July 8, 2020

PUBLIC NOTICE

Department of Health

Pursuant to 42 CFR Section 447.205, the Department of Health and the Office of Alcoholism and Substance Abuse Services hereby gives

public notice of the following:

The Department of Health proposes to amend the Title XIX (Medicaid) State Plan for non-institutional services to comply with Title 14 NYCRR, Chapter XXI, Part 816 and Part 841. The following changes are proposed:

Non-Institutional Services

Effective on or after September 1, 2020 the New York State Office of Addiction Services and Supports (OASAS) will move its freestanding Medically Supervised Outpatient Withdrawal and Stabilization (MSOW) programs from a threshold visit fee to the Ambulatory Patient Groups (APG) payment methodology. Currently freestanding MSOW programs are paid a regional fee for each threshold visit. The new freestanding MSOW APG base rates will be set at the same level as those used for freestanding OASAS chemical dependence clinic

services, differentiated by region using the same APG regions used for OASAS CD clinics.

The estimated annual net aggregate decrease in gross Medicaid expenditures attributable to this initiative contained in the budget for state fiscal year 2020/2021 is ($803,315).

Effective on or after September 1, 2020 the New York State Office of Addiction Services and Supports (OASAS) will move its hospital based Medically Supervised Outpatient Withdrawal and Stabilization (MSOW) programs from a threshold visit fee to the Ambulatory Patient Groups (APG) payment methodology. Currently hospital based MSOW programs are paid a frozen provider-specific threshold visit fee based on their 1995 reimbursement level. The new hospital based MSOW APG base rates will be set at the same level as those used for hospital-based OASAS chemical dependence clinic services, differentiated by region using the same APG regions used for OASAS CD clinics.

For hospital programs, the estimated annual net aggregate increase in gross Medicaid expenditures attributable to this initiative contained in the budget for state fiscal year 2020/2021 is $98,164.

The public is invited to review and comment on this proposed State Plan Amendment, a copy of which will be available for public review

on the Department’s website at http://www.health.ny.gov/regulations/ state_plans/status. Individuals without Internet access may view the State Plan Amendments at any local (county) social services district. For the New York City district, copies will be available at the following places:

New York County

250 Church Street

New York, New York 10018

Queens County, Queens Center

3220 Northern Boulevard

Long Island City, New York 11101

Kings County, Fulton Center

114 Willoughby Street

Brooklyn, New York 11201

Bronx County, Tremont Center

1916 Monterey Avenue

Bronx, New York 10457

Richmond County, Richmond Center

95 Central Avenue, St. George

Staten Island, New York 10301

For further information and to review and comment, please contact:

Department of Health, Division of Finance and Rate Setting, 99

Washington Ave., One Commerce Plaza, Suite 1432, Albany, NY

12210, e-mail: spa_inquiries@health.ny.gov