Additional information on FLSA funding

Managed Long Term Care Plans
FLSA Payments SFY 2015-16
State Share Only
Plan Name Amount
Aetna MLTC $ 605,439
Age Well New York $ 911,613
AlphaCare of NY $ 331,699
Amerigroup New York, LLC $ 491,693
ArchCare Community Life $ 336,679
CCM Select $ 1,041,816
Centers Plan for Healthy Living $ 633,731
Elant Choice $ 72,828
Elderserve $ 1,934,605
Extended MLTC $ 126,771
Fidelis Care at Home $ 1,533,898
First Choice Health $ 27,124
GuildNet, Inc. $ 2,880,828
Hamaspik $ 88,747
HIP of Greater New York $ 263,842
HomeFirst, Inc./Elderplan $ 1,924,705
iCircle $ 33,493
Independance Care System $ 1,214,103
Integra MLTC $ 469,600
MetroPlus MLTC $ 151,302
Montefiore HMO MLTC $ 112,697
North Shore - LIJ Health Plan Inc $ 434,062
Prime Health Choice $ 6,798
Senior Health Partners $ 2,108,093
Senior Network Health $ 15,965
Senior Whole Health $ 521,145
Total Aging in Place $ 12,651
United Healthcare MLTC $ 232,287
Village Care $ 769,162
VNA Homecare Options MLTC $ 56,568
VNS Choice $ 2,347,382
Wellcare Advocate $ 1,016,925

Additional information on FLSA funding

The Department would like to provide additional information in relation to the posted FAQ document regarding the attestation process for plans and providers that have received or will receive State share funds to support the revised federal Fair Labor Standards Act (FLSA) regulations.

Payments to Managed Long Term Care Plans were dispersed on March 2, 2016. Plans are expected to employ a reasonable methodology when distributing funds to their network providers to cover overtime, travel, and other requirements. Contrary to previous Department guidance, plans are no longer responsible for receiving attestations from their network providers, all attestations should be sent directly to the Department. These funds must be distributed as soon as possible but no later than April 8, 2016. Attestations from providers are due to the Department April 1, 2016.

In some instances, plans may have additional resources available subsequent to meeting provider FLSA needs. In these situations the MLTC plan should disperse funds to providers and such funds shall be utilized by the provider to benefit the worker.

Plans are not permitted to retain any of these funds. Plans must attest to the Department that all funds received were distributed to network providers. When submitting attestations to the Department, plans should include the methodology utilized in the disbursement of funds.

Providers that receive funds from their contracted plans, must attest to the Department that funds received were applied directly to the home care worker.

All attestations are to be submitted to the Department by no later than April 1, 2016. Attestations should be transmitted electronically to FLSA@health.ny.gov.

The FAQ document is located here: http://www.health.ny.gov/health_care/medicaid/redesign/flsa_payments_faqs.htm