Effective Management in THP-Plus: Provider Invoicing Methods and State Claiming County Welfare Directors Association Conference October 30, 2008

Outline of presentation THP-Plus Implementation Process The Management Role of the County and CDSS Provider Invoicing Methods State Claiming Q and A

THP-Plus Implementation Process

PROVIDERPROVIDER CDSSCDSS COUNTYCOUNTY Form Working Group Record Letter County Plan Approval Process Write Plan Letter of Intent Determine key attributes of model Update budget and estimates Record plan, budgets, regulations Write provider plans Determine program model, policies and procedures Provider Selection (RFP if needed) Sign Contract (or MOU) Certify Provider Submit provider plan, proof of certification to CDSS Record provider plan Submit documentation for certification Develop county allocation Begin providing housing and services Notification to providers of approval Conduct regular program evaluations Reporting Post- certification Review annual reports from counties Step One: Form Working Group Step Two: Conceptualize Program Step Three: Develop County Plan Step Four: Design and Develop Programs Step Five: Certification Step Six: Implementation Step Seven: Oversight

Overview of Provider Invoicing Methods Fee-for-Service Actual Expense Reimbursement The Hybrid/Allocation Method

Fee-for-Service Per Unit Cost (e.g. per diem) Flat rate –County-wide –Provider –Attribute-specific Varying rates –Intra-County –Intra-Provider

Actual Expense Reimbursement Line item expense reports (e.g. travel/expense report) Includes: Staffing Costs Youth Allowances Rent Stipends Program Materials Administrative Overhead

Hybrid/Allocation Method (e.g. your paycheck) Program Budget used to determine an estimated average per unit cost Contract established based upon averaged unit cost and number of units Paid based upon actual expenses

Practical Questions/Issues You may not have a choice! What kind of resources do you have? What kind of resources does your provider(s) have? Is it a new or existing program? What is the program model? What is the nature of your relationship with your provider?

Which One is For Me? Fee-for-Service Flat rate Workload is upfront Established programs Total program cost distributed across units/year Economy of scale General population Actual Reimbursement Itemized Workload on back-end Newer programs Expenses paid as you go More accommodating for smaller programs More useful for special need populations

THP-Plus Claiming Process

CA800STEP Claim

CDSS THP-Plus Process and Deadlines Legislative budget hearings held

Questions? For more information: Michele Byrnes John Burton Foundation (415) John Murray San Francisco Human Services Agency (415) Lynette Stueve California Department of Social Services (916)