effective management in thp-plus: provider invoicing methods and state claiming county welfare...
DESCRIPTION
THP-Plus Implementation ProcessTRANSCRIPT
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
PROVIDER
CDSS
COUNTY
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) 693-1323
John MurraySan Francisco Human Services Agency
(415) 557-6425 [email protected]
Lynette Stueve California Department of Social Services
(916) 657-3329 [email protected]