DOH Issues Preview Capital Rates
The Department of Health (DOH) has posted the 2019 nursing home and Adult Day Health Care Program preview Medicaid capital rates on the Health Commerce System (HCS). The Dear Administrator Letter (DAL) that describes the correction request process and includes the attestation form is available here. The notice that DOH sent is copied below.
Homes that identify errors or omissions should submit a narrative describing the needed correction, a corrected rate calculation sheet, and supporting documentation along with the attestation. DOH will review the correction and, barring any violation of regulation or policy in the proposed calculation, will use the submitted correction as the 2019 capital rate. The correction will be subject to audit by the Office of the Medicaid Inspector General (OMIG).
Although at least one hospital-based member reported finding their rate sheet on the HCS, DOH has indicated that capital rate sheets for most hospital-based homes are not posted and that a capital rate calculation has been sent individually to these homes.
Please note that all homes are requested to submit the attestation, whether they are requesting a correction or not. All required materials should be submitted by email to nfrates@health.ny.gov by Oct. 12th. We urge members to review the rates without delay and to contact us if they are unable to access information for their home.
Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841
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From: doh.sm.BLTCR.NF.RATES <nfrates@health.ny.gov>
Sent: Friday, September 21, 2018 9:34 AM
Subject: 2019 Capital Preview Rates
Dear Administrator:
Please find the attached letter regarding the 2019 Capital Preview rates and corresponding required attestation for those rates, that are now posted on the HCS. They can be found under the heading of NH Rate Sheets 4/2009-Forward, under the selection 2019 Capital Preview Rates.
All attestation forms, and necessary documentation must be submitted via email to nfrates@health.ny.gov by COB Friday, October 12, 2018.
If you have any questions regarding the 2019 Capital Preview Rates, please reply to this email address and Tim Fischer will respond.