Assisted Living Program (ALP) Dear Administrator Letter

July 30, 2020

Dear Administrator:

This letter provides you with information regarding your Assisted Living Program (ALP) Medicaid reimbursement rates effective January 1, 2017, January 1, 2018 and January 1, 2020. The formula on which these rates are based was promulgated in accordance with Title 10, Part 86-7 of the Commissioner’s Administrative Rules and Regulations. These rates are available on the NYS DOH public website.

The ALP Rates are based on fifty percent of the 1992 regional nursing home average rate for the sixteen ALP regions. Additionally, minimum wage increases have been incorporated into these rates based on survey data that was submitted and attested to by ALPs.

  • Included is an adjustment to the 2017 ALP rates due to a correction to the original 2017 minimum wage calculation.
  • Included is an adjustment to the 2018 ALP rates due to a correction to the original 2018 minimum wage calculation.
  • The 2020 ALP rates incorporate a minimum age adjustment based on the 2020 minimum wage survey data submitted.

The payment for the January 1, 2017, 2018 and 2020 rates will be made in cycle 2242, check release date August 26, 2020. If you have any questions regarding the information above, please send an email to ALP-Rates@health.ny.gov and Russ Smith will respond to your inquiry.

Sincerely,

Laura Rosenthal, Director
Bureau of Residential Health Care Reimbursement
Division of Finance and Rate Setting
Office of Health Insurance Programs