Rate-Setting Update

Carl J. Pucci in Finance & Reimbursement

The monthly DOH Briefing was cancelled in June, however, NYSHFA obtained the following update with respect to various rate packages currently in process:

  • 2015 rates with updated July 2014 CMI are scheduled to go to DOB this week.  Expect processing sometime mid-late July.
  • 2013 Quality Pool – has been approved by DOB, and is slated to go to EMEDNY for processing as soon as regulations are finalized.
  • 2014 Quality Pool – is scheduled to go to DOB this week.  Expect processing in mid-late July.
  • 2013 Cash Receipts Assessment (CRA) Reconciliation – presently at DOB.  Expect processing within third quarter 2015.
  • Case Mix Audits – DOH has just met with OMIG to finalize processing of the 2012 OMIG audited rates. These rates are expected to be issued within the July/August period.  2013 OMIG audits are being verified by DOH rate-setting prior to moving to DOB.

NYSHFA will continue to monitor progress on these rate packages and inform members accordingly.  A complete rate-setting update will be posted following the next scheduled DOH briefing in early July.


Carl J. Pucci
Director, Finance & Reimbursement
518-462-4800 x36