Vendor offers a STAC service at $500 a day o They will do the actual STACing for districts but prefer to
train and consult o They will visit a school district at requesto Most work is done in office and over the phoneo If a district has 12 contacts a year their annual cost
would be $6000
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Program/Cost Comparison
• 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
• 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
Management Advisory Group
OCM BOCES
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Baseline Comparison - STACCost to District versus Cost of Special Program Finances
Business Official/Manager
CSE Chair/Director
Secretary to CSE($25,000 base salary)
• $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)
• $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)
$10,527.18 – Estimated Cost for District
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Medicaid ComparisonEssential 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
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Baseline Comparison - MedicaidCost 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
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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 Practiceso Currento Maximize all available funding streamso Complianceo Documentation
Educating, Assisting and Guiding
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In closing “The Secret to
Success”
http://www.youtube.com/watch?v=SyxWWYeXKBw