Weekly Health Care Policy Update – June 3, 2022

June 11, 2022

In this update: 

  • Covid-19 Updates
    • Pfizer/BioNTech Apply for EUA for Kids Six Months to Five Years
    • CMS Launches Medicaid Redetermination Landing Page for Beneficiaries
  • Federal Agencies
    • CMS Releases Proposed Rule on 2023 Basic Health Program Payment Methodology
    • CMS Extends Deadline for States to Expend Enhanced HCBS Funds, Eases Reporting Requirements
    • FDA Issues Small Entity Compliance Guidance for Importation of Prescription Drugs
    • HHS Establishes ARPA-H Within NIH, Names Acting Deputy Director
    • Biden Administration Announces Establishment of Office of Environmental Justice
    • HHS Issues Recommendations on Care for Children with Special Health Care Needs
    • HHS Announces 2023 Medicare Part B Premium Adjustment
    • CMMI Evaluation of Independence at Home Model Finds 18% Cost Reduction in 2020
  • Other Updates
    • Medicare Board of Trustees Projects Part A Fund to Last Until 2028
    • Study Links Nurse Staffing with Sepsis Mortality Risk in Hospitalized Patients
    • AHA Asks DOJ for Medicare Advantage Fraud Task Force Including Civil and Criminal Penalties
    • Study Finds HAIs Increased During Pandemic’s Second Year
  • New York State Updates
    • Governor Hochul Extends Disaster Emergency Due to Health Care Staffing Shortages
    • OPWDD Releases 2023-2027 Draft Strategic Plan
    • DOH and OPWDD Release Guidance Documents Related to Service Transfers Between Agencies
    • DOH, OMH, and OASAS Release Guidance on Behavioral Health Carve-In to MAP
    • DOH and State Agency Partners Release Telehealth Consumer Survey
  • Funding Opportunities
    • SAMHSA Issues NOFO For Innovative Community Crisis Response Partnerships
    • HHS Issues FY 2022 NOFO for Demonstrations to Promote Equitable Access to Language Services
    • HHS Issues NOFO for Community-Driven Approaches to Addressing Structural Racism in Public Health
    • HRSA Issues Additional FY 2023 FQHC Service Area Competition
    • NYS Announces 2022 Regional Economic Development Council Initiative
    • NYC DSS Issues Congregate Supportive Housing Open-Ended RFP

Covid-19 Updates

Pfizer/BioNTech Apply for EUA for Kids Six Months to Five Years
On May 23rd, Pfizer and BioNTech submitted a request to the Food and Drug Administration (FDA) for Emergency Use Authorization (EUA) of its Covid-19 vaccine for children six months of age through five years. The three milligram, three-dose regimen was well-tolerated in a trial of 1,678 children, with vaccine efficacy of 80.3% while omicron was the predominant variant. The dosing for this age group is one-tenth the strength given to adults, and about one-third the strength given to kids ages five to 11. No new safety signals were identified in the study. The FDA’s vaccine advisory committee will meet on June 15th to discuss the application.
 
CMS Launches Medicaid Redetermination Landing Page for Beneficiaries
The Centers for Medicare & Medicaid Services (CMS) continues to prepare for the eventual end of the Covid-19 public health emergency (PHE), although it is now expected to end no earlier than October 13th and likely to last through 2022. Last week, CMS launched a new landing page on Medicaid.gov specifically for Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries as they go through the redetermination process. The page provides links to each state’s Medicaid office and guidance on what they need to do in redeterminations and directs those who will no longer qualify for Medicaid to information about Marketplace plans.

The new landing page is available here.

Federal Agencies

CMS Releases Proposed Rule on 2023 Basic Health Program Payment Methodology
On May 25th, CMS issued a proposed rule to establish the payment methodology for the Basic Health Program (BHP) in 2023. The BHP is a provision of the Affordable Care Act (ACA) which allows states to offer coverage to people with incomes under 200% of the federal poverty line (FPL) who are not eligible for Medicaid. In New York, the BHP is called the Essential Plan and offers a $0 monthly premium for coverage that bears similarities to Medicaid coverage, such as including dental and vision without cost sharing.
 
Under the ACA, BHP payments to states must equal 95% of the value of the federal premium tax credit and the cost-sharing reductions that would have been provided to BHP enrollees if they had instead enrolled in a Qualified Health Plan (QHP) on the Exchange. States have the option to use the current year or the prior year QHP premiums as the basis for this calculation for greater predictability. They may also choose to implement a retrospective health risk adjustment as part of the methodology.
 
This year, CMS has proposed three new provisions on which it is seeking comment: 

  • A new Section 1332 waiver adjustment factor, which will adjust federal BHP payments for states with a Section 1332 waiver for QHPs to match the level that would have been provided to the state if they did not have such a waiver. This currently applies to Minnesota, whose Section 1332 waiver is a reinsurance program that reduced premiums on average by 21.3% in 2021. Because the BHP reimbursement is tied to the premium cost of QHPs, Minnesota’s federal BHP reimbursements were reduced by a similar amount. However, they will no longer be reduced if this proposal is finalized. This may allow states to pursue these and other types of Section 1332 waivers without disrupting BHP programs.
  • If a State’s Section 1332 waiver status changes significantly (new waiver, end of a waiver, or a change of more than 5% in the amount that would be paid), States may not elect to use their prior year payments to determine BHP funding.
  • An adjustment to allow CMS to retroactively revise states’ BHP funding in case of an error. CMS found a mathematical error in its calculation of the 2019 BHP funding which significantly reduced BHP funding to states (by about 4 percent).

The proposed rule’s text is available here and is open for comment through 5pm on June 24th.
 
CMS Extends Deadline for States to Expend Enhanced HCBS Funds, Eases Reporting Requirements
Today (June 3rd), CMS issued a State Medicaid Director letter that updates reporting guidance and extends the deadline for spending funds attributable to the 10 percent enhanced Federal Medical Assistance Percentage (FMAP) for home and community-based services (HCBS) which was included in the American Rescue Plan. Changes include:

  • States have an additional year, through March 31, 2025, to expend these funds.
  • States are now required to submit an updated narrative of their enhanced HCBS spending every 6 months, rather than every 3 months. States still have the option to submit a narrative quarterly if they wish to update their activities or add new ones. They will also still be required to submit an updated budget quarterly.

States who choose to take advantage of the timeline extension will also be required to remain compliant with the provision’s “supplement, not supplant” rules around maintenance of effort for HCBS.
 
The guidance is available here.
 
HHS Repeals SUNSET Rule
On May 26th, the Department of Health and Human Services (HHS) finalized the repeal of the “Securing Updated and Necessary Statutory Evaluations Timely” (SUNSET) final rule, one of the last actions announced by HHS under the Trump Administration on January 19, 2021. The SUNSET rule would have placed a sunset clause on all HHS regulations, making them expire within a 10-year window if not otherwise reviewed and assessed by HHS.
 
HHS previously postponed implementation of the SUNSET final rule in March 2021 due to pending litigation, and then proposed a repeal of the rule in October 2021. The Agency expressed concern that implementation of the final rule created an administrative burden on the Department and related agencies, as well as significant regulatory uncertainty. The Department also expressed concern that such automatic expirations could create public harm as well as undue and disproportionate burden on smaller entities.
 
The withdrawal of the rule is effective as of 60 days after publication in the Federal Register, which is July 26th.
 
FDA Issues Small Entity Compliance Guidance for Importation of Prescription Drugs
On May 24th, the FDA released a Small Entity Compliance Guide related to the Importation of Prescription Drugs Final Rule issued in October of 2020. The final rule followed a Trump Administration Executive Order (EO) to lower drug costs through importation, with the goal of achieving a “significant reduction in the cost of covered products to the American consumer while posing no additional risk to the public’s health and safety.” The rule went into effect on November 30, 2020.
 
The new guidance document restates the legal requirements set forth in the final rule and is intended to assist small entities in complying with the final rule. It answers questions such as:

  • Who may submit an importation program proposal?
  • Who may import eligible prescription drugs?
  • What prescription drugs are eligible for importation under the final rule?
  • Does the final rule provide for importation of drugs from countries other than Canada?
  • What are the importation requirements under the final rule?
  • How are eligible prescription drugs tested?
  • What are the labeling requirements for eligible prescription drugs?
  • What needs to be done after importation of eligible prescription drugs?

The full guidance document can be found here. The Importation of Prescription Drugs Final Rule can be found here.
 
HHS Establishes ARPA-H Within NIH, Names Acting Deputy Director
On May 25th, Department of Health and Human Services (HHS) Secretary Xavier Becerra announced the formal establishment of the Advanced Research Project Agency for Health (ARPA-H) and the appointment of Dr. Adam H. Russell as its acting deputy director. Dr. Russell currently serves as the Chief Scientist of the University of Maryland’s Applied Research Laboratory for Intelligence and Security. Dr. Russell has also served at ARPA-H’s related predecessors, the Intelligence Advanced Research Projects Activity (IARPA) and the Defense Advanced Research Projects Agency (DARPA). President Biden will appoint an ARPA-H Director to serve above Dr. Russell, who will report directly to the Secretary of HHS. ARPA-H will exist as an independent entity within the National Institutes of Health (NIH), not subject to NIH policy.
 
The full press release is available here.
 
Biden Administration Announces Establishment of Office of Environmental Justice
On May 31st, the Biden Administration announced the establishment of the Office of Environmental Justice (OEJ) under the HHS Office of Climate Change and Health Equity. The goal of the OEJ is to “better protect the health of disadvantaged communities and vulnerable populations on the frontlines of pollution and other environmental health issues.” It will be officially tasked with:

  • Promoting training opportunities to build an environmental justice workforce;
  • Leading initiatives that integrate environmental justice into the HHS mission to improve health in disadvantaged communities and vulnerable populations across the nation;
  • Developing and implementing an HHS-wide strategy on environmental justice and health;
  • Coordinating annual HHS environmental justice reports; and
  • Providing HHS’ Office of Civil Rights with environmental justice expertise to support compliance under Title VI of the Civil Rights Act of 1964.

OEJ is currently seeking public comment on a draft outline to advance the 2022 HHS Environmental Justice Strategy and Implementation Plan. The full press release is available here. More information on the Strategy and Implementation Plan is available here.
 
HHS Issues Recommendations on Care for Children with Special Health Care Needs
On June 1st, the Health Resources and Services Administration (HRSA) released a national framework, the “Blueprint for Change,” to improve care for children with special health care needs, which includes nearly 1 in 5 children nationally. Developed by HRSA’s Maternal and Child Health Bureau with the input of individuals, providers, and other stakeholders, the Blueprint was published as a special supplement in the journal Pediatrics. The Blueprint was developed to advance the vision that children and youth with special health care needs should enjoy a full life, from childhood through adulthood, and is centered around four critical areas families identified as most important to strengthen the system of services for their children:

  • Health equity;
  • Family and child wellbeing and quality of life;
  • Access to services; and
  • Financing of services.

HRSA’s landing page for the Blueprint is available here, and the special supplement in Pediatrics containing the Blueprint is available here.
 
HHS Announces 2023 Medicare Part B Premium Adjustment
On May 27th, HHS Secretary Becerra announced that 2022 Medicare Part B premiums will be retroactively reduced, due to spending on the new Alzheimer’s drug Aduhelm that will be significantly lower than originally projected. This adjustment, however, will be made as part of 2023 premiums, due to the operational hurdles associated with reducing current-year premiums. The decision follows a CMS report re-evaluating 2022 Medicare Part B premiums, which concluded that cost savings from lower-than-expected spending on Aduhelm can be passed along to Medicare beneficiaries. CMS had originally priced the Part B premium at Aduhelm’s original list price of about of $56,000 per year, but the manufacturer reduced the price to an average of $26,200. CMS also significantly limited Aduhelm coverage. The change is likely to make 2023 premiums lower than 2022 premiums, with a final determination coming later this fall.
 
The press release can be found here. The CMS report can be found here.

CMMI Evaluation of Independence at Home Model Finds 18% Cost Reduction in 2020
On May 23rd, the CMS Innovation Center (CMMI) reported that the Independence at Home (IAH) Demonstration saved a total of $42.3 million in its seventh year (January 1, 2020 through December 31, 2020). Overall, IAH practices’ eligible beneficiaries ended the year approximately 18% below their spending targets, an average reduction of $6,585 per beneficiary. In 2020, the IAH model included a total of 6,436 beneficiaries and ten participating sites, including Northwell Health House Calls.
 
The model, which has been extended to run through 2024, is intended to test whether the delivery of comprehensive primary care at home improved care for Medicare beneficiaries with multiple chronic conditions, reduced hospitalizations, improved patient and caregiver satisfaction, and lowered costs to Medicare. Participating practices that reduced their applicable beneficiaries’ Medicare expenditures sufficiently below their spending targets and met performance thresholds for at least three of the six quality measures qualified for incentive payments. Northwell Health House Calls will receive the highest incentive payment of any participating site.
 
More information on Year 7 performance results is available here. 

Other Updates

Medicare Board of Trustees Projects Part A Fund to Last Until 2028
On June 2nd, the Medicare Board of Trustees released their annual report on the Medicare trust funds. The updated projection indicates that the Medicare Part A trust fund will be able to pay scheduled benefits until 2028, two more years than projected last year. The report indicates that these projections are subject to “an unusually large degree of uncertainty” due to Covid-19-related impacts on service utilization, which resulted in significantly lower utilization for non-Covid-19-related diagnoses. The Trustees expect the return of deferred care to extend through 2022 and 2023, increasing expenditures during that period. The Part B and Part D funds are expected to remain solvent since they are funded through general revenues and beneficiary premiums, but growth in costs is expected to continue to outpace GDP growth as a whole, which would increase the tax and cost-sharing burden.
 
The full report is available here.
 
Study Links Nurse Staffing with Sepsis Mortality Risk in Hospitalized Patients
On May 27th, JAMA Health Forum published a study, “Association of Registered Nurse Staffing With Mortality Risk of Medicare Beneficiaries Hospitalized With Sepsis,” which found that an increase in registered nurse staffing was associated with a decrease in 60-day mortality in older adults diagnosed with sepsis. The study examined 702,150 Medicare beneficiaries ages 65 to 99 with a primary diagnosis of sepsis that was present on admission at 1,958 acute care hospitals across the country. The researchers used 2018 data from the American Hospital Association, CMS Hospital Compare, and Medicare claims. The study found that each additional registered nurse hour per patient day (HPPD) was associated with a 3% decrease in the odds of 60-day mortality, controlling for SEP-1 score and hospital and patient characteristics.
 
The full study is available here.
 
AHA Asks DOJ for Medicare Advantage Fraud Task Force Including Civil and Criminal Penalties
 
On May 19th, the American Hospital Association (AHA) sent a letter to the Department of Justice asking the agency to establish a Medicare Advantage Fraud Task Force to conduct False Claims Act investigations into commercial health insurance companies that are found to routinely deny patient access to services and deny payments to health care providers. The letter follows a recent report by the HHS Office of the Inspector General (OIG) detailing Medicare Advantage Organizations’ violations of Medicare law by imposing clinical criteria that are more restrictive than original Medicare’s national and local coverage policies (summarized in SPG’s May 6th update here). The AHA notes their support for the recommendations outlined in the HHS OIG report, but asks the Department of Justice to further exercise its False Claims Act authority to punish Medicare Advantage organizations that have denied Medicare beneficiaries coverage to which they are entitled with civil and criminal penalties.
 
The AHA letter is available here.
 
Study Finds HAIs Increased During Pandemic’s Second Year
 
On May 20th, researchers from the Centers for Disease Control and Prevention (CDC) published a study showing that several health care-acquired infections (HAIs) were significantly higher during the second year of the Covid-19 pandemic in acute care hospitals across the country, as compared to the pre-pandemic period. The study, “Continued Increases in HAI Incidence During the Second Year of the COVID-19 Pandemic” showed that central line-associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), ventilator-associated events (VAEs), select surgical site infections (SSIs), and laboratory-identified (LabID) methicillin resistant Staphylococcus aureus (MRSA) bacteremia increased during 2021, while Clostridioides difficile decreased. HAIs were highest during the first and third quarters of the year, when Covid-19 surges created higher hospital volume.
 
The full study is available here. 

New York State Updates

Governor Hochul Extends Disaster Emergency Due to Health Care Staffing Shortages
On May 30th, Governor Hochul issued Executive Order 4.9 (available here), which extends through June 29th the provisions in Executive Order 4 and its successors that reinstate many workforce and scope of practice flexibilities that applied during the original New York State Covid-19 public health emergency.
 
OPWDD Releases 2023-2027 Draft Strategic Plan
On May 27th, the New York State (NYS) Office for People with Developmental Disabilities (OPWDD) released a draft Strategic Plan for public comment. Based on stakeholder feedback and a review of state data and policy, the Plan outlines the following three strategic goals for 2023-2027: 

  • Supporting people in the most person-centered ways;
  • Promoting practices that strengthen the workforce and infrastructure; and
  • Advancing systems change and innovation across the state.

Following a collection of written and verbal feedback on the draft Strategic Plan during this spring and summer, OPWDD intends to finalize the plan based on stakeholder input and submit a final plan to the NYS legislature in the fall.
 
The Strategic Plan is available here. Information on how to submit written feedback and participate in statewide hearings, which will be held on June 8th from 11am-1pm and June 9th from 5:30pm-7:30pm, is available here.
 
DOH and OPWDD Release Guidance Documents Related to Service Transfers Between Agencies
Last month, the NYS Department of Health (DOH) and OPWDD released the following guidance documents related to transfers between DOH and OPWDD services: 

  • First Point of Contact for DOH-OPWDD Transfers (here), which clarifies the first point of contact and provides links to the appropriate policy or guidance document for various types of transfers between the DOH and OPWDD systems of care.
  • Transfer Process Between DOH Health Home Serving Children and OPWDD Comprehensive Waiver (here), which outlines the required procedural steps for when a child/youth receiving Health Home care management (but not enrolled in the Children’s Waiver) wants to transfer care management/waiver services to OPWDD.
  • OPWDD Developmental Disabilities Regional Office Children’s Liaisons Contact List (here).

Questions may be sent to hhsc@health.ny.gov.
 
DOH, OMH, and OASAS Release Guidance on Behavioral Health Carve-In to MAP
On May 20th, the New York State (NYS) Department of Health (DOH), in partnership with the Office of Mental Health (OMH) and Office of Addiction Services and Supports (OASAS), released guidance for managed care organizations regarding the carve-in of behavioral health into Medicaid Advantage Plus (MAP). Effective July 1, 2023, the full range of Medicaid behavioral health services (a full list of which is available in the Appendix of the guidance) will be carved into the MAP product line benefit package. This transition will integrate services for individuals dually eligible for Medicare and Medicaid and will allow individuals currently enrolled in a Mainstream, Health and Recovery Plan (HARP), or HIV Special Needs Plan (SNP) who are eligible for Medicare and who are in need of long-term services and supports to continue accessing behavioral health services without disruption when transitioning to MAP.
 
The guidance document includes behavioral health MAP requirements for plans, including: 

  • Network requirements and appointment availability standards;
  • Staffing requirements; and
  • Care coordination requirements.

The guidance is available here. The State will shortly announce a series of provider trainings related to the carve-in. Questions may be submitted to omh-managed-care@omh.ny.gov.
 
DOH and State Agency Partners Release Telehealth Consumer Survey
DOH and its partner agencies have released a Telehealth Consumer Survey for all NYS residents with the goal of getting a better understanding of patient perspectives on telehealth. Survey results will also be used to inform future telehealth policy development in NYS. Providers are encouraged to share the survey with their patients, consumers, and networks. The survey takes approximately five minutes to complete and will close on July 1st.
 
The survey may be accessed here and is available in several languages. Questions may be sent to telehealth.policy@health.ny.gov. 

Funding Opportunities

SAMHSA Issues NOFO For Innovative Community Crisis Response Partnerships
On May 24th, the Substance Abuse and Mental Health Services Administration (SAMHSA) released a Notice of Funding Opportunity (NOFO) to support innovative community crisis response partnerships. This program will create or enhance existing mobile crisis response team to divert adults, children, and youth experiencing mental health crises from law enforcement in high-need communities. High-need communities are identified as those where mobile crisis services are absent or inconsistent, where most mental health crises are responded to by first responders, and/or where first responders are not adequately trained or equipped to diffuse mental health crises.
 
Through this opportunity, SAMHSA will award up to $750,000 per year to 12 awardees. Contracts will last for up to four years. Eligible applicants include health facilities and public or private not-for-profit organizations.
 
The NOFO is available here. Applications are due on July 25th.
 
HHS Issues FY 2022 NOFO for Demonstrations to Promote Equitable Access to Language Services
On June 1st, the HHS Office of the Assistant Secretary and Office for Minority Health released a NOFO for FY 2022 for eight demonstration sites to implement innovative strategies that enhance access to language services. Eligible applicants are any public or private not-for-profit entity with or without 501(c)(3) status, including community-based organizations. Strategies may include:

  • Policy development and implementation;
  • Technology utilization;
  • Education for individuals with limited English proficiency (LEP); and
  • Education for providers, including medical support staff.

HHS will make eight awards of between $300,000 and $375,000 per year over three years, for a total of $3 million per year. Applicants must conduct a variety of activities, including projects to increase utilization of language services by LEP individuals through partnerships with health care and not-for-profit community-based organizations. Approaches could include expanding language resource centers, recruiting community members as certified language interpreters, enhancing electronic health record (EHR) systems, and others.
 
Applications are due July 15th. A technical assistance webinar will be held on June 24th at 3:30pm. The grant is available here.
 
HHS Issues NOFO for Community-Driven Approaches to Addressing Structural Racism in Public Health
On May 23rd, the HHS Office of Minority Health released a NOFO for projects that address policy factors contributing to structural racism in public health. Eligible applicants are any public or private not-for-profit entity with or without 501(c)(3) status, including community-based organizations. Awarded recipients will be expected to: 

  • Assess policies and practices that create or perpetuate health disparities;
  • Develop, modify, and implement policies and practices to reduce or remove structural racism and improve health outcomes;
  • Create a new and/or strengthen an existing multi-sector team focused on addressing factors that may contribute to structural racism in public health;
  • Advise, assist, and train community stakeholders to make equitable, data-driven policy and practice decisions;
  • Develop and implement an evaluation plan;
  • Develop a plan for sustaining the project after the award ends; and
  • Develop a disparity impact statement.

Through this opportunity, HHS will award between $300,000 and $500,000 in annual funding to 6-10 awardees. Contracts will last for up to three years, starting on September 15th.
 
The NOFO is available here. Applications are due on July 15th.
 
HRSA Issues Additional FY 2023 FQHC Service Area Competition
On May 5th, HRSA posted a new Service Area Competition (SAC) opportunity for fiscal year (FY) 2023. Through the SAC, organizations may apply to participate in the federally-qualified health center (FQHC) program by taking over a grant in an existing service area. FQHCs are typically approved for a three-year period and, if they seek to renew, must reapply to the SAC. For this opportunity, there are additional SACs open in the Bronx and Westchester.
 
Applications are due July 18th. More information is available here. 
 
NYS Announces 2022 Regional Economic Development Council Initiative
On May 2nd, Governor Hochul announced the availability of funding for the twelfth round of the Regional Economic Development Councils (REDC) Initiative, a program which coordinates public funding for a wide array of economic development programs in each of the ten REDC regions of the state.
 
This round of funding will once again focus on the implementation of each region’s strategic plan and continue to identify and invest in significant economic development projects. As with previous years, the 2022 funding allocations are as follows:  

  • $150 million in capital funding; and
  • $75 million in Excelsior Tax Credits for projects within each region.

However, in contrast to prior funding rounds, while projects submitted through the Consolidated Funding Application (CFA) will also be eligible for funding from other state agency programs, REDCs will not score projects that have applied to these programs. Additionally, this year the REDCs will prioritize workforce development and will develop a “Regional Workforce Inventory” identifying each region’s post-pandemic workforce needs, which will guide the award of a future $150 million for workforce development projects.
 
Several programs that may be of interest to health care providers and stakeholders are summarized here. More information can be found in the program guidebook here. CFA applications (available here) will be accepted until July 29th. Several programs will accept applications on an ongoing basis and are not subject to the July 29th deadline, as noted in the SPG summary.
 
NYC DSS Issues Congregate Supportive Housing Open-Ended RFP
On May 24th, the New York City (NYC) Department of Social Services (DSS) released a Request for Proposals (RFP) for the provision of congregate supportive housing. This RFP will only provide support services and not rental assistance. However, the NYC Department of Housing Preservation and Development (HPD) may award rental assistance and capital to support the projects, including by working with supportive housing developers to obtain such funding for all of its supportive housing projects. Awardees may also secure other sources of funding for rental assistance and capital. Contracts will last for five years, with the option to renew for up to four additional years. Ongoing contract management will be provided by the NYC Department of Health and Mental Hygiene (DOHMH).
 
The RFP is available in the PASSPort system here by searching “Congregate Supportive Housing.” This is an open-ended RFP and applications will be accepted on an ongoing basis.