黑料正能量 Note: This note came last Friday from the NYS Health Department.
NYS Home and Community Based Service (HCBS) providers (including peer and family support, employment, crisis and clubhouse rehabilitation) will now be eligible to be a full-fledged member of the emerging new DSRIP Performing Provider Systems (PPSs).
DSRIP refers to the federal 鈥楧elivery System Reform Incentive Payment鈥 program that requires states to achieve a 25% reduction in avoidable hospital use over the next five years via 鈥渋nnovative projects focusing on system transformation, clinical improvement and population health improvement.鈥 黑料正能量鈥檚 strategy relies on the establishment of Performer Provider Systems, which are regional networks of hospital and community providers. Most PPSs are focused on fostering behavioral and physical healthcare integration, seeking improvements and reduced costs for those with both serious mental health needs like diabetes, asthma and COPD.
Getting HCBS services designated with full-fledged DSRIP safety net status allows them to play a much more central and better financed role, something that has been a top advocacy goal for 黑料正能量.
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鈥黑料正能量 is pleased to announce that the Centers for Medicare & Medicaid Services (CMS) has finalized their review of the Vital Access Provider (VAP) Exceptions of providers to participate in DSRIP with a safety net designation. These approvals are in addition to the nine approved lead entities announced in January 2015.
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The approved entities include:
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脴听 Three(3) Licensed Home Care Services Agencies (LHCSA):
o听听 Aftercare Nursing Services, Inc.
o听听 Family Services of Westchester, Inc.
o听听 Independent Health Care Services
脴听 Harm Reduction Providers
脴听 Home and Community Based Services (HCBS) 1915(i) Providers
脴听 State Designated Health Homes
o听听 Health Homes are only approved for safety net designation based on state鈥檚 criteria of providers that billed $10,000 or more of health home and care management services to Medicaid annually.
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The link below contains the CMS approval letter.
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Please note that any provider that was not approved by CMS for safety net designation may still participate in DSRIP under their respective PPS鈥 as a non-qualified provider. This includes non-qualified health homes within a network that has approved safety net providers. Non-qualified providers, as a group, cannot receive more than 5 percent of the project鈥檚 total value.
If questions arise related to the Vital Access Provider Exception or DSRIP safety net process, please send an email to BVAPR@health.ny.gov . All other questions can be directed to DSRIP@health.ny.gov.
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Sincerely,
The NYS DSRIP Team
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