April 14, 2022
Here is what we heard this morning:
1) The link below lists some of the many OMH rate changes due to eFMAP & OMH will be updating this info to include COLA @5.4% shortly. Will also be updating to reflect residential housing rate changes shortly.
OMH Outpatient Clinic rate changes
Outpatient Clinic Increases are composed of: 5.4% COLA increase (permanent – increases APG base rates) + 5% eFMAP increase (permanent, increases APG base rates) AND for 8 months, another 10% increase (temporary workforce increase that increases APG base rates).
So, it’s 10.67% (when compounded) that is permanent PLUS another 10% for 8 months (retro to January and ending September). NOTE: In September clinic rates will change (decrease) to reflect the end of 8 month temporary increase.
Funds NYS Council advocated to be returned to OASAS and OMH from MCOs failure to meet expenditure targets will be used to make the permanent 5% eFMAP increase (discussed above) that would otherwise have been temporary, permanent. FYI: Our efforts resulted in OMH getting back $74M state share that grosses to $148M; OASAS got back $37M state share that grosses to $74M = $222M total for MH and SUD systems of care.
Healthcare Workforce Bonuses (enacted as part of new state budget)
Up to $3,000/employee. See language re: eligible employees.
This is a multi-state agency initiative and so (internally) state leaders are meeting to iron out implementation across the healthcare landscape.
Can be distributed to staff over time – does not have to go out from your agency as lump sum payment to staff.
Eligible if earn less than $125k and meet other eligibility requirements in terms of vesting, job title.
eFMAP Rate Changes
Permanent rate changes include: PROS (10%) ACT (5%) and Community Residences (5%), effective 4/1/2022 – all have been approved by CMS and are retro to October 1, 2021.
Note: There are additional rate increases coming for OMH housing providers beyond this amount.
COLA (enacted as part of new state budget)
5.4% – mostly rate changes (CR’s not Medicaid funded but will get $65M.)
Health Home+ is eligible. DOH regulated HHCM not included. NYSSHP (overseen by OTDA) not included.
There is some deficit funding (state aid) in ACT but the 5% increase (mentioned above) is only on the Medicaid portion of the ACT rates.