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CFSS Cost Reporting Tool Instruction Manual

CFSS Cost Reporting Tool Instruction Manual

Direct care and supervisor payment cost allocations – contractors

Page posted: 8/27/24

This section of the cost report asks the cost report preparer to allocate direct care and supervisory payments made to contractors, temporary workers and per diem workers provided on the direct care and supervisor payments – contractors section. The allocation should follow the principles in the general guidance about cost allocation methodologies section.

Category

Instructions

Position classifications and total payments

The working job title, position type, total payments and total hours paid automatically populate from information on the direct care and supervisor payments – contractors section.

Allocations

For each working job title, provide the percentage of payments attributable to each job function cost category listed.

Most staff members reported on this section will only have costs allocated for direct care cost categories.

If a direct care staff member spends some of their working time on planning services, traveling between people who receive services or other work-related time that is not supporting people, allocate that portion of the staff member’s work to program plan support for the correct service grouping.

If a direct care staff member also provides administrative tasks as a portion of their working time, allocate that portion of the staff member’s work to the CFSS services administration cost category. Do not allocate administrative time to the direct care cost categories. Only allocate time directly spent with people served to direct care cost categories.

Example: Tenzin is an RN for a CFSS provider agency. She spends 90% of her working time providing personal care, but she also spends 10% of her time providing clinical oversight of the non-CFSS services for the organization. The organization allocates 90% of Tenzin’s costs to RN staff for the CFSS services cost category and 10% to the all other administration cost category.

The accuracy of these allocations depends on how the organization accounts for staffing time. If the organization makes estimates, the cost report preparer should support the estimates with sound reasoning/estimation methodologies and describe them in the “cost allocation methodology” field. For help determining the allocation of staff time for the organization, refer to Time-study worksheet, DHS-7190B (PDF).

Example: Lee is a personal care worker who spends his time providing CFSS services but splits the amount of time he works into different tasks. He spends 75% of his time providing support as a personal care worker and 25% of his time doing self-direction support, which includes documentation and planning activities. The organization allocates 75% to the PCA/CFSS direct care staff cost category and 25% to the self-direction administration cost category.

Example: A group of personal care workers provide CFSS services as their main job task. The organization requires that 5% of all personal care workers’ time be spent on self-direction support, completing documentation and attending training. The organization allocates 95% of this group to the PCA/CFSS direct care staff cost category and 5% to the self-direction administration cost category.

Total allocation

The CFSS direct care, other and administration allocation percentages automatically calculate. The allocation percentages should equal 100%.

Cost allocation methodology

Describe the methodology the organization used to allocate contract costs for direct care and supervisory contractors. Include enough detail so a person unfamiliar with the organization can understand the allocation procedure used.

For information about how to allocate costs, refer to the general guidance about cost allocation methodologies section.

Next step

Next, review other benefits, including cost allocation.

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