Targeted Case Management Cost Report Breakout Session 2016

2 TCM cost report Consolidates separate budget units into one report Consolidates all schedules into one workbook Uses averaged versus individual time surveys Cost Settlement

3 What is the purpose of the TCM Cost Report? 1.To determine the total program cost for TCM 2.To determine the maximum TCM program Medi-Cal reimbursement 3.To establish a new interim rate for payment

4 Summary of Steps 1.Define budget unit 2.Classify staff 3.Classify/analyze expenses and revenues 4.Reconcile interim payments

5 TCM Cost Report Components 1. Information Worksheet 2. TCM Costs for governmental entities : –Worksheet A –Worksheet A-1 –Worksheet B –Worksheet C

6 TCM Cost Report Components 3.TCM costs for non-governmental entities: –Worksheet E –Worksheet E-1 4.Allowable Funding/Eligible for FFP –Worksheet D –Worksheet D-1 –Worksheet E –Worksheet E- 1

7 TCM Cost Report Components 5.Summary of encounters: –Worksheet F 6.Summary of rate, reimbursable cost, reconciliation of interim payment, and interim Medi-Cal TCM encounter payment rate (IMTEPR) –Worksheet G

8 TCM Cost Report Template Formula-driven PurpleEnter data in the Purple Cells Only! White cells automatically calculate. Some cells are formatted with a drop- down box.

9 TCM Cost Report Template Classify total labor expenses into TCM, Non-TCM, or Gen Admin Indirect line: enter non-labor expenses (services and supplies) Columns 1, 2, and 3 must tie to budget unit’s general ledger Worksheet A

10 Worksheet A - Support List all staff for the budget unit that provides TCM services. The employees should be listed in one of the three (3) categories in your supporting documentation 1.TCM (time surveyed) 2. Non-TCM 3. Gen and Admin

11 TCM Cost Report Template To move expenses from one category to another (TCM, NTCM, Gen/Adm, Indirect) Reclassify expenses by employee, program No change in total expenses per general ledger of BU Worksheet A-1 - Reclassifications

12 TCM Cost Report Template Adds or deducts expenses: From one category to another, or To change how costs are distributed within a specific category Total will not tie to general ledger of BU Worksheet A-2 - Adjustments

13 TCM Cost Report Template Requires entry of time survey time per category Worksheet C – PTO Redistribution

14 TCM Cost Report Template No entries required – automatically calculated Worksheet B – Cost Allocations

15 TCM Cost Report Template Worksheet F is used to summarize the total TCM encounters. And will be used to determine the cost per encounter on Worksheet G. Worksheet F – Summary of Encounters

16 TCM Cost Report Template Only used for governmental entities (LGA, LPE) to determine if funding is CPE eligible Worksheet D – CPE for Governmental Entity

17 TCM Cost Report Template Only used for governmental entities (LGA, LPE) To eliminate funding that does not meet CPE requirements To include funding that supports TCM expenses outside the BU Worksheet D-1 – Funding Adjustments

18 TCM Cost Report Template Only used for non-governmental subcontractors that provide TCM services Report funding from contributors to subcontractors Worksheet E – Funding Payments to subcontractors

19 TCM Cost Report Template Only used for non-governmental subcontractors that provide TCM services To eliminate funding that does not meet CPE requirements Include funding source that supports direct TCM Expense Worksheet E-1 – Funding adjustments to subcontractors

20 TCM Cost Report Template Calculate maximum Medi-Cal reimbursement per budget unit Calculate TCM reimbursement settlement Determine the newly established interim Medi-Cal encounter payment rate Worksheet G – Calculation of Reimbursement Settlement

QUESTIONS?