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DOH Clarifies QIVAPP Reconciliation

In a webinar held last week, the Department of Health (DOH) clarified how the State intends to distribute the remaining $35 million in Quality Incentive/Vital Access Provider Pool (QIVAPP) while at the same time reconciling the initial $35 million distribution. QIVAPP funding is intended for Licensed Home Care Service Agencies (LHCSAs) to help support wage parity requirements. The funding is distributed to qualifying LHCSAs serving New York City clients through managed care plans (including PACE and MAP) based on the proportion of total hours each qualifying agency provides.     

DOH distributed $35 million to MLTC plans in March with a requirement that the funds be passed through to LHCSAs in April. The initial distribution was based on individual LHCSA estimated service hours reported to the Sate by MLTC plans last September. Once CMS approval for QIVAPP is received, DOH will recalculate the $70 million distribution using plan reported hours for April 2014 through March 2015. Distributions of the initial $35 million already made to plans and LHCSAs will be offset from the final distributions. Plans are required to submit a listing of service hours and an attestation for each qualifying LHCSA with which they contract indicating that the agency meets the criteria for funding by Fri., May 1, 2015.        

A memo from LeadingAge NY's counsel, Hinman Straub P.C., with more detail on the reconciliation process along with the webinar slides are available here.

Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841