DAL-Hospice Non-Residential Rates

October 7, 2020

Dear Administrator:

This is to notify you of the approval and publication of your Medicaid Hospice Care and Medicaid Hospice Supplemental Financial Assistance Program base rates as well as the Worker Recruitment and Retention (WRR) and Recruitment, Training and Retention (RTR) add-ons for the periods April 2, 2020 through September 30, 2020. The formula on which these rates are based was promulgated in accordance with Article 40 of the Public Health Law (PHL) and Subpart 86-6 of Title 10 of the Commissioner's Administrative Rules and Regulations.

PHL Section 4013 established a three (3) percent increase to rates of payment to reimburse hospice providers for purposes of improving recruitment and retention of non-supervisory workers or workers with direct patient care responsibility. Effective April 2, 2020, the recruitment and retention percent was decreased by 25 percent to 2.25 percent as enacted in the 2020-21 Enacted Budget. The enclosed rates include an adjustment to reflect the decrease from 3 percent to 2.25 percent. for the periods April 2, 2020 through September 30, 2020.

The rates and DAL are posted on the NYS DOH public website here.

The payment for the April 2, 2020 hospice rates will be made in cycle number 2252, check release date November 4, 2020. If you have any questions regarding the above information, please send an email to Hospice-Rates@health.ny.gov and Russ Smith will respond to your inquiry.


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