Dear Administrator Letter
- Letter is also available in Portable Document Format (PDF)
September 30, 2024
Dear Administrator:
This letter is to inform you of the funds being disbursed with respect to a one time increase in residential health care facility funding.
The SFY 2024-25 Enacted Budget included a $285 million gross increase to residential health care facilities, ADHCs, and hospice programs. This increase is being distributed as a lump sum payment that has been calculated on a dollar per day basis, and this payment is the issuance of the State share component. The Federal share will be distributed upon the Federal approval of the methodology. Payments were calculated as follows:
- The total available amount of the increase was divided by the total billed Medicaid days for Calendar Year (CY) 2022. The result equates to $13.55 per day.
- Each nursing home, specialty unit, adult day healthcare, and hospice provider receives a lump sum in the amount of $13.55 multiplied by their CY 2022 billed Medicaid days.
- This current State share payment accounts for 50% of each provider’s full gross lump sum amount.
If a provider has multiple service units operating under the same MMIS ID, the payment values were combined into a single payment for each MMIS ID. The processing of this payment will take effect in cycle 2458 with a check release date of October 16, 2024.
Please note that any existing balance due to the Department will be recouped from this payment and applied to the balance. You will only receive payment for the amount that exceeds the liability balance.
Should you have any questions regarding these payments and liabilities, please email bimamail@health.ny.gov.
For questions regarding the one-time payment please email NFRates@health.ny.gov.
Sincerely,
Laura Rosenthal, Director
Bureau of Nursing Home and Long Term Care Rate Setting
Division of Finance and Rate Setting
Office of Health Insurance Programs
