The Health Law Sidebar
December 9, 2011

PHHPC Passes Emergency Rule to Lift Moratorium on CHHA

The Public Health and Health Planning Council (PHHPC) of the New York State Department of Health (DOH) approved an emergency rule that will lift the State’s moratorium on accepting applications for new Certified Home Health Agencies (CHHAs) since 1994.  The state’s goal is to ensure there is enough CHHA capacity to accommodate the Medicaid Redesign Team initiatives to move Medicaid patients who need more than 120 days of home care services from fee-for-service programs to managed long-term care (MLTC) plans and other types of care coordination models.

DOH anticipates an immediate influx of Medicaid patients to the MLTC plans and proposes that permitting MLTCs to establish and operate their own CHHAs would allow such services to be more easily provided.  This will likely have a substantial effect on the ability of current CHHAs to negotiate the terms of network contracts with larger MLTCs.

This post was contributed by Charles Dunham.

Related Post:  DOH Emergency Rule to Lift Moratorium on CHHA