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Cost Formula Worksheets
2019
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OPTION A – AVERAGE MONTHLY ACP COSTS METHOD WORKSHEET
Administrative, Counseling and Placement (ACP) Worksheet
Obtain the amounts for Sections 1A, 1B, 2A, 3A, 3C, 3E, 3F and 3G from the form RSA-2, Schedule I – Total Expenditures and enter them on the appropriate lines below.
1A. Direct Administration Costs $ _______________
1B. Indirect Administration Costs $ _______________
2A. Services Provided by Agency $ _______________
(2.A.1.a & b + +2.A.2.a & b)
3A. Establishment, Development, or
Improvement of Community Rehabilitation
Program $ _______________
3C. Special Services to Provide
Nonvisual Access to Information $ _______________
3E. Business Enterprise Program $ _______________
3F. Transition Consultation and
Technical Assistance $ _______________
3G. Transition Services to Youth and Students $ _______________
ADD THE ABOVE LINES TO ARRIVE AT THE
TOTAL INDIRECT ACP COSTS $ _______________
Determine the total number of clients served during Federal FY 2018. __________
(Take from lines A15, B3, C3, D1, D2, D3 D4 of the final RSA-113 submission for the Federal FY18, Oct. to Sept. period)
$ __________________ ÷ ______________________ = $ ______________
INDIRECT ACP COSTS TOTAL NO. OF CLIENTS YEARLY COST
(Total from Step 1) SERVED IN FY18 PER CLIENT
(Take from Step 2)
$ ______________________ ÷ ________12________ = $ _______________
YEARLY COST PER CLIENT MONTHS AVERAGE MONTHLY
(Take from Step 3) COST PER CLIENT
To use this formula when filing a claim, multiply the “AVERAGE MONTHLY COST PER CLIENT,” derived in Step 4, by the number of months from the date the client entered VR through the date of final VR closure. The result is the cost to be submitted as the total for administration, counseling and placement for that claim.
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OPTION A – AVERAGE MONTHLY TRACKING COST WORKSHEET
Obtain the sum of the Administration costs from line 1A & 1B of the form RSA-2. (This is line lD on the RSA-2 spreadsheet.)
1. Administration Costs $ _______________
$ ______________________ ÷ _______________________ = $ _______________
ADMINISTRATION COSTS TOTAL NO. OF CLIENTS YEARLY COST PER
(From Step 1) SERVED IN FEDERAL FY18 CLIENT
(Take from lines A15, B3,
C3, D1, D2, D3, D4 of final RSA-113
submission, Oct.-Sept. period)
$ ______________________ ÷ _________12__________ = $ _______________
YEARLY COST PER MONTHS AVERAGE MONTHLY
CLIENT (From Step 2) TRACKING COST
PER CLIENT
To use this formula when filing a claim, multiply the average monthly cost for tracking by the number of months after VR closure that the case is tracked, up to a maximum of 9 months.
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OPTION B – ADJUSTED MONTHS OF SERVICE ACP WORKSHEET
Administrative, Counseling and Placement (ACP) Worksheet
Obtain the amounts for section 1A, 1B, 2A, 3A, 3C, 3E, 3F and 3G from the form RSA-2, Schedule I – Total Expenditures and enter them on the appropriate lines below.
1A. Direct Administration Costs $ _______________
1B. Indirect Administration Costs $ _______________
2A. Services Provided by Agency $ _______________
(2.A.1.a & b + +2.A.2.a & b)
3A. Establishment, Development, or
Improvement of Community Rehabilitation
Program $ _______________
3C. Special Services to Provide
Nonvisual Access to Information $ _______________
3E. Business Enterprise Program $ _______________
3F. Transition Consultation and
Technical Assistance $ _______________
3G. Transition Services to Youth and Students $ _______________
ADD THE ABOVE LINES TO ARRIVE AT THE
TOTAL INDIRECT ACP COSTS $ _______________
a. Calculate the ”Total Service Months of Clients Open” for the prior Federal FY (2018) using 2a through 2c. Remember the numbers are taken from your prior year’s form RSA-113.
RSA-113 Quarterly Cumulative Period |
# of Clients Open at End of Quarterly Period (Add lines A15, B3, C3 for each quarter to get the period total) |
# of New Acceptances (Add lines A12, A13 and A14 from final/Period 4 2018 from RSA 113) |
Oct.-Dec. Line A15 Line B3 Line C3 Period 1 Total Oct.-Mar. Line A15 Line B3 Line C3 Period 2 Total Oct.-Jun. Line A15 Line B3 Line C3 Period 3 Total Oct.-Sept. Line A15 Line B3 Line C3 Period 4 Total |
___________________ ___________________ ___________________ ___________________
___________________ ___________________ ___________________ ___________________
___________________ ___________________ ___________________ ___________________
___________________ ___________________ ___________________ ___________________
|
Oct.-Sept. Line A12___________________ Line A13___________________ Line A14___________________ Period 4 Total: ______________ Enter 1/2 period 4 total on line (2) below. |
Add period totals to get Fed. FY18 total |
_________________ (1) |
__________________ (2) |
b. Divide Federal FY18 Total, Step 2a.(1), by 4 to determine “Average Clients Open per Month”.
____________ ÷ 4 = ________________
FEDERAL FY18 AVERAGE CLIENTS
TOTAL OPEN PER MONTH
c. Multiply “Average Clients Open per Month” from Step 2b. times 12 to determine “Total Service Months of Clients Open” in Federal FY18.
____________________ x 12 = _____________________
AVERAGE CLIENTS OPEN TOTAL SERVICE MONTHS
PER MONTH OF CLIENTS OPEN IN
FEDERAL FY18
Step 3
_______________________ - ____________________ = _____________________
TOTAL SERVICE MONTHS ONE-HALF OF THE NEW TOTAL ADJUSTED MONTHS
OF CLIENTS OPEN IN FY18 CLIENTS ACCEPTED FOR OF SERVICE
(Take from 2c.) SERVICE DURING FY18
Take from chart -
Step 2a.(2)
Step 4
$___________________ ÷ ______________________ = $ ___________________
INDIRECT ACP COSTS TOTAL ADJUSTED MONTHS TOTAL COST PER
(From Step 1) OF SERVICE (Total from MONTH OF SERVICE
Step 3 above)
To use this formula when filing a claim, multiply the “TOTAL COST PER MONTH OF SERVICE” (derived in Step 4) by the number of months from the date the client entered VR through the date of final VR closure. The
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result is the cost to be submitted as the total for administration, counseling and placement for that claim.
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OPTION B – ADJUSTED MONTHS OF SERVICE TRACKING COST WORKSHEET
Obtain the sum of the Administration costs from line 1A & 1B of the form RSA-2. (This is line lD on the RSA-2 spreadsheet.)
1. Administration Costs $ _______________
a. Calculate the ”Total Service Months of Clients Open” for the prior Federal FY16 using 2a through 2c Remember the numbers are taken from your prior year’s form RSA-113 (FY18).
RSA-113 Quarterly Periods (2018) |
# of Clients Open at End of Quarterly Period (Add lines A15, B3, C3 for each quarter to get the period total) |
# of New Acceptances (Add lines A12, A13 and A14 from final/Period 4 2018 form RSA 113) |
Oct.-Dec. Line A15 Line B3 Line C3 Period 1 Total Oct.-Mar. Line A15 Line B3 Line C3 Period 2 Total Oct.-Jun. Line A15 Line B3 Line C3 Period 3 Total Oct.-Sept. Line A15 Line B3 Line C3 Period 4 Total |
___________________ ___________________ ___________________ ___________________
___________________ ___________________ ___________________ ___________________
___________________ ___________________ ___________________ ___________________
___________________ ___________________ ___________________ ___________________
|
Oct.-Sept. Line A12___________________ Line A13___________________ Line A14___________________ Period 4 Total: ______________ Enter 1/2 period 4 total on line (2) below. |
Add period totals to get Fed. FY18 total |
_________________ (1) |
__________________ (2) |
b. Divide Federal FY18 Total, Step 2a(1), by 4 to determine “Average Clients Open per Month”.
____________ ÷ 4 = ________________
FEDERAL FY18 AVERAGE CLIENTS
TOTAL OPEN PER MONTH
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c. Multiply “Average Clients Open per Month” from Step 2b times 12 to determine “Total Service Months of Clients Open” in Federal FY18.
____________________ x 12 = _____________________
AVERAGE CLIENTS OPEN TOTAL SERVICE MONTHS
PER MONTH OF CLIENTS OPEN IN
FEDERAL FY18
Step 3
_______________________ - ____________________ = _____________________
TOTAL SERVICE MONTHS ONE-HALF OF THE NEW TOTAL ADJUSTED MONTHS
OF CLIENTS OPEN IN FY18 CLIENTS ACCEPTED FOR OF SERVICE
(Take from 2c) SERVICE DURING FY18
Take from chart -
Step 2a (2)
Step 4
$ ________________________ ÷ ______________________ = $__________________
ADMINISTRATION COSTS TOTAL ADJUSTED MONTHS MONTHLY TRACKING
(From Step 1 above) OF SERVICE (From COST PER CLIENT
Step 3 above) MONTH OF SERVICE
To use this formula when filing a claim, multiply the monthly cost for tracking by the number of months after VR closure that the case is tracked, up to a maximum of 9 months.
| File Type | application/msword |
| File Title | OPTION II – AVERAGE MONTHLY COSTS METHOD WORKSHEET |
| Author | 163050 |
| Last Modified By | SYSTEM |
| File Modified | 2019-12-23 |
| File Created | 2019-12-23 |