November 7, 2023

Linked here is the OASAS transmittal letter to MCOs, etc. re: implementation of the April 1, 2023 4% COLA. 

Remember:  MCOs have 90 days from the date of the transmittal (11/6/23) to begin paying the new rates reflecting the 4% COLA, however they must pay you back to the effective date of the rate change (April 1, 2023).  

Dear Providers,

The New York State Division of Budget recently approved rate increases for OASAS Certified Treatment Providers.

The attached document was sent to the Medicaid Managed Care Plans notifying them of the changes and the expectation for reimbursement.

• MMC Plans have up to 90 days from the notification letter to update their systems with the rate changes.
• Plans are required to provide the additional reimbursement without further action of the providers.

Providers are encouraged to:

• Review the attached document which explains the rate increases and gives the effective date(s).
• Reach out to their plan representatives for status on system reconfiguration.
• Keep a spreadsheet of the impacted claims for any future reimbursement issues.

If you have further questions please email PICM@oasas.ny.gov

Thank you,