What payments will be affected by the reduction?

Category	Program or Service Area
Inpatient Services	Hospital Inpatient Reimbursement 2% reduction applies Indigent Care Pool Payments 2% reduction applies Graduate Medical Education - Medicaid for Managed Care patients 2% reduction applies Hospital Disproportionate Share payments made to governmental general hospitals operated by the State of New York or the State University of New York 2% reduction applies Indigent Care Adjustments to hospitals operated by the State of New York or the State University of New York 2% reduction applies Supplemental Medicaid payments to voluntary hospitals 2% reduction applies Additional Disproportionate Share Payments to voluntary non-profit hospitals 2% reduction applies
Nursing Home	In State Nursing Homes - Alternative proposal accepted to generate commensurate savings through an increase of the cash assessment Out of State Nursing Homes - 2% reduction applies
Non-Institutional Services	Assisted Living Programs Alternative proposal accepted to generate commensurate savings through a reduction of the State only funding of 'EQUAL' Early Intervention 2% reduction applies Foster care 2% reduction applies Freestanding Clinic Alternative proposal accepted to generate commensurate savings through a reduction to the APG base rates Home Health CHHA - 2% reduction applies LTHHCP- Alternative proposal accepted to generate commensurate savings through an increase of the cash assessment Home Nursing 2% reduction applies Hospital Based Outpatient 2% reduction applies Managed Long Term Care Alternative proposal to generate commensurate savings through reducing premium levels Managed Care/ FHP/HMO Alternative proposal to generate commensurate savings through reducing premium levels Methadone Maintenance Treatment Programs-MMTP (hospital based and freestanding) 2% reduction applies Personal Care 2% reduction applies Pharmacy Alternative proposal- interactions amongst existing proposals and other pharmacy programs will generate commensurate savings, resulting in .33% reduction for SFY 11/12 and a 1% or less payment reduction for SFY 12/13 Physicians Office place of service - Alternative proposal accepted to generate commensurate savings for office based physicians through an reduction in radiology fees All other places of service 2% reduction applies Other Services (Dental, Eye/X-ray, etc.) Office place of service - Alternative proposal accepted to generate commensurate savings for office based physicians through an reduction in radiology fees All other places of service 2% reduction applies to all others; except for Dental fee schedule billing