NY A10506

Medicaid managed care organizations must reimburse home care aide providers at no less than the current average fee-for-service county rates for level two personal care services in each region

Commissioner of Health may alternatively establish a regional minimum hourly base reimbursement rate based on total direct care costs, provided it equals or exceeds the fee-for-service rate

Managed long-term care plans offering contracts below the established reimbursement rate must submit justification reports to the department within five working days, with affected providers given 30 days to respond

Commissioner must ensure Medicaid managed care rate ranges are actuarially sound to comply with the new reimbursement requirements

Providers and payers may mutually agree to rates higher than the minimum or enter into value-based contracts at lower rates