NYS DOH Releases Request for Proposals for Single FI

As providers recall, New York State passed a law at the end of this year’s budget season, establishing a single fiscal intermediary model for providing CDPAP services in New York State. The single fiscal intermediary would be selected by the State pursuant to a competitive bidding process, with the right to contract with certain other fiscal intermediaries to work as subcontractor fiscal intermediaries to the designated single fiscal intermediary.

New York State Budget Establishes 1 Lead FI for Entire NYS, Eliminating Almost all other FIs

The Budget negotiations are winding down in New York State and even though we have not yet received any final and official Budget language, last night, the Governor summarized the key provisions of the State’s upcoming FY budget (see minute 57 of the speech HERE for the relevant statements). As relevant to our readers, the Budget will include law that will consolidate almost all of the fiscal intermediaries.

NY Budget is Late. What’s Happening in Albany?

Once again, the New York State Budget is late. The deadline to finalize the State’s budget was April 1, but with the Easter holiday and so many major issues unresolved, it is not surprising that the Legislators and the Governor’s office have not come to a consensus on a number of issues. For home care, this year’s budget carries earth-shattering proposals for almost every sector of home care. Here, we discuss the status of these Budget negotiations as we know them.

Conflict of Interest Rules on LHCSAs, FIs, and MLTCs Going Forward in the Last Few Days of Budget Discussions

Drastic CDPAP Restructuring Moving Forward as Well

Perhaps frustrated by the difficulties of negotiating expensive healthcare priorities through the political process of the State Legislature, the State Department of Health (with the backing of the Governor’s office) has proposed to amend New York State law in significant ways related to LHCSA, FI, and MLTC common ownership, and to restructure the CDPAP in ways that would reduce the number of providers and patients receiving services in that program.

ASSEMBLY DISCUSSING COMPLETE RESTRUCTURING OF CDPAP PROGRAM THAT WOULD RESULT IN ELIMINATION OF THIS BUSINESS ALMOST ENTIRELY FOR ALL EXCEPT 1 FI PROVIDER

Multiple sources have reported hearing about a “leaked” proposal last night from high-ranking Assembly officials that would significantly restructure the Consumer Directed Personal Assistance Program (CDPAP), in effect eliminating it for almost all providers.

A DAY IN ALBANY, LOBBYING

The one-house Budget rejections of the Governor’s proposals have left everyone guessing as to where the “dust will settle” as far as the DOH and Governor proposals about CDPAP, the RFO, elimination of MLTCs, wage parity, and other topics. This past week, I met with Legislative representatives alongside the New York Home Care Association and spoke to them about where these proposals stand, and if they are likely to pass.

COUNTDOWN TO FINAL BUDGET
WHERE DOES HOME CARE STAND?

A few days ago, the two houses of the Legislature released their “one-house budget bills.” These documents outline the Legislature’s position on Governor Hochul’s budget proposals for fiscal year FY 2024-2025, which would begin on April 1, 2024.  The Governor unveiled her budget proposals in January 2024, and her 30-day amendments followed with significant proposals for LHCSAs, FIs and MLTCs. In this article, we summarize the Legislature’s position on the Governor’s proposals and then offer some predictions and updates.