January 10, 2023

Below is the note from OASAS and attached is the transmittal to insurers re:  mandatory 5.4% COLA for eligible OASAS providers, effective April 1.  

From: OASAS Executive Office <ALL-PROVIDERS-L@LISTSERV.OASAS.NY.GOV> On Behalf Of OASAS.sm.Communications
Sent: Tuesday, January 10, 2023 10:34 AM
To: ALL-PROVIDERS-L@LISTSERV.OASAS.NY.GOV
Subject: Statutory 5.4% Human Services COLA for OASAS Services – effective 4-1-22
Importance: High

Dear Providers:

Attached please find a notification that is being sent to all Medicaid Managed Care plans simultaneously with this notification. The letter has been sent to MMC plans, including Mainstream MMC plans, HIV Special Needs Plans (HIV SNPs), and Health and Recovery Plans (HARPs).

The NYS Division of the Budget has approved a Medicaid rate package to establish new levels of reimbursement for several Office of Addiction Services and Supports (OASAS) programs.  These rate increases are based on the statutory 5.4% Human Services COLA supported in the SFY 22/23 NYS Budget and are effective 4-1-22. See attached letter with full details and links.

If you have billed fee-for-service Medicaid for any of these services, those rates will be adjusted in eMedNY and you will automatically receive a retroactive payment for these rate increases.  In the attachment, the plans are instructed to the do the same for any claims you have submitted to them under Managed Medicaid, but you may need to do some follow-up with some, or all, of the plans you contract with.

Please address any questions to PICM@oasas.ny.gov.

Communications Department

NYS Office of Addiction Services and Supports (OASAS)