New York Postpones Transition of Pharmacy Benefit for Two Years

April 8, 2021

  New York health care providers with significant Medicaid populations, such as federally-qualified health centers and hospitals, have been given a major reprieve from the imposition of the Medicaid pharmacy benefit transition from managed care (MMC) back to fee-for-service (FFS), which was scheduled to take effect on May 1, 2021.   On Tuesday, April 6th, New …

New York Budget Requires Nursing Homes Spend 70% Of Revenue On Direct Resident Care

April 7, 2021

  Under the recently passed New York State Budget for Health and Mental Hygiene (A3007C/S2507C) and beginning January 2022, New York State residential health care facilities will be required to spend at least 70% of their revenue on direct resident care, with 40% of revenue focused on resident-facing staffing (“Minimum Spending Requirements”).  For example, if …

Change Is Coming: Proposed Legislation Amends Quality Assurance Activities For Adult Care Facilities

March 16, 2021

  In an effort to prioritize and increase infection control in adult care facilities, SB 1784A and AB 5846 were introduced in the New York State Legislature.  If enacted, Section 461-a of the Social Services Law will be amended to require adult care facilities to institute quality improvement committees that do the following: Include the …

CMS Revises Nursing Home Visitation Guidance

March 11, 2021

  On March 10, 2021, the Centers for Medicare and Medicaid Services’ Center for Clinical Standards and Quality  revised its visitation guidance for nursing homes (https://www.cms.gov/files/document/qso-20-39-nh-revised.pdf),  taking into account the impact of COVID-19 vaccinations.  While continuing to emphasize the importance of maintaining infection prevention practices, given the continued risk of COVID-19 transmission, CMS has clarified …

NYS Proposed Legislation Could Impact Nursing Homes

  Two bills that have recently passed the New York State Assembly propose strict new requirements and prohibitions that would greatly impact the ownership and operation of nursing homes in New York.  Bills A5842 and A5684A propose broad notice and disclosure requirements on nursing homes, and impact the establishment of new nursing homes.  The bills …