Mental Hygiene Services Rates

TO: Executive Director

FROM: Donna M. Cater, Director, Bureau of Mental Hygiene Services Rate Setting

DATE: August 1, 2014

SUBJECT: Final - July 1, 2014 Rate Rationalization Methodology Summary and Rates

The purpose of this memorandum is to transmit your agency’s FINAL July 1, 2014 Rate Rationalization Methodology Summary and rates for the programs operated by your agency. The methodology encompasses the following services certified by the NYS Office for People With Developmental Disabilities: Supervised and Supportive Individualized Residential Alternatives (IRAs), Group Day Habilitation and Intermediate Care Facilities (ICFs).

Individuals identified to receive "Specialized" or "Template" funding levels are not included in the Rate Rationalization Methodology. The total number of individuals in your agency that are identified as such are shown on the Summary. However, there may be some Template funded transactions that are not reflected on your agency’s Summary as they are still being processed.

If, after July 1, 2014, your agency operates any of the above-mentioned programs funded by an “Options for People Through Services” contract, please note that those programs are not included in the Rate Rationalization Methodology.

Please be advised that the Department of Health, in conjunction with OPWDD, will be amending the State Regulation 10 NYCRR Subpart 86-10 shortly. Per new CMS guidance, this amendment will include a change in policy with respect to the IRA’s SSI/SNAP offset. This revision has a direct effect on the budget neutrality factor. The anticipated effective date for this emergency regulation is September 1, 2014. Detailed information regarding this amendment will be available in the forthcoming weeks.

I hope you find the detailed format of the Summary and rate information helpful in your understanding of the Rate Rationalization Methodology. I am sure many of you will have questions regarding the methodology and your specific rates. We ask that you refrain from phoning our offices with inquires and instead refer to the OPWDD website for a frequently asked questions document. If this document does not provide an answer to your question, feel free to submit any questions or concerns you may have to: MHRS@health.state.ny.us." Please include the following information when you submit inquiries: Agency 5-digit Corp ID, Agency Name, Contact Information, DDRO for your Agency, Program Type (Supervised/Supportive IRA, Group Day Habilitation or ICF).