Comprehensive Outpatient Programs

NY-ADR

9/26/07 N.Y. St. Reg. OMH-39-07-00003-P
NEW YORK STATE REGISTER
VOLUME XXIX, ISSUE 39
September 26, 2007
RULE MAKING ACTIVITIES
OFFICE OF MENTAL HEALTH
PROPOSED RULE MAKING
NO HEARING(S) SCHEDULED
 
I.D No. OMH-39-07-00003-P
Comprehensive Outpatient Programs
PURSUANT TO THE PROVISIONS OF THE State Administrative Procedure Act, NOTICE is hereby given of the following proposed rule:
Proposed action:
This is a consensus rule making to amend Part 588 of Title 14 NYCRR.
Statutory authority:
Mental Hygiene Law, sections 7.09(b) and 31.04(a); and Social Services Law, sections 364(3) and 364-a
Subject:
Comprehensive outpatient programs.
Purpose:
To increase certain Medicaid rate schedules consistent with the 2007–08 enacted State Budget.
Text of proposed rule:
Paragraph (4) of subdivision (a) of Section 588.13 is amended to read as follows:
(4) Reimbursement under the medical assistance program for day treatment programs serving children shall be in accordance with the following fee schedule.
(i) For programs operated in Bronx, Kings, New York, Queens and Richmond counties:
Full day at least 5 hours $[72.89] 76.25
Half day at least 3 hours [36.45] 38.13
Brief day at least 1 hour [24.30] 25.42
Collateral at least 30 minutes [24.30] 25.42
Home at least 30 minutes [72.89] 76.25
Crisis at least 30 minutes [72.89] 76.25
Preadmission — full day at least 5 hours [72.89] 76.25
Preadmission — half day at least 3 hours [36.45] 38.13
(ii) For programs operated in other than Bronx, Kings, New York, Queens and Richmond counties:
Full day at least 5 hours $[70.46] 73..71
Half day at least 3 hours [35.23] 36.85
Brief day at least 1 hour [23.45] 24.53
Collateral at least 30 minutes [23.45] 24.53
Home at least 30 minutes [70.46] 73.71
Crisis at least 30 minutes [70.46] 73.71
Preadmission — full day at least 5 hours [70.46] 73.71
Preadmission — half day at least 3 hours [35.23] 36.85
Subdivision (b) of Section 588.13 is amended to read as follows:
(b) Reimbursement under the medical assistance program for regular, collateral, and crisis visits to all non-State operated partial hospitalization programs licensed pursuant to Article 31 of the Mental Hygiene Law and Part 587 of this Title shall be in accordance with the following fee schedule.
(1) For programs located in Nassau and Suffolk counties, the fee shall be [$22.15]$22.66 for each service hour.
(2) For programs located in New York City, the fee shall be [$29.09] $29.76 for each service hour.
(3) For programs located in the counties included in the region of New York State designated by the Office of Mental Health as the Hudson River Region, the fee shall be [$24.45] $25.01 for each service hour.
(4) For programs located in the counties in the region of New York State designated by the Office of Mental Health as the Central Region, the fee shall be [$16.76] $17.15 for each service hour.
(5) For programs located in the counties included in the region of New York State designated by the Office of Mental Health as the Western Region, the fee shall be [$20.78] $21.26 for each service hour.
Subdivision (c) of Section 588.13 is amended to read as follows:
(c) Reimbursement under the medical assistance program for on-site and off-site visits for all non-state operated intensive psychiatric rehabilitation treatment programs, licensed pursuant to Article 31 of the Mental Hygiene Law and Part 587 of this Title shall be at [$23.87] $24.42 for each service hour.
Text of proposed rule and any required statements and analyses may be obtained from:
Joyce Donohue, Office of Mental Health, 44 Holland Ave., 8th Fl., Albany, NY 12229, (518) 474-1331, e-mail: [email protected]
Data, views or arguments may be submitted to:
Joyce Donohue, Office of Mental Health, 44 Holland Ave., 8th Fl., Albany, NY 12229, (518) 474-1331, e-mail: [email protected]
Public comment will be received until:
45 days after publication of this notice.
Consensus Rule Making Determination
No person is likely to object to these amendments since they merely increase the Medicaid reimbursement associated with Day Treatment Programs, Partial Hospitalization Programs and Intensive Psychiatric Rehabilitation (IPRT) Programs, consistent with the 2007–08 Enacted State Budget.
In accordance with the provisions of Section B of Chapter 54 of the Laws of 2007, amounts were made available, effective April 1, 2007 for cost of living adjustments (COLA) for Partial Hospitalization and IPRT Programs. In accordance with the provisions of Section B of Chapter 54 of the Laws of 2007, amounts were made available for fee increases for Children's Day Treatment Programs.
Additional State funding in the amount of $150,112 is available on an annual basis to provide for the State share of Medicaid associated with the COLA for IPRT. Additional State funding in the amount of $81,227 is available on an annual basis to provide for the State share of Medicaid associated with the COLA for Partial Hospitalization Programs. Additional State funding in the amount of $349,330 is available on annual basis to provide for the State share of revised Medicaid fees for Day Treatment Programs. There is no local share of Medicaid associated with these adjustments.
A. Partial Hospitalization Fee Increase
Service Hour RateService Hour Rate
RegionEffective 10/1/06Effective 4/1/07
Long Island$22.15 $22.66
New York City 29.09 29.76
Hudson River 24.45 25.01
Central 16.76 17.15
Western 20.78 21.26
B. The IPRT fee increase for all non-state IPRT Programs will increase from $23.87 to $24.42 for each service hour.
C. Day Treatment Fee Increase
For programs operated in Bronx, Kings, New York, Queens and Richmond counties:
New FeeFee
EffectiveEffective
4/1/20064/1/2007
Full dayat least 5 hours$ 72.89$ 76.25
Half dayat least 3 hours$ 36.45$ 38.13
Brief dayat least 1 hour$ 24.30$ 25.42
Collateralat least 30 minutes$ 24.30$ 25.42
Homeat least 30 minutes$ 72.89$ 76.25
Crisisat least 30 minutes$ 72.89$ 76.25
Preadmission-full dayat least 5 hours$ 72.89$ 76.25
Preadmission-half dayat least 3 hours$ 36.45$ 38.13
For programs operated in other than Bronx, Kings, New York, Queens and Richmond counties:
New FeeFee
EffectiveEffective
4/1/20064/1/2007
Full dayat least 5 hours$ 70.46$ 73.71
Half dayat least 3 hours35.23$ 36.85
Brief dayat least 1 hour$ 23.45$ 24.53
Collateralat least 30 minutes$ 23.45$ 24.53
Homeat least 30 minutes$ 70.46$ 73.71
Crisisat least 30 minutes$ 70.46$ 73.71
Preadmission-full dayat least 5 hours$ 70.46$ 73.71
Preadmission-half dayat least 3 hours$ 35.23$ 36.85
Note: This change in Day Treatment fees shall not apply to programs licensed by both the Office of Mental Health and the Department of Health.
Job Impact Statement
A Job Impact Statement is not being submitted with this notice because it is apparent from the nature and purpose of this rule that it involves rate increases as required by the enacted State budget for Fiscal Year 2007–08 for Day Treatment Programs, Partial Hospitalization Programs and Intensive Psychiatric Rehabilitation Programs, and will not have a substantial adverse impact on jobs and employment activities.
End of Document