DOH Suspends CMI Recoupments

Carl J. Pucci and Stephen Hanse in Finance & Reimbursement

Following up on our meeting yesterday with the State regarding our preliminary injunction, NYSHFA is pleased to report that recoupments have been suspended for provider adjustments associated with the recently released July 1, 2019 rates. Managed Care plans have also been notified that the recently released July 1, 2019 benchmark rates have been removed from the Department of Health website until further notice. Consistent with past practice, the Department will be releasing a Dear Administrator Letter providing notice to nursing homes regarding the timeline for calculation of new July 1, 2019 rates using the prior Case Mix calculation methodology.

Attached is the DOH notice.

NYSHFA/NYSCAL CONTACTS:

Carl J. Pucci
Chief Financial Officer
518-462-4800 x36

Stephen B. Hanse, Esq.
President & CEO
518-462-4800 x11