Updates & Analysis

On July 29th, CMS released two proposed Medicare 2020 payment rules: the Physician Fee Schedule (PFS), and the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System. On August 2nd, CMS released a final 2020 payment rule, the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital Prospective Payment System…

On July 30th, the Centers for Medicare and Medicaid Services issued a final rule to update the federal fiscal year (FY) 2020 Medicare payment rates for skilled nursing facilities (SNFs) under the prospective payment system. The rule also finalizes changes to the SNF Value-Based Purchasing Program and the Quality Reporting Program. Unless otherwise specified, the…

The New York State Office of Mental Health (OMH) has released guidance on the licensure process for providers designated to provide Other Licensed Practitioner (OLP) and Community Psychiatric Support and Treatment (CPST) services and for providers interested in pursuing designation for OLP and CPST. These services are part of the new single set of Children…

On August 1st, the New York State Office of Alcoholism and Substance Abuse Services released a Request for Applications (RFA) to support Behavioral Health Care Collaboratives (BHCCs) in addressing opioid use disorder (OUD) and ensuring that staff are trained to provide rapid OUD care. Up to $1.75 million in total funding will be allocated to…

On July 17th, the New York State Office of Mental Health (OMH) released a Notice of Adoption in the State Register establishing standards for providers seeking to offer the new single set of Children and Family Treatment and Support Services (CFTSS) to children with mental health needs. Such providers will require OMH licensure under a…

On July 3rd, the New York State (NYS) Office of Mental Health (OMH) released a Notice of Adoption in the State Register with final revisions to 14 NYCRR Part 596, which contains OMH’s regulations on Telemental Health Services (formerly called telepsychiatry services). These regulations: Expand the types of practitioners who can provide Telemental Health Services;…

On June 24th, the New York State Department of Health (NYSDOH) released a Fully Integrated Duals Advantage (FIDA) Demonstration Phase-out Plan, encompassing operational and policy aspects of the transition of FIDA members to affiliated Medicaid Advantage Plus (MAP) products. The plan provides new detail on the content and timeline NYSDOH will submit to CMS for…

On June 12th, the New York City Administration for Children’s Services (ACS) released a Request for Proposals (RFP) for organizations, including social service agencies and clinical providers, to engage and serve children and families who need the following types of foster care prevention services: Family Support (formerly referred to as “General Preventive”) Therapeutic and Treatment…

The New York State Legislature voted on a bipartisan basis to pass several health care related bills at the end of the 2019 legislative session, which concluded last week. Significant legislation passed by the Senate and Assembly, which will now be sent to Governor Andrew Cuomo for consideration, include: A bill preventing mid-year drug formulary…

On June 12th, the New York City Department of Education (DOE) Division of Early Childhood Education (DECE) released a Request for Proposals (RFP) for eligible high-quality Family Child Care Networks (“Networks”) to implement early childhood care and education programs for children. This RFP is the third in a series of RFPs that are part of…

The New York State Department of Health (DOH) is seeking organizations interested in presenting at its Medicaid Population Health Symposium, which will be held in New York City on November 18th and 19th. This Symposium will convene up to 800 leaders and stakeholders in New York’s Medicaid program for a two-day conference, which will include…

On May 30th, the Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau released a Notice of Funding Opportunity (NOFO) for the 2019 State Maternal Health Innovation (State MHI) Program. HRSA will allocate a total of $18.7 million annually across nine projects proposed by eligible organizations, in collaboration with a state or groups…