2019-20 Fiscal Year Forms (July to June)
Select schedules have been combined below allowing you to print sections of the CFR by only having to open one file. In order to print an individual schedule please scroll down to that section.
To print schedules by a particular grouping, use the links below:
Core Schedules 
(603 KB)
(CFR-i - CFR-6)
Claiming Schedules (140 KB)
(DMH-2 - DMH-3)
OMH Supplemental
Schedules (188 KB)
(OMH-1 -4)
Abbreviated Filer
Schedules (415 KB)
OPWDD Supplemental
Schedules (192 KB)
(OPWDD1-4)
Mini-Abbreviated
Filer Schedules (263 KB)
SED Supplemental
Schedules (149 KB)
(SED-1 & 4)
To Print Individual Schedules, use the links below:
CFR-i
(88 KB) Agency Identification and Certification
Statement
CFR-ii (117 KB)
Accountant's Report - Voluntary Agency or County Government
CFR-iiA (KB)
Accountant's Report - Voluntary Agency or County Government
CFR-iii (83 KB)
County/NYC Certification Statement
CFR-iv (153 KB) Supplemental Attestation Schedule
CFR-1 (528 KB)
Program/Site Data
CFR-2 (197 KB)
Agency Fiscal Summary
CFR-2A (140 KB) Agency Fiscal Data
CFR-3 (251 KB)
Agency Administration
CFR-4 (212 KB)
Personal Services
CFR-4A (177 KB)
Contracted Direct Care and Clinical Personal Services
CFR-5 (138 KB)
Transactions With Related Organizations/Individuals
CFR-6 (105 KB)
Governing Board and Compensation Summary
DMH-1 (214 KB)
Program Fiscal Summary
DMH-2 (225 KB) Aid
to Localities/Direct Contract Summary
DMH-3 (185 KB)
Aid to Localities and Direct Contracts Program Funding Source
Summary
OMH-1 (214 KB)
Units of Service By Program/Site
OMH-2 (391 KB)
Medicaid Units of Service By Program/Site
OMH-3 (69 KB)
Client Information
OMH-4 (74 KB)
Units of Service by Payor by Program/Site
OPWDD-1 (194 KB)
Schedule of Services - ICF/DD, CR's, IRA's and Day Treatment
Programs
OPWDD-2 (140 KB)
ICF/DD & CR
Medical Supplies
OPWDD-5 (204 KB)
Capital Schedule
SED-1 (238 KB)
Program and Enrollment Data
SED-4 (135 KB)
Related Service Capacity, Need and Productivity
SUPP-1 (121 KB) Supplemental Schedule
COVID-19 (126 KB) Informational Schedule
COVID-19S (132 KB) Informational Schedule