Letter to Administrator/Controller regarding Rate Adjustments - Home Care Agencies

June 11, 2009

Dear Administrator/Controller:

The Division of Health Care Financing (DHCF) has recently received a number of questions from home care agencies asking whether revenue from various Workforce Recruitment and Retention Programs and Quality and/or Efficiency of Home Care Services Programs is assessable under the Cash Receipts Assessment Program pursuant to Public Health Law (PHL) 3614-a and section 367-i of the Social Services Law. This letter serves to clarify this issue.

Revenue received by providers under the following programs is assessable under PHL 3614-a, and section 367-i of the Social Services Law. These monies are received as Medicaid payments from the State Comptroller through rate adjustments or separate check.

  • Recruitment and Retention of Health Care Workers pursuant to subdivisions nine and ten of section thirty-six hundred fourteen of the PHL.
  • Recruitment and Retention of Personal Care Service Workers or any worker with direct patient care responsibility, pursuant to paragraph (e) of subdivision two of section three hundred sixty-five-a of the Social Services Law.
  • Quality and/or Efficiency of Home Care Services pursuant to subdivision eleven of section thirty-six hundred fourteen of the PHL.

All Medicaid receipts are assessable to the cash receipts assessment program irrespective of the date of service. This includes retroactive Medicaid rate adjustments that are for dates of service prior to April 1, 2009.

Revenue received from Grant Programs is not assessable under PHL 3614-a, and section 367-i of the Social Services Law. These monies are paid monthly by the Department's Pool Administrator, Excellus BCBS of Central NY.

Additional questions concerning this issue can be directed to our Health Facility Cash Assessment Unit at (518) 474-1673.

Sincerely,

John E. Ulberg, Jr.
Director
Division of Health Care Financing