Directors' Memo

New York’s 1115 Waiver Program Next Public Comment Day

Nov 10, 2017 — The NYS Department of Health has announced that the Downstate Public Comment Day for New York´s 1115 Waiver programs will be held on November 16th at the New York Academy of Medicine, Reading Room, 1216 5th Ave., New York, NY 10029, from 1:00 pm – 4:00 pm. Any written public comment may be submitted through November 29th to Please include... Read More

Deadline to Verify Data for Hospice Compare

Nov 10, 2017 — The “freeze date,” that is, the date by which Hospice Providers must submit HIS Modification and Inactivation Records (all HIS records, including modifications/corrections and inactivations) to be reflected in the next Hospice Provider Preview Reports is November 15, 2017. Records should be submitted and accepted into the QIES ASAP system by 10:59:59 pm EST in order... Read More

Update on Emergency Preparedness: Deadlines and Resources

Oct 27, 2017 — The deadline for compliance with the CMS Emergency Preparedness Rule is November 15, 2017. To assist providers in compliance with the regulation, the NYSDOH has prepared a webinar, “CMS Emergency Preparedness Requirements for Hospices,” available through the Health Commerce System. View Recorded Training at Your Convenience: Copy and paste this link in a fresh browser... Read More

Participate in the HEART Assessment Pilot: Additional Information

Oct 27, 2017 — We have received the following additional information from RTI International, the firm conducting the HEART Pilot project: “Pilot sites will not be required to submit HEART assessments for all patients admitted during the pilot. Instead, each pilot participant will receive a target number of assessments, scaled based on their hospice size and other potential restrictions.... Read More

CMS Issues Two New Change Requests

Oct 26, 2017 — CMS has issued two new change requests which are set to become effective next month. CR10322 addresses who has the authority to authenticate documentation for medical review. This CR clarifies that the services provided/ordered/certified be authenticated by the persons responsible for the care of the beneficiary. This should be a handwritten or electronic signature. Additionally,... Read More

Opportunity to Participate in HEART Assessment

Oct 23, 2017 — The 2018 Wage Index noted that CMS is in the early stages of the development of a new data collection mechanism for use by hospices. This new data collection mechanism would be a hospice patient assessment tool which would allow for data collection to complete the HQRP requirements as well as provide additional clinical data... Read More

Clarification on Data Exchange Incentive Program Funding for SHIN-NY

Oct 23, 2017 — As we previously reported, the Statewide Health Information Network of New York (SHIN-NY) requires participation by all Article 28, Article 36 and Article 40 providers utilizing certified electronic health record technology (CEHRT). At our recent Leadership Institute, representatives from NYSDOH and the NY eHealth Collaborative touted the benefits of participating in the SHIN-NY, even for... Read More

DOH Issues Monthly Report on Children’s Medicaid Transformation

Oct 12, 2017 — As we previously reported, effective January 1, 2018, the CAH I/II waiver population will begin to transition to Managed Care. On August 15, 2017, the NYSDOH released a draft Transition Plan for the Children’s Medicaid System Transformation. In January, six waivers facilitating Medicaid services for children, including the Care At Home I/II waiver, will be... Read More

Process for Hospices to Submit a List of Claims Requiring Adjustments

Sep 29, 2017 — The Centers for Medicare & Medicaid Services (CMS) released MLN Matters Special Edition article SE17029 – Process for Hospice to Submit a List of Claims Requiring Adjustments on September 26, 2017. This special edition article is in response to claims identified in SE17014 issue May 24, 2017, which instructed hospices to submit adjustments on an... Read More

CMS Issues Instructions for Submitting RHC Claims Requiring Adjustment in List Format

Sep 27, 2017 — In updates regarding hospice routine home care (RHC) that continue to be paid at the improper rates, CMS plans to permit hospices to submit information related to these claims in list format to the MACs for processing. Yesterday CMS issued a Medlearn Matters Special Edition providing instructions for submission of such lists to your assigned MAC. A... Read More