Change to Payment of Behavioral Health Services

November 21, 2019

  On November 8, 2019, the New York State Legislature passed an amendment positively impacting the reimbursement made by Medicaid managed care plans and managed long-term care plans to behavioral health providers. If you are a behavioral health provider and receive reimbursements from a Medicaid managed care plan or a managed long-term care plan at …

New York Department of Health Proposes Rule to Amend Licensed Home Care Services Agencies Regulations

November 18, 2019

  A proposed rule was issued on November 6, 2019 to amend regulations regarding the approval of Licensed Home Care Service Agencies (“LHCSAs”). To comply with changes made to the Public Health Law in 2018, Subpart 765-1 of Title 10 NYCRR must be updated to include the new requirements of public need review and financial …

“Key Persons” Added To Several NPCL Provisions

  On November 8, 2019, the New York State Legislature passed an amendment to the Not-for-Profit Corporation Law (“NPCL”), which took effect immediately, adding “key persons” to the list of persons to whom certain provisions in the law apply. Therefore, New York Not-for-Profit corporations may need to revise their corporate bylaws and certain policies, including …

Major Change to Office of Professions Procedure

November 14, 2019

  The New York State Education Department (“SED”) has implemented a major procedural change, requiring that new professional practice entities submit an affidavit to SED when applying for Certificates of Authority to operate in New York State (whether in connection with original formation or foreign qualification to do business in New York). SED’s new process also …

DOH Revises Methodology for Case Mix Adjustment

October 31, 2019

  Challenged by Nursing Homes On October 9, 2019, New York State Department of Health (DOH) announced that it will be implementing a new methodology for adjusting nursing home Medicaid reimbursement rates, commonly referred to as the “case mix adjustment.” The revised methodology will apply retroactively to July 1, 2019. Under DOH’s revised methodology, adjustments …