• OHIP
• OHSM

• ALP 6000 Opportunities for Development (OFD)
  – authorization for up to an additional 4,718 beds by March 31, 2014.
• There is no longer a requirement that these beds be associated with the decertification of Residential Health Care Facility beds.

• ACF Compliance Letters dated March 15, 2012 were mailed to selected ACF CON Applicants (facilities that are unlicensed but operating)
• Architectural Certification (i.e. TPAC): being re- evaluated by the Department to streamline and clarify. The next Architectural Committee will be before 6/30/12
• Applicants and/or Applicant Representatives should work directly with their assigned Project Manager
• Retirements have resulted in re-assignment of ACF CON Applications review among current Project Managers

• Currently there are 105 Facilities with 6,357 licensed ALP beds
• We are reviewing 38 applications for 2,341 additional ALP beds
• These combined cover 47 of the state´s counties

• 57 ALRs approved to date:
  • 9 are EALR
  • 11 are SNALR
  • 21 are EALR and SNALR
• 203 ALR applications currently under review representing:
  • 20,264 ALR beds
  • 8,202 EALR beds
  • 3,745 SNALR beds

• Affordable Housing Workgroup incorporated ALP Reform into approved recommendations.
• 2012-2013 State Budget enacted many of these changes.
• Department is working administratively to achieve the remaining recommendations.

• The following proposals were also achieved in the 2012-2013 State Budget:
  • Allow ALP RN to conduct initial and ongoing assessments.
  • Reimburse the ALP outside of the capitated rate for these assessments.
  • Eliminate pre-admission assessment by local social services district.
  • Eliminate linkage to decertifcation of nursing home beds for new ALP beds.
  • Enable ALP to contract with more than one Certified Home Health Agency, Long Term Home Health Care Program or other qualified provider.

• DOH is working to achieve the following reform proposals administratively:
• Allow ALP home health aides to perform for ALP residents any tasks they could perform in any other setting.
• Allow ALP to contract for Medicare- covered therapies with non-CHHA or LTHHCP providers.
• Improve ALP survey process to integrate ACF/ALP and LHCSA survey components.
• Develop a forum to revisit ALP Reform next year.
• In addition, the Public Health and Planning Council last fall approved emergency regulations lifting the CHHA moratorium and allowing an ALP to become a CHHA.

• UAS-NY is a web-based software application that will be used by eight Long Term Care programs.
• UAS-NY is based on interRAI Community Health Assessment, which is validated and fosters inter- rater reliability.
• UAS-NY software is currently being developed and tested.

Engaging 40 representative organizations to help:

• provide insight into system technical stability.
• inform statewide roll-out strategy.
• provide insight into organizational ability to integrate UAS-NY into business practices.
• provide insight on UAS-NY impact on assessed individuals.

• Staff from participating organizations will complete the fully online courses to learn about and use the UAS-NY.
• Staff will test the UAS-NY by completing assessments and using available reports.
• Staff will provide feedback on the integration and alignment of local business practices with the UAS-NY.
• Expected implementation: January, 2013 due to integration with Medicaid Data Warehouse.

Questions? Contact Information

• Mark Kissinger, Director, Division of Long Term Care 518-402-5673, mlk15@health.state.ny.us