• SOI #2 - On hold pending direction from the Governor´s office and MRT Sub Committee work.
• Uniform Assessment Tool Initiative - now known as the Uniform Assessment System - New York (UAS-NY)

• Many screening and assessment tools in use today; lack standardization and create significant redundancy.
• Conducted extensive research and identified excellent replacement candidate: interRAI Community Health Assessment.
• Procured services of GCOM Software to implement the interRAI suite electronically.
• Procured services of NYSTEC to assure quality and completeness of the system.

• UAS-NY Will Be Used by Eight Long Term Care Programs:
  • Assisted Living Program
  • Personal Care Services Program; Consumer Directed Personal Assistance Program
  • Adult Day Health Care
  • Long Term Home Health Care Program
  • Nursing home Transition and Diversion
  • Traumatic Brain Injury Waiver
  • HCBS Waiver Care at Home Waiver
  • Managed Long Term Care

• Vendors are Onsite and Working
  • System Development: May 2011 to March 2012
  • Beta Testing: March 2012 to May 2012
  • Pilot Implementation: June 2012 to September 2012
  • State-wide Implementation: September on
• Preparing for Statewide Implementation
  • Will be sending out a Computer Readiness Survey; will be used to identify Beta and Pilot participants.
  • Beta, Pilot and Implementation includes training on the UAS-NY and the interRAI assessment tool.
• Assisted Living Programs will be included

• Recent retirements have resulted in several changes in assignments including a change in the personnel responsible for the review of the financial component. We do not anticipate this will cause any delays in processing.
• Please continue to work with your assigned Project Manager (and know your project number!)
• Architectural Issues: OLTC is reviewing internally the concept and process of self-certification.
• As a result of the ALR task force meeting it was decided to establish a work group to review the requirements for the medical evaluation and assessments for the ALR.
• This meeting is scheduled for the end of this month.

• Currently we have 5,263 ALP beds up and running
• We are reviewing 57 applications for 3,392 additional ALP beds
• These combined cover 43 of the state´s counties

• 49 ALRs Approved to date
• 227 ALR applications currently under review representing:
  • 21,855 ALR beds
    7,669 EALR beds
    3,931 SNALR beds
• 132 ALR applications have been withdrawn (these are not included in the 227 total)
• 49% of all applications are awaiting a response from the applicant
• 11% are on hold per a request by the applicant

• Census Report Information:
  • 469 of 478 have filed
  • We currently have 149 Impacted Facilities
  • We currently have 298 SSI Facilities Total census of 31,695 with a capacity of 38,868 (82%)

Next Steps:
Streamlining licensure process.

The following 7 slides outline the current licensure process.

APPLICATION REVIEW COMPONENTS

1. ARCHITECTURAL REVIEW
   • ACF - AH/EHP/ALR/ALP
   • New construction
   • Renovation
   • Conversion of existing beds
2. CHARACTER & COMPETENCE
   • Personal history forms
   • Letters of Reference
   • NYS Health Care Affiliations
   • Out-of-State Health Care Affiliations
   • Professional Licenses - OPMC/SED/Out-of-State
3. FINANCIAL REVIEW
   • Financial feasibility
   • Financing arrangements (i.e., mortgage, commitments)
   • Project cost
   • Three-year operating budget
   • Room Rates
   • Financial Statements
4. LEGAL REVIEW (Division of Legal Affairs)
   • Corporation or Not-for-Profit
     • Certification of Incorporation and/or Amendments
     • -By-Laws
     • Site Control -Lease/Deed/Purchase Agreement
     • Certificate of Assumed Name/DBA
     • Management Contracts
     • Zoning
   • LLC (Limited Liability Corporation)
     • Articles of Organization and/or Amendments
     • Operating Agreements
     • Site Control: Lease/Deed/Purchase Agreement
     • Certificate of Assumed Name/DBA
     • Management Contracts
     • Zoning
5. PUBLIC NEED (adult homes only)
   • Letters of Support - OFA/DSS

   Waiting List

   • HMSA (Health Management Systems Agencies) Statement
6. REGIONAL OFFICE REVIEW
   • Part 2
7. MMIS (MEDICAID MANAGEMENT INFORMATION SYSTEM)
   • ALP Programs Only

• #5 - CHHA Utilization Controls
• #90 - Move to MLTC
• #200 - Regulation relief / reform

• Mark Kissinger, Deputy Commissioner, Office of Long Term Care 518-402-5673,
• Mary Hart, Director, Division of Assisted Living 518-408-1133, meh45@health.state.ny.us
• Guy Warner, Deputy Director, Division of Assisted Living 518-408-1624,

Regional Office

• Patricia Hasan, Capital District Regional Office, 518-408-5287
• Norine Nickason, Western Regional Office, 585-238-8185
• Kathleen Crissey, Central Field Office, 315-477-8472
• William Conron, Metropolitan Area Regional Office, 631-851-3086

• Effective April 15, 2011 all of the Office of Long Term Care is now located at:
  875 Central Ave
  Albany, NY 12206

And the FAX number for Division of Assisted Living is:
518-408-1249

All phone numbers remain the same.