ALP Minimum Wage Adjustments

Carl J. Pucci in Finance & Reimbursement

DOH notified ALP providers earlier this week (copied below) informing them that the updates recently made to 2017 and 2018 ALP rates have been reversed. In early August, DOH had posted updated 2017 and 2018 rates which recalculated the minimum wage adjustments from a regional basis to a facility-specific basis utilizing minimum wage surveys for 2017 and 2018. Payment adjustments related to these updates were reflected in Medicaid payment cycle #2242 (checks dated 8/10/20 with release date 8/26/20). See attached DAL dated 7/30/20. 

Due to data concerns related to this change in the rate methodology, DOH has now reversed the original adjustments to the 2017 and 2018 rates. Payment adjustments reflecting this reversal are expected to occur in Medicaid payment cycle #2247 (check date 9/14/20, release date 9/30/20). Members can access a listing of 2017 and 2018 rates (original, revised and reversed) on the DOH web site here. Please note that updates to the 2020 ALP rates are not being reversed and were also contained in payment cycle #2242. DOH will be providing additional communications regarding reconciliation of the minimum wage adjustments affecting the 2017 and 2018 ALP rates. NYSCAL has also added this issue to next week’s DOH monthly rate-setting agenda. 

FROM  DOH:

September 8, 2020

This is to inform you that the Bureau of Residential Health Care Reimbursement has published ALP rate adjustments for 2017 and 2018 and transmitted the rates to EmedNy for payment.

The ALPS rates that were loaded on July 31, 2020 have reverted to the previously approved rates.  A further update will be forthcoming.

The rates have been posted on the NYS DOH public website at :

https://www.health.ny.gov/facilities/long_term_care/reimbursement/alp/.

If you have any questions, please submit them to the ALP mail log at ALP-rates@health.ny.gov, attention Russ Smith.

Thank you.


NYSHFA/NYSCAL CONTACT:

Carl J. Pucci
Chief Financial Officer
518-462-4800 x36