DOH Monthly Briefing - Finance - November 2017

Carl J. Pucci in Finance & Reimbursement

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

Minimum Wage Survey – Contracted Staff

DOH is finalizing contracted staff survey data, and related facility per diem add-ons will be included in the January 1, 2018 rates. DOH will share the statewide minimum wage impacts for both non-contract and contracted staff with the Associations once finalized. DOH is formulating the 2017 minimum wage payment reconciliation to facilities, and will initiate this process sometime during the First Quarter 2018. A further survey and/or attestation by providers may be required.

Capital Attestation

DOH reported that 587 facilities attested their 2018 capital rate with 23 still outstanding. The 1/1/18 rate package containing the attested capital rates will proceed to DOB the first week in December, as planned. Seventeen facilities have had their attestations denied, and all have been notified by DOH.

Advanced Training Initiative (ATI)

The third year of ATI funding is slated for early 2018. NYSHFA remains in active discussions with DOH related to various funding methods currently under consideration. The SNF eligibility methodology centered around statewide median employee retention rates remains unchanged.

2014 OMIG Audits

The 2014 OMIG audits have been finalized, and retroactive adjustments made via cycle #2097. The respective rates (7/1/14 and 1/1/15) have been posted to the HCS.

Nursing Home Remittance Reports

With the discontinuance of the FMG FoxPro Reports, DOH is seeking an alternative software solution and has put such a request into EMEDNY. No further timetable has yet been provided by DOH. Although the weekly remittance report includes recoupment detail, the Associations again stressed the unavailability of retroactive adjustment details during this time.

2016 CRA Reconciliation

The 2016 Cash Receipt Assessment Reconciliation is expected to be finalized during Fourth Quarter 2017. The Associations continue to advocate for an update to the 2014 billing per diem.

NYSHFA will keep members updated on these issues going forward.


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