Transcript Slide 1

Nurse Home Visitor Program
Revising your FY 11/12 CDPHE
Funding NHVP Budget due to state
budget reductions
Presented on September 29, 2011 by Julie Becker
This Training:
• Is designed for Nurse Home Visitor Program
(NHVP) fiscal and programmatic staff who will
work on revising your agency’s FY 11/12 NHVP
budget.
• Will provide an overview of FY 11/12 NHVP
budget cuts.
• Will provide instructions for reducing your
agency’s FY 11/12 budget.
• Provides a forum to ask questions.
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Nurse Home Visitor Program Budget
Reductions
CDPHE FY 11/ 12 NHVP REDUCTIONS
NHVP FUNDING
CDPHE NHVP Agency
Contracts
Mediciad Match for
Agency Contracts
Reserve for Mid-Year
Adjustments
Total for Agency Contracts
University of CO & Invest
In Kids
CDPHE
Total
Original FY 11/12
Reduced FY 11/12
Budget Estimates ($) Budgets ($)
11,883,785
11,493,998
629,205
629,205
42,519
-
Reduction ($)
389,787
-
%
3.28%
0%
42,519
100%
12,555,509
12,123,203
432,306
3.44%
403,334
268,889
13,227,732
368,861
245,286
12,737,350
34,473
23,603
490,382
8.55%
8.78%
3.71%
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Revised Budget Amount
• Each agency will receive an email from CDPHE
staff confirming the total amount of the budget
reduction by September 30, 2011.
• This email will include the revised CDPHE NHVP
Funding and the FY 11/12 Medicaid estimate for
your agency
• The FY 11/12 Medicaid estimate for your agency
will NOT change.
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Budget Reduction Form
ORIGINAL
CONTRACTED CDPHE REVISED / REDUCED
FUNDING (NHVP)
CDPHE FUNDING
BUDGET
(NHVP) BUDGET
PERSONAL SERVICES (Detail Expenses)
Personal Services (Title and Name)
VARIANCE
-
-
-
-
-
-
-
-
-
-
-
-
-
7. TOTAL OTHER COSTS
-
-
-
TOTAL DIRECT PROGRAM COSTS (Add budget categories 1-7)
-
-
-
(Example) Smith, Jane - Nurse Supervisor
Contractual/Fee for Service
Supervising Personnel
Fringe Benefits:
1. TOTAL PERSONAL SERVICES
OPERATING (Detail Expenses)
Office Operating Expenses (i.e. supplies, pens, etc)
Client Support Materials
Printing & Publications
Postal & Shipping Services
Communications (long distance, cellular and network service)
Medical Supplies
Outside Services
2. TOTAL OPERATING
EQUIPMENT (Detail Expenses)
Computers w/ Software
Cellular Phones
3. TOTAL EQUIPMENT
TRAVEL (Detail Expenses)
Visit Outreach Mileage
NCCFC/UCHSC Training Travel
NCAST Travel
PIPE Travel
Program Meetings (nurses, supervisor, other)
Other Travel
4. TOTAL TRAVEL
NFP TRAINING & TECH ASSISTANCE (Detail Expenses)
Technical Assistance
On-going Nurse Education
Initial Nurse Education
Initial Supervisor Education
Education Materials
Professional Development
5. TOTAL TRAINING & TECH ASSISTANCE
NCAST COSTS (Detail NCAST Training & Materials)
NCAST Registration
NCAST Materials
PIPE Training Materials
6. TOTAL NCAST COSTS
-
-
-
-
-
OTHER COSTS (Detail Other Program Costs)
ADMINSTRATIVE COSTS (Detail Administrative Costs)
Administrative Personnel Services (I.e.accting, admin, HR)
Administrative Supplies (not program supplies)
Accounting (audit, bank expenses, liability)
Supporting Costs (mileage, recruitment)
Board of Health
Other Administrative Costs
-
TOTAL ADMINISTRATIVE COSTS
-
-
-
TOTAL PROJECT COSTS (Direct Program + Administrative
Costs)
-
-
-
FY 11/12 Medicaid Estimate
FY 11/12 Other Sources of Funding
Excess Medicaid collected in FY 10/11 allocated toward FY 11/12 expenses
• 4 main columns
Budget line item –mostly prepopulated. Add employee name and
position. Can make other changes if
necessary to match current approved
budget.
Original Contracted CDPHE Funding
(NHVP) Budget – should match the
figures in your current contract
budget. The column titled “C. CDPHE
FUNDING (NHVP) *3”
Revised / Reduced CDPHE Funding
(NHVP) Budget – revised budget, this
column’s total should match the
number Flora Martinez sent to your
agency.
Variance – will auto calculate.
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Rows at bottom of budget
reduction form
FY 11/12 Medicaid Estimate
FY 11/12 Other Sources of Funding
Excess Medicaid collected in FY 10/11 allocated toward FY 11/12 expenses
IMPORTANT: This MUST match the figure in your current contract. CDPHE
staff will confirm this figure in the email that provided your FY 11/12 CDPHE
NHVP reduction.
This applies ONLY to agencies who billed Medicaid MORE than their FY 10/11
Medicaid Estimate. Agencies were allowed to bill 25% more than their FY 10/11
Medicaid Estimate for FY 10/11 without any future contract reductions.
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Detailed Medicaid and Other Sources
of Funding Budgets
• The mid-year revision requires detailed
budgets for Medicaid and Other Sources of
Funding, so we will not be requiring these at
this time.
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Important Items to Remember as you prepare
the budget reduction form (1 of 3)
• If you make changes to personnel, please make sure
your budget still meets case load requirements. 4 NHV
and 1 supervisor per 100 clients.
• If there have been staff changes, please add a new line
to show your new staff member with the correct name.
• If you reduce salary, please remember to reduce
associated fringe benefits.
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Important Items to Remember as you
prepare the budget reduction form (2 of 3)
• Administrative costs MUST be broken out and
CAN NOT reference your agency’s indirect
rate.
• Medicaid estimates can NOT change!!! They
must match your current FY 11/12 budget.
This amount will be emailed to you.
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Important Items to Remember as you
prepare the budget reduction form (3 of 3)
• Certain NFP training and technical assistance costs can
NOT be reduced (i.e.) technical assistance, ongoing
nurse education, initial nurse / supervisor education (if
applicable).
• If you add lines to the form, please check the blue total
lines around the added cells to ensure the totals are
including the items you added.
• Enter budget amounts as whole dollars – no cents. If
you are putting a calculation in the form, please use
the round feature in excel or retype the amount with
no cents.
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Budget Justification
• The Budget Reduction Form has a tab called
“Justification for Revisions”. This is form ONLY
needs to be completed if you are increasing
the budget for a line item.
• Do not fill this form out for any line items
where you are reducing the budget.
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Due Dates
• An EXCEL version of your agency’s NHVP FY 11/12
Budget Reduction Form is due October 14, 2011.
• This email must be sent from someone at your
agency who has authority to approve budget
revisions.
• Please send these forms to Francesca Isabelle:
francesca.isabelle@state.co.us
• Funding letters will be sent out in early
November.
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FY 10/11 Excess Medicaid Revenue
• Late last year agencies had permission to bill up
to 25% more than their FY 10/11 Medicaid
Estimate, without incurring a penalty in FY 11/12.
• Agencies that did not spend the extra Medicaid
revenue in FY 10/11, can spend it in FY 11/12.
• Report those expenditures on your cost
reimbursement forms under Medicaid. It is OK if
the total you report on your cost reimbursement
forms is greater than you FY 11/12 Medicaid
estimate.
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If you have questions, please contact:
• Julie Becker (fiscal officer)
julie.becker@state.co.us
(303) 692-2431
Francesca Isabelle (fiscal officer)
francesca.isabelle@state.co.us
(303) 691-4963
Mary Martin (Home Visitation Program Director)
mary.w.martin@state.co.us
(303) 692-2321
Flora Martinez (Home Visitation Program Coordinator)
flora.martinez@state.co.us
(303) 691-4919
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Questions???
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