Updates & Analysis

On November 2nd, the Centers for Medicare and Medicaid Services (CMS) issued a final rule to update 2018 Medicare payment rates under the Physician Fee Schedule (PFS) and other Medicare Part B payment policies for 2018. Provisions of the final rule include, but are not limited to: telehealth, biosimilars, the Medicare Diabetes Prevention Program (MDPP),…

On November 3rd, the New York City Department of Health and Mental Hygiene released a Request for Proposals (RFP) for the development and operation of Intensive Mobile Treatment (IMT) teams. The IMT model provides mobile, flexible, and interdisciplinary treatment to adults in New York City who have frequent contact with the mental health, criminal justice,…

Children’s State Plan Amendment (SPA) rehabilitative services are offered under the Early and Periodic Screening and Diagnostic Testing (EPSDT) benefit to Medicaid-enrolled individuals under the age of 21. As part of the Children’s Medicaid System Transformation, starting July 1, 2018, New York State intends to implement six new SPA services. These new services are: Other…

On November 1st, the Centers for Medicare and Medicaid Services (CMS) issued a final rule that will update Medicare payment rates for home health agencies (HHAs) in CY 2018 and update the Home Health Quality Reporting Program (HH QRP) requirements for CY 2020. For CY 2018, CMS estimates that the final rule will result in…

On November 2nd, the Centers for Medicare and Medicaid Services (CMS) issued a final rule that will implement changes to the Quality Payment Program (QPP). As required by the Medicare Access and CHIP Reauthorization Act (MACRA), base payment rates for services under the Physician Fee Schedule will remain at 2019 levels through 2025, but beginning…

On October 27th, the New York State Department of Health released a Request for Applications (RFA) for organizations to provide services through the Successfully Transitioning Youth to Adolescence (STYA) Initiative. A total of approximately $3.5 million in annual funding will be awarded to 20-25 organizations to develop community-based programs that incorporate mentoring, counseling, and adult-supervised…

On October 26th, the New York State Office of Alcoholism and Substance Abuse Services (OASAS) released a request for applications (RFA) for organizations to develop and operate up to 75 Medically Supervised Withdrawal and Stabilization beds throughout New York State. Up to $10 million in capital funding and $2.25 million in annual ongoing operational funding…

On October 19th, the New York State Office of Alcoholism and Substance Abuse Services (OASAS) released a Request for Proposals (RFP) for up to $250,000 annually ($1 million total) for not-for-profit organizations to develop and operate four Youth Clubhouses in New York City in each borough outside Manhattan. Youth Clubhouses aim to serve adolescents (ages…

On October 3rd, the New York City Human Resources Administration’s Division of Customized Assistance Services released a Request for Proposals (RFP) for the Wellness, Comprehensive Assessment, Rehabilitation, and Employment (WeCARE) Program. Approximately $170 million in total funding over three years is available through this RFP for qualified applicants to operate and implement an enhanced design…

New York State is hosting a series of webinars to discuss the various components of the Transition Plan for the Children’s Medicaid System Transformation. The State held a webinar on September 18th to discuss details of the Plan, including upcoming tasks and responsibilities for providers in preparation for the transition. The slides from the webinar…

On September 12th, the New York State Department of Health released the draft of the Managed Long Term Care (MLTC) Clinical Advisory Group (CAG) Report for 2017 for public comment. As part of New York State’s commitment to transitioning at least 80 percent of managed care payments to value-based payment (VBP) arrangements by 2020 as…

On September 7th, the New York City Department of Health and Mental Hygiene, in collaboration with Public Health Solutions, released a Request for Proposals (RFP) to expand access to buprenorphine treatment in primary care. Over $1 million in total annual funding will be provided through this RFP for primary care practices to use a Nurse…