Agency Member Application

Agency Information

Agency Membership Dues

  Dues Amount: $420.00 (Total Salary: $0-80,000)
  Dues Amount: $905.00 (Total Salary: $80,001-240,000)
  Dues Amount: $1,555.00 (Total Salary: $240,001-400,000)
  Dues Amount: $2,185.00 (Total Salary: $400,001-700,000)
  Dues Amount: $2,820.00 (Total Salary: $700,001-1,000,000)
  Dues Amount: $3,455.00 (Total Salary: $1,000,001-2,000,000)
  Dues Amount: $4,085.00 (Total Salary: $2,000,001-3,000,000)
  Dues Amount: $4,715.00 (Total Salary: $3,000,001-4,000,000)
  Dues Amount: $5,215.00 (Total Salary: $4,000,001-5,000,000)
  Dues Amount: $5,710.00 (Total Salary: $5,000,001-6,000,000)
  Dues Amount: $6,195.00 (Total Salary: $6,000,001-7,000,000)
  Dues Amount: $6,680.00 (Total Salary: $7,000,001-8,000,000)
  Dues Amount: $7,865.00 (Total Salary: $8,000,001-10,000,000)
  Dues Amount: $10,200.00 (Total Salary: $10,000,001-12,000,000)
  Dues Amount: $12,540.00 (Total Salary: $12,000,001-Up)

*Dues are based on the total of salaries only, paid by the agency as reported on your most recent CFR-2 and CFR-4 schedules. Step 1 in calculating dues: Refer to Column 1, Cost Code 31999 of the CFR-2. Subtract Column 5, Cost Code 31999 (SED) from your column 1 Total. Step 2: Use your Agency’s CFR-4 to add salaries for all adult VESID programs to the total in Step 1. Step 3: Use your grand total against the dues amount listed above to select your dues amount. If your agency does not use a CFR, please use your total agency operations to compare against the dues amount listed below.

Agency Demographics

 For Profit
 LLC
 Not-for-profit
 Brooklyn, Queens Region
 Buffalo Region
 Greater Binghamton Region
 Greater Rochester Region
 Hudson Valley Region
 Long Island Region
 Manhattan, Staten Island & Bronx Region
 North Country Region
 Syracuse-Utica Region
 Alcohol/Substance Abuse
 Deaf/Hard of Hearing/Deaf Blind
 Developmental Disabilities
 HIV/AIDS
 Learning Disabilities
 Mental Health
 Other
 Physical Disabilities
 Spectrum Disorders
 Traumatic Brain Injury
 Visual Disabilities
 ACCES VR-CB
 Medicaid - DOH
 Medicaid - OASAS
 Medicaid - OMH
 Medicaid - OPWDD
 Other
 State Funds

Management Contacts

NYSRA Policy Councils

Let us know which Policy Council you would like to receive information about. This includes receipt of information effecting the provision of services and announcements on upcoming NYSRA Council meetings and events.

  Employment Council
  Managed Care Council

Member Communications

As primary contact your email address will be added to our member e-list to receive member information. You can also add staff to this e-list and to the Councils e-communication lists.

  Member E-Communications List
  Employment Council
  Managed Care Council
  Member E-Communications List
  Employment Council
  Managed Care Council
  Member E-Communication List
  Employment Council
  Managed Care Council
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