Directors' Memo

Social Security Number Removal Initiative

Mar 21, 2017 — Tucked into the voluminous text of the Medicare Access and CHIP Reauthorization Act (MACRA) is a provision designed to protect Medicare beneficiaries from fraud and identity theft by removing social security numbers from Medicare cards. The Social Security Number Removal Initiative intends to replace all Medicare cards by April of 2019. A new Medicare Beneficiary Identifier... Read More

MedPAC Report to Congress

Mar 17, 2017 — On March 15, the Medicare Payment Advisory Commission (MedPAC) presented one of its two annual reports to Congress. MedPAC is chartered to evaluate Medicare payment issues and make recommendations to Congress. This year, as in the past several years, MedPAC recommends no payment update for hospice for 2018. Other providers the Commission recommended flat lining... Read More

NHTD/TBI Stakeholders Group

Mar 7, 2017 — The NHTD/TBI waiver population’s transition to managed care has been moved from January 1, 2018 to April 1, 2018. HPCANYS consultant Kathy McMahon attended the stakeholders meeting on March 1st. The focus of the meeting was training in three areas: 1) Participants; 2) Providers; and 3) Plans & CFIC, and DOH is seeking volunteers for the... Read More

Hospice Certificate of Need (CON)

Mar 7, 2017 — In August of 2016, HPCANYS met with DOH staff to discuss the Department’s plan for Hospice CON and provide an update on HPCANYS’ proposed utilization-based need methodology proposal shared with DOH in 2013, when Hospice CON “streamlining” appeared to be on a “fast track.” At that meeting we were asked whether there are any states... Read More

Governor’s Proposed 2017-2018 Budget

Mar 7, 2017 — When Governor Cuomo unveiled his Proposed 2017-2018 Budget in mid-January, HPCANYS immediately identified problematic language in the Executive budget proposal intended “to clarify that Medicaid would not cover hospice-related services otherwise covered by Medicare,” (a $4.4 million reduction). HPCANYS’ legislative/regulatory team worked with colleagues from other agencies to seek clarification on the meaning and impact... Read More

PPSs Open to New Provider Partners

Mar 6, 2017 — The Delivery Systems Reform Incentive Payment (DSRIP) Program has reached its halfway point. In accordance with the Special Terms and Conditions of the program – that is, the agreement between New York State and the Centers for Medicare & Medicaid – all Performing Providers Systems (PPSs) must be open to taking on new members. The... Read More

Advocacy Day 2017

Feb 10, 2017 — Thank you to members who were able to attend our very successful Advocacy day with LeadingAge New York this past Tuesday. If you were unable to join us for Advocacy Day, we still need your help. Please: Write and/or call your Senators and Assembly Members with this message:  The Governor’s budget proposal includes language intended... Read More

Health Care Fraud & Abuse Report Released

Jan 27, 2017 — The Department of Health and Human Services (HHS) and the Department of Justice (DOJ) has released its Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year 2016. Here are the highlights for New York State providers and for hospice programs nationally. Medicare Fraud Strike Force The Strike Force uses advanced data analysis... Read More

Department of Health Declares Influenza Prevalent in New York State

Dec 28, 2016 — As of December 28, 2016, NYS Department of Health Commissioner Howard Zucker has declared influenza prevalent in New York State. This determination is the threshold which triggers the “Regulation for Prevention of Influenza Transmission by Healthcare and Residential Facility and Agency Personnel.”  This regulation (Title 10, Section 2.59) requires facilities and agencies, including hospices and... Read More