Health Facility Cash Assessment Program (HFCAP)

HFCAP requires New York State designated providers to pay an assessment on cash operating receipts on a monthly basis under the Health Facility Cash Receipts Assessment Program pursuant to Chapter 1 of the Laws of 2002 as amended by various subsequent period Chapter Laws. This assessment was enacted as part of our State Budget process to close unavoidable gaps in the State spending plan. The assessment includes Article 28 Residential Health Care Facilities, Article 28 General Hospitals, Article 36 Long Term Home Health Care Programs, Article 36 Certified Home Health Agencies and Personal Care Providers that possess a Title XIX (i.e. Medicaid) contract with a Local Social Services District for the delivery of personal care services pursuant to Section 367-i of the Social Services Law.

Attention All Providers:

You are strongly encouraged to submit payments owed (if applicable) through an electronic transfer of funds. Automated Clearing House (ACH) transfers are the most cost effective. This is a secure method of sending your payment. For additional information on this method of payment, please call the Office of Pool Administration at (315) 671-3800.

What´s New

July 1, 2014

This is notification that a determination has been made for alternative cost containment methods to the 2% Across the Board Reduction, as it relates to the Health Facility Cash Assessment (HFCAP) rate for nursing homes for April 1, 2014 thru March 31, 2015. The rate will remain at 6.8%, continuing the 6.8% from its original effective date of November 1, 2012. Further details about the alternative cost containment measures taken will be forthcoming in a future notification.

As a reminder, the due dates for the April thru July 2014 HFCAP reports for nursing homes were postponed earlier this month as listed below:

Report Month REVISED
Extended Due Date
April 2014 07/15/14
May 2014 07/31/14
June 2014 08/15/14
July 2014 09/02/14

The electronic website for report submission at will reopen Tuesday, July 1st for the submission of the April, May, and June 2014 reports. You will be able to submit your July 2014 report after July 31.

Should you have any questions, please contact a HFCAP representative at (315)671-3800.

May 1, 2014

To: Hospitals, CHHA, PCP:

The current HFCAP assessment rates have been extended to March 31, 2015.


Effective April 1, 2014, the HFCAP assessment rate has been reduced to .35% for cash receipts received for periods on and after April 1, 2014.

To: RHCF´s:

The HFCAP assessment rate has not been determined for cash receipts received for periods on and after April 1, 2014. As a result, the due date for the April 2014 report has been extended to June 16, 2014.

January 28, 2014

Please Note:

As of February 1, 2014, all questions or correspondence should be directed to

January 14, 2014

Reminder Regarding Assessable Health Facility Cash Assessment Receipts

This email serves as a reminder that as New York transforms its long term care system into an enrolled Managed long-term care (MLTC), all cash receipts for patient care services continue to be assessable for NY´s Health Facility Cash Assessment Program (HFCAP), including patient care cash receipts from MLTC providers.

For more information on patient care cash receipts as it pertains to the HFCAP, please refer to the appropriate facility type´s Reporting Instructions found under "Home Care Agencies" on this site.

Should you have any questions concerning this notice, please contact a HFCAP representative at (518) 474-1673 or (315) 671-3800.