N.Y. Comp. Codes R. & Regs. tit. 18 § 491.24

Current through Register Vol. 46, No. 51, December 18, 2024

Section 491.24 - Reimbursement

(a) The operational plan for each shelter for adults, small-capacity shelter or shelter for adult families must include on forms and in the manner prescribed by the office a financial statement for the facility's most recently completed fiscal year where available, or where a facility has not been in operation, a financial statement for the facility operator's most recently completed fiscal year. In addition, the operational plan must contain a proposed one-year budget, including estimated income and expenditures. Such budget must set forth the costs reasonable and necessary to operate and maintain the facility consistent with each of the requirements of the operational plan and this Part. The budget must be based upon the estimated net actual expenditures for the operation and maintenance of facilities and for the care of the residents with respect to items approved under the operational plan. The budget must be presented in sufficient detail to enable the office to identify costs not subject to Federal financial participation. Budgets of facilities not operated by social services districts must be agreed upon between the social services district and the facility operator. All budgets must be formulated to ensure that the costs of resident services that may be paid from other funding sources, including but not limited to the MA program, are not included as costs in the proposed shelter budgets.

(b) Costs reasonably necessary under any operational plan shall be limited as follows:

(1)

(i) Related party transactions. Actual costs for rental of land, building and equipment and other personal property owned or controlled by organizations or persons affiliated with an organization operating a facility, or owned or controlled by members, directors, trustees, officers or other key personnel of such operator or their families either directly or through corporations, trusts or other similar arrangements in which they hold more than 10 percent interest in such land, building and equipment or an interest valued at $1,000 or more, whichever is less, are allowable only to the extent that such rentals do not exceed the amount the operator would have received had legal title to the rented items or facilities been vested in the operator.

(ii) Actual charges in the nature of rent between or among organizations under common control are allowable to the extent such charges do not exceed the normal costs of ownership, such as depreciation, taxes, insurance and maintenance; provided that no part of such costs shall duplicate any other allowed costs.

(iii) Nonrelated party transaction. Rental costs of land, building and equipment and other personal property are allowable if the rates are reasonable in light of such factors as rental costs of comparable facilities and market conditions in the areas, the type, life expectancy, condition and value of the facilities leased, options available and other provisions of the rental agreement. Application of these factors, in situations where rentals are extensively used, may involve, among other considerations, comparison of rental costs with the amount which the operating organization would have received had it owned the facilities.

(iv) Sales/leaseback transactions. Rental costs specified in sale and leaseback agreements, incurred by persons or organizations through selling facilities to investment organizations, such as insurance companies, associate institutions or private investors, and concurrently leasing back the same facilities, are allowable only to the extent that such rentals do not exceed the amount which the organization would have received had it retained legal title to the facilities.

(2) Capital costs and depreciation are limited as follows:

(i) Capital costs are not allowable, except as provided in section 600.3(b)(7) of this Title.

(ii) Compensation for the use of buildings, capital improvements and capital equipment may be made through either depreciation or the allowance provided in section 609.5(f)(2) of this Title with respect to office space. Capital equipment is any equipment with an acquisition cost exceeding $1,500 and having a useful life of more than two years. No depreciation allowance is permitted with respect to the cost of land. Costs incurred for improvements which add to the permanent value of buildings and equipment or which appreciably prolong their intended life must be treated as capital expenditures. Costs incurred for necessary maintenance, repair or upkeep of buildings or equipment which neither add to nor appreciably prolong their useful life, but keep them in an efficient operating condition must not be treated as capital costs.

(iii) Depreciation allowances must use the straight-line method with a useful life reflecting the probable period of useful service, which in the case of a building must not be less than 25 years; provided, however, that the office may authorize a shorter period for privately owned shelters, but in no case less than 10 years and then only when private financing cannot otherwise be obtained and a longer period would cause undue financial hardship. When a depreciation period less than 25 years is used, the aggregate amount by which the reimbursement paid exceeds the amount which would otherwise be payable over the same period constitutes an advance of reimbursement and the social services district must obtain and file a mortgage agreement securing any such advances. Such debt becomes due and owing upon the conversion of the facility to any use other than as a shelter for adults, small-capacity shelter or shelter for adult families, earlier than 25 years. With respect to publicly-owned shelters, the office may permit a depreciation period shorter than 25 years, but in no event less than the applicable period of probable usefulness under section 11.00 of the Local Finance Law. Any determination to use a period shorter than 25 years must be approved by the Director of the Division of the Budget.

(iv) If less than a 25-year useful life is approved, then in the case of privately owned shelters subject to a mortgage, or similar financial arrangement, the amount allowed in any year for depreciation and interest will in no event exceed the amount paid by the facility for interest and principal on the mortgaged premises. With respect to publicly-owned shelters, the amount allowed for the depreciation and interest will in no event exceed the allocable amount paid by the social services district for principal payments and costs for debt service with respect to the premises.

(v) Interest costs may be considered an allowable cost subject to the following:

(a) the capital indebtedness does not exceed the current approved value of the property;

(b) the interest rate charged for the borrowed funds is competitive with existing interest rates;

(c) the interest is necessary and proper for the operation, maintenance or acquisition of the facility; and

(d) the interest must be supported by a contractual agreement for the payment of interest and for the eventual repayment of the loan for which the interest was incurred.

(vi) In the case of privately-owned shelters, depreciation shall be limited to the costs of acquisition, renovation and rehabilitation of the facility. The costs of acquisition shall be the lesser of the actual costs incurred by the provider to acquire the facility or the fair market value of the facility. Shelter operators must provide an appraisal of the property compiled by an independent appraiser with the financial material submitted with the operational plan to the office.

(3) Costs of a shelter may include a reasonable allowance for reserve beds or standby capacity based upon the intended use of the facility, the capacity of the facility and foreseeable fluctuations in resident population.

(c) Revised budgets must be submitted to and approved by the office prior to finalizing any purchase or rate agreement, and thereafter annually with respect to any facility subject to this Part.

(d) The office must review the material provided and the proposed budget. State reimbursement is available for costs found by the office to be reasonable, subject to the approval of the Director of the Division of the Budget.

(e) The social services district may, within 30 days, request a review of the office's determination of reimbursable costs by requesting consultation. The consultation period begins when a letter requesting consultation is received by the office and continues until agreement is reached or the office affirms or redetermines the costs allowable; provided, however, that if within 30 days of a request for a review no decision is reached, the office's determination will be deemed affirmed unless the social services district requests and the office grants an extension of time for a decision.

(f) A social services district may claim and receive reimbursement from the office for costs approved under subdivisions (d) and (e) of this section. Such reimbursement must be adjusted to reflect actual allowable costs in any fiscal period covered by an operational plan. Requests for adjustment for a fiscal period may be submitted during, but in no event later than 90 days after the end of, such fiscal period. No requests for adjustments will be approved if the actual occupancy rate of a facility falls below the minimum occupancy set forth in the operational plan for the facility approved by the office. Reimbursement for the costs of shelter for persons receiving Safety Net Assistance, Veteran Assistance, or Emergency Assistance for Adults programs, or additional State payments must be charged to the applicable program. In addition, social services districts are subject to the recordkeeping requirements contained in Part 600 of this Title with respect to all shelter care for which reimbursement is claimed.

N.Y. Comp. Codes R. & Regs. Tit. 18 § 491.24

Adopted New York State Register December 11, 2019/Volume XLI, Issue 50, eff. 1/1/2020