On August 26th, the New York State Department of Health (DOH) released a notice that clarifies recent changes to Medicaid rates for various children/youth services, including:
- Children and Family Treatment and Support Services (CFTSS);
- Children’s Home and Community Based Services (HCBS); and
- Health Homes Serving Children (HHSC).
Although the New York State FY 2021 Enacted Budget implemented an across-the-board Medicaid service cut of 1.5%, these services are partially or fully exempt, as follows:
- CFTSS and Children’s HCBS are fully exempt. In addition, the Budget extended the temporary 11 percent rate increase for CFTSS fee-for-service and managed care payments from April 1, 2020 through March 31, 2022.
- HHSC fee-for-service payments were subject to the 1 percent reduction for dates of service between January 1, 2020 through March 31, 2020. For an April 1, 2020 date of service, they were subject to the full 1.5 percent reduction. However, effective April 2, 2020, HHSC fee-for-service payments are exempt from the Medicaid payment reductions.
Medicaid Managed Care (MMC) Plans are mandated to pay State rates for these services and should refer to the DOH’s May 27, 2020 notice “Reminder: State Mandated Provider Rates vs. MMC ATB.”
The announcement is attached. These rates are considered draft rates until approved by the Division of Budget and/or the Centers for Medicare and Medicaid Services. Questions should be submitted to BH.Transition@health.ny.gov.