Department of Financial Services Division of Accounting and Auditing Form 005 - DOH OBJECT CODE STANDARDIZATION PROJECT Impact Statement Form 1. Agency Name Florida Department of Health 2. Contact Name 3. Joanne Lane 4. Contact Title Chief, Bureau Finance & Accounting Contact E-mail Joanne.lane@flhealth.gov 5. Contact Phone Number (850)245-4500 6 Impact to agency if request is not approved: Expenditure Reporting Business System Impact - Names of System(s): Other – Please explain: 7 Impact Statement (Explanation of Impact to the agency include any concerns on timeline) 1. In preparation for the migration to the new state standard object codes, DOH is planning to begin using object codes which are in alignment with the new listing beginning July 1, 2014. Many object codes can be crossed walked to existing state standard object codes. There are limited instances where we have been using an agency unique object code that will have to be migrated to an object code in a different series. An example is “399009 – sign”. As of July 1, we will begin using “341000 – Educational Supplies” which will be re-titled “General Supplies” under the state standard listing. Another example is “391020 – Software”. As of July 1, we will begin using “393000 – Application Software (Licenses)” which will be re-titled “Application Software (Licenses) Not Capitalized”. We would like to request for our vouchers not to be held-up for payment due to the changes in object codes (titles) in preparation for this migration. Making these changes at the beginning of the fiscal year (FY) will drastically reduce the need to move actual transactions later in the FY. Response: Agencies have the option to use the “general” object codes and are not required to breakdown to the detailed level within the object code series. 1. In addition the Department of Health currently uses the OCA field for tracking source of funding and grants related revenues and expenditures. The Project ID field is used to track FCO expenditures and Preparedness (federal grant) related grant expenditures. These two fields cannot be used to accumulate costs that were formally tracked using agency unique object codes. The other alternative DFS has offered is external fields. This creates many issues for DOH. The external fields are not on any of our established RDS reports, Automated Systems, nor are they currently utilized in any of our batch files. Many of the object codes DOH is requesting have grant related reporting as part of the explanation for why we currently are using agency unique object codes. We ask DFS to consider the following object codes for addition to the State Standard Object Code listing. Response: See #8 below for the response to each requested object code. Agencies have the option to use other FLAIR fields to track additional details for expenditures (OCA, External Category, External Object, External GL, etc.). DFS will offer training related to reporting and the use of these codes. DFS is also working to include these fields in commonly used FLAIR standard reports and the FLAIR information warehouse. 1 Department of Financial Services Division of Accounting and Auditing OBJECT CODE STANDARDIZATION PROJECT Impact Statement Form 8. Request for Statewide Object Codes (if applicable) Object Code 131771 Short Title Long Title Definition DIB - CE DIB - CE (Client Examination - Title II Eligibility) Client Examination Title II Eligibility Justification Social Security Administration (SSA), Program Operations Manual System (POMS),which is SSA Policy, requires coding and reporting for the three funding case types of Title II eligibility, Title XVI eligibility and Concurrent (Title II and XVI). DI 39506.260 Monthly Obligations Report and Forecast A. Policy - DDS responsibility The DDSs will provide the regional office with a monthly report of actual and projected obligations for the cost categories reported on the quarterly SSA-4513 (e.g., personnel costs, medical costs, indirect and all other non-personnel costs, etc.). Approved Y/N DFS Comments Y 132020 - Medical Services Client Examination - Title II is proposed. 2 Department of Financial Services Division of Accounting and Auditing OBJECT CODE STANDARDIZATION PROJECT Impact Statement Form 131772 SSI - CE SSI - CE (Client Examination - Title XVI Eligibility) Client Examination Title XVI Eligibility Social Security Administration (SSA)Program Operations Manual System (POMS),which is SSA Policy, requires coding and reporting for the three funding case types of Title II eligibility, Title XVI eligibility and Concurrent (Title II and XVI). DI 39506.260 Monthly Obligations Report and Forecast A. Policy - DDS responsibility The DDSs will provide the regional office with a monthly report of actual and projected obligations for the cost categories reported on the quarterly SSA-4513 (e.g., personnel costs, medical costs, indirect and all other non-personnel costs, etc.). Y 132021 - Medical Services Client Examination - Title XVI is proposed.; 3 Department of Financial Services Division of Accounting and Auditing OBJECT CODE STANDARDIZATION PROJECT Impact Statement Form 131773 CON - CE CON - CE (Client Examination Concurrent Title II & XVI) Client Examination Concurrent Title II & XVI Social Security Administration (SSA)Program Operations Manual System (POMS),which is SSA Policy, requires coding and reporting for the three funding case types of Title II eligibility, Title XVI eligibility and Concurrent (Title II and XVI). DI 39506.260 Monthly Obligations Report and Forecast A. Policy - DDS responsibility The DDSs will provide the regional office with a monthly report of actual and projected obligations for the cost categories reported on the quarterly SSA-4513 (e.g., personnel costs, medical costs, indirect and all other non-personnel costs, etc.). Y 132022 - Medical Services Client Examination Concurrent is proposed. 4 Department of Financial Services Division of Accounting and Auditing OBJECT CODE STANDARDIZATION PROJECT Impact Statement Form 497011 DIB - MER DIB - MER (Medical Evidence of Record) Medical Evidence of Record Social Security Administration (SSA)Program Operations Manual System (POMS),which is SSA Policy, requires coding and reporting for the three funding case types of Title II eligibility, Title XVI eligibility and Concurrent (Title II and XVI. DI 39506.210 Preparation Instructions for Form SSA-4513 D. Procedure - line item reporting See categories below for line item reporting. 2. Medical costs Medical costs reflect the total costs incurred for the purchase of consultative examinations (CE) and medical evidence of records (MER) for all SSA disability programs (title II, title XVI, and concurrent). Y 461020 - Fees - Medical Records - Title II is proposed. 5 Department of Financial Services Division of Accounting and Auditing OBJECT CODE STANDARDIZATION PROJECT Impact Statement Form 497012 SSI - MER SSI - MER (Medical Evidence of Record) Medical Evidence of Record Social Security Administration (SSA)Program Operations Manual System (POMS),which is SSA Policy, requires coding and reporting for the three funding case types of Title II eligibility, Title XVI eligibility and Concurrent (Title II and XVI. DI 39506.210 Preparation Instructions for Form SSA-4513 D. Procedure - line item reporting See categories below for line item reporting. 2. Medical costs Medical costs reflect the total costs incurred for the purchase of consultative examinations (CE) and medical evidence of records (MER) for all SSA disability programs (title II, title XVI, and concurrent). Y 461021 - Fees - Medical Records - Title XVI is proposed. 6 Department of Financial Services Division of Accounting and Auditing OBJECT CODE STANDARDIZATION PROJECT Impact Statement Form 497013 CON - MER CON - MER (Medical Evidence of Record) Medical Evidence of Record Social Security Administration (SSA)Program Operations Manual System (POMS),which is SSA Policy, requires coding and reporting for the three funding case types of Title II eligibility, Title XVI eligibility and Concurrent (Title II and XVI. DI 39506.210 Preparation Instructions for Form SSA-4513 D. Procedure - line item reporting See categories below for line item reporting. 2. Medical costs Medical costs reflect the total costs incurred for the purchase of consultative examinations (CE) and medical evidence of records (MER) for all SSA disability programs (title II, title XVI, and concurrent). Y 461022 - Fees - Medical Records - Concurrent is proposed. 7 Department of Financial Services Division of Accounting and Auditing OBJECT CODE STANDARDIZATION PROJECT Impact Statement Form 399012 342065 NUTR SUPP PrescDrugs Nutritional Supplement Prescription Drugs Nutritional Supplements purchased for phenylketonuria Prescription drugs purchased for medical necessity The Nutritional Supplement products provided by the Bureau of Public Health Pharmacy are purchased to support children and adults with phenylketonuria (PKU). These supplements are used under medical supervision. Ryan White Part B, we have specific and separate budget line items for client Prescriptions, Client Nutritional Supplements, client prescription copays & client medical service copays. Ryan White Part B, we have specific and separate budget line items for client Prescriptions, Client Nutritional Supplements, client prescription co-pays & client medical service co-pays. Ryan White Part C does not allow any of these items EXCEPT Prescriptions. Y 344004 - Supplies - Medical - Nutritional Supplement is proposed. Y 344001 - Supplies - Medical - Drugs - Prescription is proposed. 8 Department of Financial Services Division of Accounting and Auditing OBJECT CODE STANDARDIZATION PROJECT Impact Statement Form 342066 342067 342068 PREDRG COPAY NonPres Drg VACCINES Prescription Drugs Co-Pay Prescription drugs purchased for medical necessity which include a co-pay. Non-prescription drugs are not currently allowable for submission for reimbursement for any specific grant/funding stream. We recommend combining Nonprescriptions Drugs with Medical Supplies if that is an option. Non-Prescription Drugs Vaccines Ryan White Part B, we have specific and separate budget line items for client Prescriptions, Client Nutritional Supplements, client prescription co-pays & client medical service co-pays. Ryan White Part C does not allow any of these items EXCEPT Prescriptions. Vaccines for Immunizations Our CHD does a large volume of immunizations, and we have a need to know what those vaccination product cost us, in addition specific vaccinations are reimbursed for the products only. Y 461023 - Fees - Co-Pay Medical is proposed. Y 344002 - Supplies - Medical - Drugs - Non Prescription is proposed. Y 344003 - Supplies - Medical - Drugs - Vaccine is proposed. 9 Department of Financial Services Division of Accounting and Auditing OBJECT CODE STANDARDIZATION PROJECT Impact Statement Form 419004 131703 820000 Ryan White Ins Sterilizations OTR Distrib Ryan White Client Insurance Premiums Sterilizations Other Distributions Premiums paid for Ryan White Clients Co-mingling Ryan White client insurance premiums into a blend with more traditional insurance items will make it difficult to track the expenditure and may affect our ability to maximize Federal funds. N Agency should be directed to 421014 - Benefits/Claims - Health - General. Sterilizations provide by the Family Planning Program The Family Planning (FP) program is funded in part by the Title X Family Planning grant. The Title X guidelines have very prescriptive requirements for reporting all types of contraceptive methods provided by each CHD, sterilization being one of those methods. Y 132023 - Medical Services Sterilization is proposed. Disbursement of funds into DOH’s Special Purpose Investment Account This object code is currently used to disburse funds into DOH’s Special Purpose Investment Account. Children’s Medical Services (DOH CMS) has a Third Party Administrator who actually disburses payments to CMS providers on behalf of the Department. The TPA cuts warrant out of our Capital City bank account and prior to the checks being honored CMS will process a payment to fund the account. There is a current process that has been worked out and our concern is N Agency should be directed to 820094 Distributions/Transfers Investments. 10 Department of Financial Services Division of Accounting and Auditing OBJECT CODE STANDARDIZATION PROJECT Impact Statement Form mixing these expenditures with regular operating expenses. There is a short turn around to fund the bank account (Capital City) and we cannot afford additional days for audit. Under the current object code the funding of the SPIA account is seen as a transfer. There should be other agencies with a similar issue. If this object is not continued, DOH needs to work out with DFS what object code is appropriate to use under the new listing, and how to limit delay of the posting of these vouchers. 342006 131756 131757 PHP S&E Public Health Preparedness Supplies and Equipment This Object code was established to use for all equipment purchased and shipped directly to Hospitals with PHP funding per grant guidance. No information provided. No information provided. No information provided. No information provided. No information provided. No information provided. Through trial and error we discovered that hospital equipment over $1,000 would populate into our Property Management System. Since the hospital becomes the owner and responsible for the maintenance and upkeep of such equipment, this object code was created for grant reporting and accountability; while preventing the equipment from appearing in the state’s property system. N Agency should be directed to 341022 - Supplies Furniture/Equipment and consider using a different field in FLAIR to track expenditures. No information provided. N No information provided. No information provided. N No information provided. 11 Department of Financial Services Division of Accounting and Auditing OBJECT CODE STANDARDIZATION PROJECT Impact Statement Form 131758 350007 131707 No information provided. Food Nutr DEM X-Ray SVCS No information provided. No information provided. No information provided. N No information provided. Nutritional Demonstration Food Food provided for nutritional demonstrations for clients This is necessary for Federal grant reporting, FDOH currently has no other field to capture this information. OCA and Project Id are already being used for other purposes. N Agency should be directed to 35xxxx Food Products series. Radiology services DOH needs to be able to monitor and report on Radiology services tied to our Primary Care program to meet grant requirements for funding. Y 132019 - Medical Services Xray/Radiology is proposed. X-ray Services THE FOLLOWING CERTIFICATION MUST BE COMPLETED BY THE AGENCY’S DIRECTOR OF ADMINISTRATION OR DELEGATE. I hereby certify, to the best of my knowledge, that the information provided above is true and correct. Printed Name: Ed McEachron Signature: Title: Director of Administration Phone Number: (850)245-4149 Date Signed: 12