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 institutional services to comply with enacted statutory provisions included in Public Health Law § 2826. The following changes are proposed:

The following is a clarification to the February 25, 2015 noticed provision for the temporary rate adjustment for the Critical Access Hospitals, (CAH’s). The enacted CAH allocation has been increased to $7.5 million from $5 million annually for the period of April 1, 2015 through March 31, 2017. The original notice also included 17 CAHs, however Medina Memorial Hospital has been added for a total of 18 recipients. As previously noticed, these payments will also be made to the following: Carthage Area Hospital, Catskill Regional Medical Center-Hermann, Clifton-Fine Hospital, Community Memorial Hospital, Cuba Memorial Hospital, Delaware Valley Hospital, Elizabethtown Community Hospital, Ellenville Regional Hospital, Gouverneur Hospital, Lewis County General Hospital, Little Falls Hospital, Margaretville Hospital, Moses Ludington Hospital, O’Connor Hospital, River Hospital, Schuyler Hospital, Soldiers and Sailors Memorial Hospital of Yates, Co as well as Medina Memorial Hospital. This provision is now effective on or after October 1, 2015.

The estimated annual net aggregate increase in gross Medicaid expenditures attributable to this initiative contained in the budget for state fiscal year 2015/2016 is $2,500,000 and for 2016/17 is $2,500,000.

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 & Provider Assessments, 99 Washington Ave. – One Commerce Plaza, Suite 1460, Albany, NY 12210, or e-mail: [email protected]

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 institutional and non-institutional services to comply with Federal requirements per the U.S. Department of Health and Human Services final rule. The following changes are proposed:

Institutional and Non-Institutional Services

The International Classification of Diseases Version 10 (ICD-10) will be implemented effective for hospital inpatient and outpatient services, freestanding diagnostic and treatment center services, and freestanding ambulatory surgery services beginning October 1, 2015. Effective as of this date, the Commissioner may make adjustments to inpatient and outpatient Medicaid rates of payment for these services, and to the methodology for computing such rates, as is necessary to achieve no aggregate net growth, by service, in overall Medicaid expenditures, related to its implementation, as compared to such by service expenditures from the period immediately prior to such implementation.

There is no additional estimated annual change to gross Medicaid expenditures as a result of the proposed amendment.

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, Division of Finance and Rate Setting, 99 Washington Ave. – One Commerce Plaza, Suite 1460, Albany, NY 12210, or e-mail: [email protected]

STATEWIDE — Pursuant to 15 CFR 923.84(b)(4), the New York State Department of State (DOS) hereby gives notice that the National Oceanic and Atmospheric Administration’s Office for Coastal Management (OCM) concurred on August 21, 2015 on the incorporation of the amendment to the Town of Penfield Local Waterfront Revitalization Program (LWRP) into New York State's Coastal Management Program as a Routine Program Change. DOS requested OCM's concurrence on this action on June 17, 2015, in a previous notice in the New York State Register, which further described the content of the action.

The amendment to the Town of Penfield LWRP was prepared in partnership with DOS and in accordance with the New York State Waterfront Revitalization of Coastal Areas and Inland Waterways Act and the New York State Coastal Management Program. The LWRP is a long-term intermunicipal management program for the Town’s waterfront resources along the Irondequoit Creek and Bay, and is based on the policies of the New York State Coastal Management Program. And, the amended LWRP serves to update the original Town of Penfield LWRP approved in 1991, which now is withdrawn. The Town of Penfield LWRP includes a comprehensive description of the existing and proposed land uses in the waterfront revitalization area, incorporates a harbor management plan, and identifies the next generation of waterfront revitalization projects.

Pursuant to the New York State Coastal Management Program and Article 42 of the New York State Executive Law, the amendment to the Town of Penfield LWRP was adopted by resolution by the Town of Penfield Town Board on March 4, 2015, and approved by the New York State Secretary of State on May 26, 2015. Federal Consistency with the Town of Penfield LWRP applies as of the date of this Notice.

OCM’s concurrence includes the following approved changes to the Town of Penfield LWRP:

The Town of Penfield Local Waterfront Revitalization Program is available at: http://www.dos.ny.gov/opd/programs/WFRevitalization/LWRP_status.html, the website of the New York State Department of State. If you have any questions, please contact Renee Parsons, Department of State, One Commerce Plaza, Suite 1010, Albany, NY 12231, (518) 473-2461.