Bill Text: NY A08171 | 2015-2016 | General Assembly | Introduced

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Bill Title: Relates to rebasing of the episodic reimbursement methodology for certified home health agencies.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2015-06-19 - substituted by s5878 [A08171 Detail]

Download: New_York-2015-A08171-Introduced.html

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                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         8171
                              2015-2016 Regular Sessions
                                 I N  A S S E M B L Y
                                     June 10, 2015
                                      ___________
       Introduced  by  M.  of  A.  GOTTFRIED  --  read once and referred to the
         Committee on Health
       AN ACT to amend the public health law, in relation to  rebasing  of  the
         episodic reimbursement methodology for certified home health agencies
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Paragraph (b) of subdivision 13  of  section  3614  of  the
    2  public  health law, as added by section 4 of part H of chapter 59 of the
    3  laws of 2011, is amended to read as follows:
    4    (b) Initial base year episodic payments shall  be  based  on  Medicaid
    5  paid  claims,  as determined and adjusted by the commissioner to achieve
    6  savings comparable to the prior state fiscal year, for services provided
    7  by all certified home health agencies in  the  base  year  two  thousand
    8  nine.  Subsequent  base  year episodic payments may be based on Medicaid
    9  paid claims for services provided by all certified home health  agencies
   10  in  a  base  year  subsequent to two thousand nine, as determined by the
   11  commissioner, provided, however, that such base year adjustment shall be
   12  made not less frequently than every three years;  AND  PROVIDED  FURTHER
   13  THAT,  FOR  THE  PERIOD  APRIL FIRST, TWO THOUSAND FIFTEEN THROUGH MARCH
   14  THIRTY-FIRST, TWO THOUSAND SIXTEEN, THE  STATEWIDE  NEGATIVE  IMPACT  ON
   15  TOTAL EPISODIC PAYMENTS RESULTING FROM THE BASE YEAR ADJUSTMENT REQUIRED
   16  UNDER THIS PARAGRAPH SHALL IN NO EVENT EXCEED THIRTY MILLION DOLLARS. In
   17  determining  case  mix,  each patient shall be classified using a system
   18  based on measures which may include, but not limited  to,  clinical  and
   19  functional  measures,  as reported on the federal Outcome and Assessment
   20  Information Set (OASIS), as may be amended.
   21    S 2. This act shall take effect immediately and  shall  be  deemed  to
   22  have been in full force and effect on and after April 1, 2015.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD11587-01-5