2. A new Section 512.20 is added to Title 14 NYCRR to read as follows:

(1) Reimbursement for services to target population members who are in continuous pre-admission status is limited to four consecutive months, whether or not the individual is ultimately admitted to the program. Programs will be reimbursed for pre-admission services for target population members at the existing pre-admission rate plus 25 percent.

(2) Medicaid may reimburse the Intensive Rehabilitation (IR) component add-on for up to 50 percent of a provider’s total number of monthly base rate bills submitted annually. IR services provided to target population members shall not count toward the 50 percent limitation for Medicaid reimbursement.

(3) The following Community Rehabilitation and Support (CRS) services will offer an enhanced reimbursement when delivered off site, on separate days, to target population members:

(i) Basic skills living training;

(ii) Benefits and financial management;

(iii) Community living exploration;

(iv) Information and education regarding self help; and

(v) Wellness self management.

(4) If two or three of the identified CRS services are delivered off site to target population members in a calendar month, programs will be reimbursed at the base rate plus $135 (upstate) or $150 (downstate). If four or more of the identified CRS services are delivered off site to target population members in a calendar month, programs will be reimbursed at the base rate plus $270 (upstate) or $300 (downstate).

A revised Regulatory Impact Statement (RIS) is not included with this notice as the changes made to the final adopted rule do not necessitate a change to the RIS. The revisions are non-substantive and are intended to clarify OMH’s intent and improve readability. The definition of target population member has been modified to clarify that individuals who had received long-term supports and services for at least six (6) months while living in a State-operated community residence and who are currently living in a more independent, integrated community setting, are considered to be members of the target population. This is in addition to those individuals who had received long-term supports and services for at least six (6) months while living in an adult home, nursing home as defined in Section 2801 of the Public Health Law, or as an inpatient in a State psychiatric center, and who are currently living in a more independent, integrated community setting. The wordsmithing changes made in Section 512.20, “Target Population Services”, are merely intended to improve readability.

A revised Regulatory Flexibility Analysis for Small Businesses and Local Governments is not included with this notice as the changes made to the final adopted rule are non-substantive and are intended to clarify OMH’s intent and improve readability. The definition of target population member has been modified to clarify that individuals who had received long-term supports and services for at least six (6) months while living in a State-operated community residence and who are currently living in a more independent, integrated community setting, are considered to be members of the target population. This is in addition to those individuals who had received long-term supports and services for at least six (6) months while living in an adult home, nursing home as defined in Section 2801 of the Public Health Law, or as an inpatient in a State psychiatric center, and who are currently living in a more independent, integrated community setting. The wordsmithing changes made in Section 512.20, “Target Population Services”, are merely intended to improve readability. The amendments will not have an adverse economic impact upon small businesses or local governments.

A revised Rural Area Flexibility Analysis is not included with this notice as the changes made to the final adopted rule are non-substantive and are intended to clarify OMH’s intent and improve readability. The definition of target population member has been modified to clarify that individuals who had received long-term supports and services for at least six (6) months while living in a State-operated community residence and who are currently living in a more independent, integrated community setting, are considered to be members of the target population. This is in addition to those individuals who had received long-term supports and services for at least six (6) months while living in an adult home, nursing home as defined in Section 2801 of the Public Health Law, or as an inpatient in a State psychiatric center, and who are currently living in a more independent, integrated community setting. The wordsmithing changes made in Section 512.20, “Target Population Services”, are merely intended to improve readability. The amendments will not impose any adverse economic impact on rural areas.

A revised Job Impact Statement is not included with this notice as the changes made to the final adopted rule are non-substantive and are intended to clarify OMH’s intent and improve readability. The definition of target population member has been modified to clarify that individuals who had received long-term supports and services for at least six (6) months while living in a State-operated community residence and who are currently living in a more independent, integrated community setting, are considered to be members of the target population. This is in addition to those individuals who had received long-term supports and services for at least six (6) months while living in an adult home, nursing home as defined in Section 2801 of the Public Health Law, or as an inpatient in a State psychiatric center, and who are currently living in a more independent, integrated community setting. The wordsmithing changes made in Section 512.20, “Target Population Services”, are merely intended to improve readability. As is evident from the subject matter, the amendments to 14 NYCRR Part 512 will not have any impact on jobs and employment opportunities.

As a rule that does not require a RFA, RAFA or JIS, this rule will be initially reviewed in the calendar year 2019, which is no later than the 5th year after the year in which this rule is being adopted

The agency received no public comment.