NYC DOHMH · New York City

DOHMH Invoice Crosswalk

The crosswalk that maps each expense on a DOHMH invoice back to its approved budget line, so the agency can tie claimed costs to the budget it approved.

Free download · no signup

Excel workbook · 59 KB · blank & scrubbed

Download the template

Rebuilt from a real filed form with every client name, amount, and identifying detail removed. Columns, categories, and formulas are preserved exactly as the funder issues them.

Who files this

DOHMH-contracted providers across mental hygiene, health promotion and communicable disease programs.

Key requirements

Funder

NYC Department of Health and Mental Hygiene

Jurisdiction

New York City

Fringe range

8.25%–35%

Indirect cost basis

Accepted ICR under the NYC HHS Cost Manual — 15% de minimis default if no NICRA or CPA-verified rate is on file

What gets this form kicked back

The crosswalk is the document that gets scrutinized when an invoice is questioned — it's what proves a cost belongs to the line you charged it to.

Federally-funded DOHMH subrecipients drop to a $3,500 estimate threshold rather than $25,000. Getting this wrong is a common audit finding.

Submit the crosswalk with the claim details and general ledger together; DOHMH reviews them as a set.

Allowable OTPS categories

The categories NYC DOHMH recognizes on a budget or voucher. Using wording outside this list is a routine cause of returned submissions.

Clinical Consultation
Staff Training & Certification
Program Consultants
Supplies — Office
Supplies — Program / Health
Supplies — Medical / Clinical
Travel — Staff
Transportation — Clients
Equipment
Equipment Maintenance
Printing / Health Materials
Training
Licenses & Permits

Unallowable costs

Costs NYC DOHMH will not reimburse under this contract.

Non-clinical supplies

Rules worth knowing before you file

HIPAA may apply for clinical and behavioral-health programs handling PHI — not a blanket requirement for every DOHMH contract
Three written estimates required over $25,000, or over $3,500 for federally-funded subrecipients
Petty cash capped at $1,500, with no per-expense sub-limit specified

NYC DOHMH — fiscal rules, voucher exports and setup: how Prove It Financials builds this form from your own payroll, budget and invoices.
Free voucher checker: upload a completed copy of this form and it flags unallowable costs, fringe above the ceiling, allocations that don't total 100% and totals that don't reconcile before you file. No signup; the file never leaves your browser.
Why vouchers get returned: the six checks behind most returned vouchers, and what each one looks like in a real file.

Stop filling this in by hand

Prove It Financials generates this exact form every month, populated from your own budget, payroll and invoices — with allocation percentages, fringe, and indirect already calculated and validated against NYC DOHMH's own rules.

See how it works

DOHMH Invoice Crosswalk

Who files this

Key requirements

What gets this form kicked back

Allowable OTPS categories

Unallowable costs

Rules worth knowing before you file

Related

Stop filling this in by hand