DAL - Dear Administrator Letter
- Letter is also available in Portable Document Format (PDF)
March 20, 2026
Dear Administrator:
This letter informs you of a one-time increase in Assisted Living Program provider funding. The SFY 2025-26 Enacted Budget included two appropriations totaling $460 million gross to Nursing Homes, Assisted Living Programs (ALPS), Adult Day Health Centers (ADHC), AIDS Adult Day Health Care Centers (AADHC), and Hospice programs.
This lump sum payment has been calculated on a dollar per diem basis for ALP providers and represents the State share. The Federal share will be distributed upon the Federal approval of the methodology.
Payments were calculated as follows:
- The total available amount of the increase was divided by the total billed Medicaid days for Calendar Year (CY) 2024, which results in a $3.71 per diem.
- The lump sum was calculated using the $3.71 per diem multiplied by each provider’s CY 2024 billed Medicaid days.
If a provider has multiple service units operating under the same MMIS ID, the payment values were combined into a single payment for each MMIS ID. The processing of this payment will take effect in cycle 2533 with a check release date of March 25, 2026.
If you have any questions, please reach out to the ALP mailbox at ALP-Rates@health.ny.gov
Sincerely,
Laura Rosenthal, Director
Bureau of Nursing Home and Long-Term Care Rate Setting
Division of Finance and Rate Setting
Office of Health Insurance Program
