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DOH Invites LHCSAs to Participate in NY State of Health Private Pay Home Care Services Pilot Program Phase Two

On May 5th, the Department of Health (DOH) issued an invitation to New York State Licensed Home Care Services Agencies (LHCSAs) to participate in the NY State of Health Private Pay Home Care Services Program Pilot in New York, Kings, Bronx, Richmond, Queens, Nassau, Suffolk, and Westchester counties (the Phase Two Invitation). The NY State of Health platform for home care services is located here.

The invitation is part of DOH’s implementation of the recommendation by the Medicaid Redesign Team II (MRT II), which was included in the State Fiscal Year (SFY) 2020-21 Enacted Budget, to create an option supported by the NY State of Health Marketplace that would allow individuals to more easily connect to private pay home care services from LHCSAs and potentially delay the need for Medicaid or other more comprehensive insurance affordability programs.

LHCSAs participating in Phase One of the program through agreement with DOH must respond to the Phase Two Invitation to continue to participate in the program in the Phase One counties and to add New York, Kings, Bronx, Richmond and Queens counties (the Phase Two counties), subject to the requirements of the Phase Two Invitation. LHCSAs that did not participate in Phase One of the program may respond to the Phase Two Invitation and participate in all eight pilot counties, subject to the requirements of the invitation.

Please see the Phase Two Invitation for eligibility and participation requirements.

LHCSAs that do not apply for participation will have an opportunity to apply at a later date during any expansions of the program beyond the current pilot. 

Schedule of Key Events:

  • Invitation Released – May 6, 2022
  • Letters of Interest Due – May 13, 2022
  • Written Questions Accepted – May 4, 2022 through May 18, 2022
  • Responses to Questions Posted – On or around May 23, 2022
  • Participation Proposals Due – June 3, 2022
  • Approval of LHCSAs for Participation – June 24, 2022
  • Agreement between DOH and LHCSAs – Aug. 1, 2022

Participation in the pilot involves no renumeration by the State. Phase Two is slated to start Aug. 2, 2022.

Contact: Meg Everett, meverett@leadingageny.org, 518-867-8871