PURSUANT to the Open Meetings Law, the New York State Civil Service Commission hereby gives public notice of the following:

Please take notice that the regular monthly meeting of the State Civil Service Commission for December 2013 will be conducted on December 10 commencing at 10:00 a.m. These meetings will be conducted at NYS Media Services Center, Suite 146, South Concourse, Empire State Plaza, Albany, NY.

For further information, contact the Office of Commission Operations, Department of Civil Service, Empire State Plaza, Agency Building 1, Albany, NY 12239 (518) 473-6598.

Pursuant to 42 CFR Section 447.205, the Department of Health hereby gives public notice of the following:

The Department of Health proposes to amend the Title XIX (Medicaid) State Plan for long term care services to comply with proposed statutory provisions. The following significant changes are proposed:

Long Term Care Services

Effective on or after December 1, 2013, additional payments shall be made to state government operated public residential health care facilities, in aggregate amounts of up to $30 million. The amount allocated to each eligible governmental RHCF will be in based on each eligible state operated governmental nursing home’s upper payment limit margin. Payments to eligible RHCF’s may be added to rates of payment or made as aggregate payments.

The estimated annual net aggregate increase in gross Medicaid expenditures attributable to this initiative is $30 million.

The public is invited to review and comment on this proposed State Plan Amendment. Copies of which will be available for public review on the Department’s website at http://www.health.ny.gov/regulations/state_plans/status.

Copies of the proposed State Plan Amendments will be on file in each local (county) social services district and available for public review.

For the New York City district, copies will be available at the following places:

New York County 250 Church Street New York, New York 10018

Queens County, Queens Center 3220 Northern Boulevard Long Island City, New York 11101

Kings County, Fulton Center 114 Willoughby Street Brooklyn, New York 11201

Bronx County, Tremont Center 1916 Monterey Avenue Bronx, New York 10457

Richmond County, Richmond Center 95 Central Avenue, St. George Staten Island, New York 10301

For further information and to review and comment, please contact: Department of Health, Bureau of Federal Relations and Provider Assessments, 99 Washington Ave. – One Commerce Plaza, Suite 1430, Albany, NY 12210, (518) 474-1673, (518) 473-8825 (FAX), e-mail: [email protected]

On July 15, 1997, New York State’s Medicaid demonstration program, The Partnership Plan, was approved by the Federal government under Section 1115 of the Social Security Act. This waiver has been extended and amended to reflect programmatic needs. Under the waiver, the State is required to seek Federal approval of any amendments.

The New York State Department of Health (NYSDOH) is seeking approval from the Federal Centers for Medicare & Medicaid Services (CMS) for the following changes:

• The Department will be submitting a Behavioral Health (BH) amendment to the Centers for Medicare and Medicaid Services in December 2013 in order to describe BH transition from a fee for service payment and delivery model to services under Medicaid Managed Care.

• BH State Plan Services and new Home and Community Based Services will be added to the Medicaid Managed Care Scope of Benefits.

• New Managed Care lines of business called Health and Recovery Plans (HARPs) will be established for individuals with significant mental health and substance use disorders.

• Implementation target dates are January 2015 for adults in NYC, July 2015 for adults in the rest of the State and January 2016 for children.

Additional information on the Behavioral Health transition is posted and updated regularly at http://www.health.ny.gov/health_care/medicaid/redesign/. Additional information concerning the Partnership Plan and any amendment requests can be obtained by writing to: Department of Health, Office of Health Insurance Programs, Corning Tower (OCP Suite 720), Attention: Waiver Management Unit, Albany, NY 12237, e-mail: [email protected]

Written comments will be accepted at the above address or bureau email for a period of thirty (30) days from the date of this notice.

SUMMARY: The Susquehanna River Basin Commission will hold its regular business meeting on December 12, 2013, in Annapolis, Maryland. Details concerning the matters to be addressed at the business meeting are contained in the Supplementary Information section of this notice.

DATE: December 12, 2013, at 8:30 a.m.

ADDRESS: Lowe House Office Building, House of Delegates, Prince George’s Delegation (Room #150), 6 Bladen Street, Annapolis, MD 21401. (The recommended parking and transportation option is to park at the Navy-Marine Corps Memorial Stadium and take the Annapolis Transit Trolley Shuttle from there – for all available parking options, see http://www.downtownannapolis.org/_pages/transport/tr_parking.htm.)

FURTHER INFORMATION CONTACT: Richard A. Cairo, General Counsel, telephone: (717) 238-0423, ext. 1306; fax: (717) 238-2436.

Opportunity to Appear and Comment:

Interested parties are invited to attend the business meeting and encouraged to review the Commission’s Public Meeting Rules of Conduct, which are posted on the Commission’s website, www.srbc.net. As identified in the public hearing notice referenced below, written comments on the Regulatory Program projects that were the subject of the public hearing, and are listed for action at the business meeting, are subject to a comment deadline of November 25, 2013. The 2013 update of the Comprehensive Plan listed for Commission action was the subject of a public hearing conducted by the Commission on August 15, 2013, and as identified in the notice for such hearing, which was published in 78 FR 38782, June 27, 2013, was subject to a comment deadline of August 26, 2013. Written comments pertaining to any other matters listed for action at the business meeting may be mailed to the Susquehanna River Basin Commission, 4423 North Front Street, Harrisburg, PA 17110-1788, or submitted electronically through http://www.srbc.net/pubinfo/publicparticipation.htm. Any such comments mailed or electronically submitted must be received by the Commission on or before December 6, 2013, to be considered.

SUPPLEMENTARY INFORMATION: The business meeting will include actions or presentations on the following items: (1) informational presentation of general interest on the lower Susquehanna River; (2) resolution concerning FY-2015 Federal funding of the Susquehanna Flood Forecast and Warning System and National Streamflow Information Program; (3) 2013 update of the Comprehensive Plan for the Water Resources of the Susquehanna River; (4) sale of the former headquarters property at 1721 North Front Street, Harrisburg, PA; (5) ratification/approval of contracts/grants; and (6) Regulatory Program projects. Projects listed for Commission action are those that were the subject of a public hearing conducted by the Commission on November 13, 2013, and identified in the notice for such hearing, which was published in 78 FR 64260, October 28, 2013.

AUTHORITY: Public Law 91-575, 84 Stat. 1509 et seq., 18 CFR Parts 806, 807, and 808.

Dated: November 7, 2013.

Andrew D. Dehoff

Executive Director.