Revenues
Page posted: 8/27/24
This section of the cost report collects information about sources of income for CFSS services and programs the organization provides.
Include all of the organization’s CFSS revenue for the entire reporting year—not the organization’s monthly or weekly rate. The revenue is the annual costs (i.e., costs for the entire year) actually billed to DHS, not an estimate. If the cost report preparer does not know this number, they should look at the organization’s MN-ITs remittance advice for the reporting period. For more information, refer to DHS – How to read your remittance advice.
Do not include incomes the organization receives for the following items:
For more information, refer to the what to include section on the home page.
The cost report includes some services that are either no longer available or no longer a CFSS framework service. There are two reasons for this:
This could result in reporting costs for up to 41 months after a service is no longer considered a CFSS cost.
Example: If a service was discontinued in July 2022, a provider may bill for that service for up to a year (i.e., through July 2023), which could be considered a 2023 CFSS cost. An organization could be able to report on July 2023 CFSS costs through the December 2025, depending on the organization’s cost-reporting period.
Category | Instructions |
Annual revenues | Provide the CFSS revenues the organization earned during the reporting period (i.e., all revenue for the entire year/reporting period) for each service code listed under the following categories: For a complete list of CFSS agency model services, refer to DHS – PCA-CFSS list of services. Each category includes “other program revenues” as the last item. Use this line to provide other program-related revenues that are part of the service grouping but not part of the CFSS framework. These lines are optional; the provider does not need to report them but can if it is useful. Example: An organization provides CFSS services and other HCBS services. The provider reports payment amounts and units for CFSS services for each service code. Then, the provider reports payment amounts for other HCBS services under “other program revenues” in the CFSS services category for the entire year. |
Annual units paid | For each CFSS service code with reported revenue, provide the corresponding units paid during the reporting period. Refer to the organization’s billing/claims systems for these details, and report the unit type actually billed. This section of the cost report should not include units for other program revenues. Example: T1019-U9-UC – Agency – CFSS extended services (1:1) is billed as a 15-minute unit. An organization provided 500 15-minute units of CFSS extended services. The organization enters “500” for the annual units paid. |
Annual unique recipients served | For each CFSS service code with a reported revenue, provide the number of unique/unduplicated people the organization served during the reporting period. Do not include people affiliated with other program revenues in the total, unduplicated count for each service grouping. Example: An organization provides CFSS services to people on disability waivers and other HCBS program services. The organization only reports the number of people who receive CFSS services because the other HCBS program services are not part of the CFSS framework. The total number of unique people served in each service group might not equal the sum of unique people served for each individual service code because some people receive multiple services within a service group. Example: A provider works with Mariana and Ahmad, who are on disability waivers. Mariana and Ahmad both receive CFSS services (T1019-U9) and chore services (code S5120). The provider reports the unique people served for CFSS as two and the unique people served for chore services as two. However, the provider reports the total number of unique people served as two, not four. |
Total annual unique recipients | Provide the total number of unique/unduplicated people served within the identified cost-reporting period for all service groupings. |
Total revenues | This section automatically calculates the CFSS revenue subtotals for each reported service and program grouping. Then, it calculates a grand total of revenues from all reported sources. |
Next step
Next, review administrative and program support.
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