December 31, 2019
Today’s NYS Register includes a PUBLIC NOTICE on page 101 https://www.dos.ny.gov/
“Effective for dates of service on or after January 1, 2020, through March 31, 2020, and each State Fiscal Year thereafter, all non-exempt Department of Health state funds Medicaid payments will be uniformly reduced by 1.0%.”
The State Register entry goes on to say:
“…Medicaid payments that will be exempted from the uniform reduction include:
- Federally Qualified Health Center services
- Indian Health Services and services provided to Native Americans;
- Supplemental Medical Insurance – Part A and Part B;
- State Contribution for Prescription Drug Benefit (aka Medicare Part D payments);
- Any local share cap payment required by the Federal Medical Assistance Percentage (FMAP) increase legislation;
- Required payments related to the School Supportive Health Services Program and Preschool -Supportive Health Services Program;
- Services provided to American citizen repatriates;
- Payments pursuant to the mental hygiene law;
- Court orders and judgments; and
- Hospice Services…”
There is more information in the Notice than what we have excerpted (above).
Again, this is a PROPOSAL that is embedded in today’s State Register indicating New York’s intention to amend a SPA proposal. The public is entitled to comment on the proposal.
We have confirmed that the reductions discussed in the Notice would apply to DOH providers as discussed in the chart below. Note: Payments where applying the rate reduction would result in a lower FMAP as determined by the Commissioner of Health and the Director of the Budget will also be exempt.
Please note: We are working to fully comprehend the implications of the Notice in today’s State Register. We will have more shortly. Until then please do not make any financial decisions based on the information we’ve shared to date on this matter.
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