FAQs from the Lessons Learned Outreach Session

  • FAQs Also avalable in Portable Document Format (PDF)
Topic:
General
Q.1. Where can I access the 2024 Home Care Cost Report Lessons Learned presentation?

A.1. The presentation will be available within the "Instructions" tab in the "Useful Links" section of the web-based Tool. The presentation will also be available on the Department of Health's Home Care Cost Report website under "Home Care Cost Report Outreach Sessions."
Q.2. What should agencies do if a third party (MLTC) does not provide the reports or supporting documentation upon the agency's request that is needed for the cost report submission or audit?

A.2. It is the agency's responsibility to comply with all cost report requirements and audit requests, when applicable. If agencies are having a concern with their MLTC, please refer to this link to submit a compliant or appeal: Complaints and Appeals - Managed Care - New York State Department of Health.
Web-based Tool
Q.3. Will the ability to upload the cost report as an Excel file be possible this year?

A.3. Uploads of data reports are not currently an available feature, but we recognize the concern and will continue to look into future modifications as feasible.
Q.4. Will the validation checks be tested prior to the opening of the 2025 Cost Report Tool?

A.4. All validation checks will be tested prior to the go-live date of the 2025 Home Care Cost Report. However, if your agency experiences any issues with validation checks these during the submission process, please reach out to the KPMG mailbox at us-advrisknyshc@kpmg.com and we will do our best to respond to all questions within 72 hours.
Cost Reporting
Q.5. Are FI providers required to complete and submit a 2025 Cost Report?

A.5. Any provider that was in operation and received Medicaid dollars during the reporting period is required to complete and submit the Cost Report for the time in which services were provided.
Q.6. Would DOH consider adding a row on Schedule 19 for providers to separate Medicare revenue between Medicare FFS and Medicare Advantage or Medicare Managed Care?

A.6. We will look into and further discuss the possibility of breaking out Medicare revenue in more detail, including separating Medicare Fee-For-Service and Medicare Advantage/Medicare Managed Care. Any potential updates or considerations will be reviewed internally and may be discussed in future webinars or guidance materials.
Q.7. Should agencies report CHHA Pediatrics and CHHA Episodic (Adult) separately in the cost report?

A.7. Yes, and this is currently broken out between Pediatric and Episodic (Adult) on Schedules 3, 4, and 5.
Q.8. Our Consumer Directed program ended services as March 2025, and we are not providing any additional services under this line of business in the future. Are we required to submit a full cost report, or is there an abbreviated version we can complete for the 3 months of data in 2025?

A.8. Yes, a cost report should still be submitted for the months the agency was in operation during 2025. Providers are required to complete the full cost report; however, it should only include data for the months in which services were provided (e.g., January through March 2025).
Q.9. If the header row and first column were "frozen" in the cost report schedules within the Tool (similar to the Excel function), it may help agencies more easily report data in the correct rows and columns.

A.9. We are currently working on an approach that will help agencies more easily report data in the correct rows and columns in the 2025 Cost Report, which we plan to discuss in further detail during the Kickoff webinar tentatively scheduled for June 2026.