Updates & Analysis

On April 22nd, the Centers for Medicare and Medicaid Innovation (CMMI) released a set of five new payment models. The expectation of these models is to transform payment for 25% of Medicare primary care physicians by providing new opportunities to use value-based purchasing in Medicare, and by better aligning the original FFS Medicare program with…

The Mother Cabrini Health Foundation is a new $3.2 billion New York health foundation that aims to improve the health and well-being of vulnerable New Yorkers, bolster the health outcomes of diverse communities, and eliminate barriers to care. The Cabrini Foundation plans to grant up to $150 million annually to support not-for-profit organizations that sponsor…

The New York City Department of Education (DOE) Division of Early Childhood Education (DECE) has released two Request for Proposals (RFP) for eligible early childhood care and education programs to implement services for children aged 0 to 5. Under these RFPs, which are part of the State’s effort to develop a unified birth-to-five service system,…

On April 1st, the Centers for Medicare and Medicaid Services (CMS) issued a final Rate Announcement and Call Letter for CY 2020. These documents establish various policy and payment updates for Medicare Advantage (MA) plans, Prescription Drug Benefit (Part D) plans, and Programs of All-Inclusive Care for the Elderly (PACE). The finalized policy changes are…

On April 1st, the New York State Department of Health (DOH) released a Request for Proposals (RFP) for qualified health care entities interested in partnering with the State to participate in the Integrated Care for Kids (InCK) Notice of Funding Opportunity issued by the Center for Medicare and Medicaid Innovation (CMMI) in February. Entities will…

On March 18th, the Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services (CMHS) released a Request for Proposals (RFP) for the Transforming Lives Through Supported Employment program. This program will provide seven awards of up to $800,000 each to eligible organizations who implement evidence-based supported employment programs. Programs should aim…

Over the last month, New York State has released several updates pertaining to the Children’s Medicaid System Transformation. These include: Changes to the timeline for certain components of the transformation, including the carve-in of the foster care population; Medicaid/eMedNY enrollment requirements for providers of children’s Home and Community Based Services (HCBS) as well as Children…

On March 6th, the New York State Department of Health (DOH) Bureau of Social Determinants of Health released a Request for Applications (RFA) to re-procure and expand the Olmstead Housing Subsidy (OHS) Program. Under this RFA, DOH will allocate up to $35.5 million in total funding over five years to one applicant to provide rental…

On February 21st, the Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Substance Abuse Treatment (CSAT) released a Request for Proposals (RFP) for the Fiscal Year 2019 Minority AIDS Initiative. Through this initiative, approximately $12 million in total funding will be awarded to eligible organizations to provide direct services targeted towards racial and…

On February 19th, the federal Substance Abuse and Mental Health Services Administration released a Request for Proposals (RFP) for the federal fiscal year 2019 Linking Actions for Unmet Needs in Children’s Health Grant Program (Project LAUNCH). Through this initiative, over $12 million in total funding will be awarded to eligible organizations that promote the wellness…

On February 20th, the New York State Office of Mental Health (OMH) re-released a proposed rule establishing standards for providers seeking to offer the new single set of Children and Family Treatment and Support Services (CFTSS). Such providers will require OMH licensure under a new category, that of Children’s Mental Health Rehabilitation Services (CMHRS) program.…

The New York State (NYS) Department of Health (DOH) has released a special edition of the Medicaid Update to announce expanded coverage of telehealth services for DOH-regulated providers and practitioners. Coverage is being extended to include: Additional originating and distant sites; Additional telehealth applications (store-and-forward technology); and Additional practitioner types. The update also provides billing…