NY A00847

Commissioner of the Office for People with Developmental Disabilities and Commissioner of Health must jointly prepare a report on measures to prevent provider financial hardship and service disruption.

Report must include recommendations for protecting efficient providers operating below regional average rates from further rate reductions, accounting for disability severity differences.

Report must develop a rate adjustment methodology ensuring total prospective reimbursement covers all necessary program operating costs and accounts for revenue loss from program closures, absenteeism, and enrollment restrictions.

Report must recommend a prospective rate appeal process to increase rates during non-rebasing years, with successful appeals receiving retroactive reimbursement to the appeal submission date.

Report must identify Centers for Medicare and Medicaid Services approval requirements and outline implementation plan; due to legislative leadership by February 1, 2019.