DOH Monthly Briefing – Finance – August 2017

Carl J. Pucci in Finance & Reimbursement

DOH held its monthly briefing earlier today. The following is a brief summary of the topics discussed:

Rate Package Update 

  • 7/1/17 Rates – updated for the 1/1/17 case mix collections, have been approved by DOB are scheduled to be paid in Medicaid cycle 2084, with a check release date of 8/17/17. The estimated statewide impact of the 1/1/17 CMI increase approximates $30M.
  • 2018 Notice Rates – are expected to be posted by 9/1/17, which would allow additional time for this year’s capital attestation process.
  • Benchmark Rates – DOH has acknowledged the importance of prompt updates to the benchmark rates. They indicated the July 2017 benchmark rates would be updated within the next two weeks, so as to parallel processing of the 7/1/17 rates by EMEDNY (see above).
  • 2014 MDS Audits – Final reports have been issued, closing the OMIG 2014 audit process.

Equity Withdrawal

DOH is consulting with its’ internal legal staff regarding questions raised concerning the Department’s revised draft Equity Withdrawal form, including the treatment of income tax payments. Among other things, NYSHFA is strongly advocating for the exclusion of income tax payments from the equity withdrawal requirements, citing recent legal decisions. DOH and DLA (Division of Legal Affairs) are in process of redrafting the DAL and accompanying Equity Withdrawal form and again will share with NYSHFA and the other Associations prior to release.

Minimum Wage Survey

DOH reviewed the Associations edits and recommendations to the draft minimum wage survey which they hope to release by week’s end. DOH estimates giving providers 2 – 3 weeks for completion, with no extensions being allowed.

Universal Settlement (US)

The third Universal Settlement installment package is at DOB. No timeline for approval and subsequent payment was given.

1% Restoration

NYSHFA continues to work with AHCA in efforts to securing approval by CMS of New York’s State Plan Amendment which would provide a 1% increase in Medicaid reimbursement rates for SNFs, retroactive to 4/1/14. DOH provided no further update regarding status of the 1% restoration at today’s briefing.

Capital Webinar

Following the Capital Webinar last month, draft FAQ’s will be sent to the Associations in advance of posting, with the goal of releasing to providers later this month.

NYSHFA will keep members updated on these issues going forward.


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