Title XIX Administrative Costs. Administrative costs will not be included in the budget neutrality limit, but the state must separately track and report additional administrative costs that are directly attributable to the demonstration. All administrative costs must be identified on the Forms CMS-64.10 Waiver and/or 64.10P Waiver.
Title XIX Administrative Costs. Administrative costs will not be included in the budget neutrality agreement, but the Commonwealth must separately track and report additional administrative costs that are directly attributable to the demonstration. All administrative costs must be identified on the Forms CMS-64.10 Waiver and/or 64.10P Waiver.
Title XIX Administrative Costs. The following provisions govern reporting of administrative costs during the Demonstration.
Title XIX Administrative Costs. 1. Expenditures are incurred and paid by DOH, using established coding for Title XIX services. Reimbursement may be 50/50, 75/25, or 90/10 federal/state, depending on type of service. Contracted amounts are encumbered by DOH Grants Management analysts to show obligations to date, and liquidated at the time of payment. These are identified by specific NBxxxx object coding.
2. Quarterly, DOH Grants Management uses ADDS reports to consolidate direct expenditures and cost allocation system reports to reflect indirect costs associated with direct Title XIX expenditures. Indirect costs are billed at the 50/50 federal/state reimbursement rate, regardless of the direct service expenditure rate of 50/50, 75/25, or 90/10 federal/state.
3. DOH Grants Management prepares a separate worksheet and billing, quarterly, and submits it to DSHS-MAA, on an A-19. The A-19 must include: a) dollar amounts billed by federal match rates, and b) the statement “I certify that these expenses were incurred for outreach services for potential Medicaid clients or Medicaid administrative purposes related to Medicaid-covered recipients. I also certify that funds being used to claim FFP are available and are not federal funds.”
4. DOH Grants Management prepares journal voucher to accrue receivable. This amount shows as a negative “S” interagency reimbursement in the accrual column of ADDS reports.
5. DOH receives payment, by journal voucher, from DSHS-MAA.
6. DOH Grants Management attaches coding structure breakdown to journal voucher and submits to fiscal for input.
7. At the end of each state fiscal year, DOH Grants Management estimated xxxxxxxx and receivables are accrued. This is based primarily on contract balances and other significant outstanding invoices and known expenditures.
8. On HMHB contract, all donated funds are tracked by the DOH grant analyst and sent to the DOH Revenue Unit designated for the HMHB toll-free line/outreach. DOH maintains a log of all local and state donated funds which qualify for Title XIX administrative match for the HMHB contract.
Title XIX Administrative Costs. Administrative costs will not be included in the budget neutrality agreement, but the state must separately track and report administrative
Title XIX Administrative Costs. The State must separately track and report additional administrative costs that are directly attributable to the demonstration. All administrative costs must be identified on the Forms CMS-64.10 Waiver and/or 64.10P Waiver. Expenditures necessary for the administration of the title XIX funded portion of the Safety Net Benefit Program are subject to budget neutrality. Other demonstration-related administrative expenditures must be reported separately, but are not subject to budget neutrality. For purposes of tracking, the State must use the following waiver names to identify demonstration related administrative expenditures.
