DOH Posts 1/1/19 Notice Rates

Carl J. Pucci in Finance & Reimbursement

DOH has posted the 1/1/19 Notice Rates, which are provided on the HCS new application, the Healthcare Financial Data Gateway. 

Note: the 1/1/19 rates include a 1.5% increase to the operating component as part of the Health Care Transformation Fund (line 13 of the Medicaid rate sheet). As you are aware, securing an increase in the operating rate has been a long standing priority of NYSHFA. As such, NYSHFA actively worked with the Executive, DOB and DOH to secure this increase. 

In addition, the rates include the 2019 capital component, however do not yet include the July 2018 Case Mix adjustment, which will be updated in the final published 1/1/19 rate. 

Below is the DOH notification:

NYS Department of Health

Office of Health Insurance Programs

Bureau of Residential Health Care Reimbursement

January 1, 2019 RHCF and ADHC Notice Rates 

Dear Administrator: 

Attached, please find a Dear Administrator Letter that provides you with information about your draft preliminary residential health care facility (RHCF) and medical adult day health care (ADHC) Medicaid reimbursement rates for the period commencing January 1, 2019. 

Please note the notice rates are provided on the Health Commerce System (HCS) new application (Healthcare Financial Data Gateway). The operating and capital rates are considered draft and the Department may make changes based upon review of additional information. These rates are posted on the Gateway directly under the posting of this DAL under Facility Reports. The preliminary calculations are not subject to appeal at this time. Appeal submissions will be accepted following the final published January 1, 2019 rates. 

If you have questions regarding the rates please send an email with “2019 NF Rate Inquiry” in the subject line to nfrates@health.ny.gov and Jada Eberle or Cindy Treis will respond to your inquiry. 

Thank you

Attached is the DAL with additional details. 

NYSHFA CONTACT: 

Carl J. Pucci
Chief Financial Officer
518-462-4800 x36