NY A10501

Direct the Commissioner of the Office for People with Developmental Disabilities and Commissioner of Health to jointly prepare a report with recommendations on rate-setting and provider financial stability by February 1, 2017.

Recommend measures to protect efficient providers operating below regional average rates from further rate reductions, accounting for disability severity differences.

Develop a rate adjustment methodology ensuring providers' total prospective reimbursement equals total program costs, including examination of whether rate calculation units reflect actual service delivery.

Recommend a prospective rate appeal process allowing rate increases during non-rebasing years, with retroactive reimbursement to the appeal submission date for successful appeals.

Identify elements requiring Centers for Medicare and Medicaid Services approval and provide a plan for obtaining such approval.