Governor Cuomo Announces Over $50 Million in Funding for Home Health Services for Senior Citizens Not Yet Eligible for Medicaid

Today, New York Governor Andrew Cuomo announced that $50 million in funding from the state’s Expanded In-Home Services for the Elderly Program has been awarded to the state’s county-based Area Agencies on Aging for the purpose of helping New York’s senior citizens to obtain home health care services.  The press release states that the funding “will […]

Seventh Circuit Decision Highlights Scope of Anti-Kickback Statute

This month’s article from the Albany County Bar Association Newsletter offers brief summary of the recent decision in U.S. v. Patel, in which a physician was found to have violated the federal Anti-Kickback statute for an improper referral scheme with a home health agency, even though he did not actively divert patients to other providers. The […]

New Reporting Requirements under the IMPACT Act for Post-Acute Care Providers

President Obama signed into law on October 6th, 2014 the “Improving Medicare Post-Acute Care Transformation Act of 2014”, also known as the “IMPACT Act of 2014”.  The IMPACT Act of 2014 amends the Social Security Act to require home health agencies, skilled nursing facilities, inpatient rehabilitation facilities, and long-term care hospitals to report on a […]

The OMIG At Work: A Year Of Record Recoveries?

The New York State Office of the Medicaid Inspector General (OMIG) has announced that it has recovered $851 million in Medicaid funds for 2013.  If accurate, this amount will have set a new record (the prior record is claimed to have been $468 million for 2012) for the OMIG in a state where over $53 […]

Justice Center Operations to Begin; DOH Advises Facilities on Compliance

Following confirmation of Jeffrey Wise as the head of the Justice Center for the Protection of People with Special Needs (“Justice Center”), the Department of Health released a Dear Administrator Letter concerning new requirements that the Justice Center will enforce.  The Department has indicated that it will communicate with covered facilities about compliance with the […]

HIPAA: Conversion to Version 5010

As of January 1, 2012, all healthcare providers were required to transition from version 4010/4010A to version 5010 standards for submitting electronic transactions, and the failure to comply may result in claim denials or a government investigation. CMS has repeatedly postponed enforcement, but it appears the agency will begin to enforce civil monetary penalties against […]

Preliminary New York State Health Home Rollout Plan Released

On January 26, 2012, New York State Department of Health (DOH) published a preliminary rollout plan for Health Home implementation on their website.  As we previously reported, the Public Health and Health Planning Council (PHHPC) of the DOH approved an emergency rule to lift the State’s moratorium on accepting applications for new CHHAs. The Preliminary […]

New York State Department of Health Publishes Requests for Applications for Certified Home Health Agencies

On Thursday, January 26, 2012, the New York State Department of Health, Division of Home and Community Based Services, issued a Request for Applications (RFA) for organizations interested in becoming established as a certified home health agency (CHHA), pursuant to recently adopted regulations at 10 NYCRR Section 760.5(l). The RFA is available on the DOH […]

DOH Emergency Rule to Lift Moratorium on CHHA

The New York State Department of Health (DOH) is pushing through an emergency rule that would lift the State’s current moratorium on new Certified Home Health Agencies (CHHAs).  This emergency rule is a result of implementing the Medicaid Redesign Team initiatives to move Medicaid patients who need more than 120 days of home care services […]