Children's Home and Community Based Services (HCBS) Notification of Rate Increase
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To: Children's Home and Community Based Service (HCBS) Providers and Medicaid Managed Care Plans (MMCPs) including Mainstream Managed Care and HIV Special Needs Plans (HIV-SNPs)
Date: May 28, 2024
This notice is to inform Children's Waiver HCBS providers and MMCPs that the New York State Department of Health (NYSDOH) has received approval from the Centers for Medicare and Medicaid Services (CMS) and NYS Department of Budget to implement a 4% Cost of Living Adjustment (COLA) increase for Children's HCBS rates retroactive to November 1, 2023.
Children's HCBS Providers will automatically receive retroactive adjustments on Fee- for-Service (FFS) Medicaid claims already submitted/paid with dates of service on or after November 1, 2023. These retro-payments will be included in providers' cycle 2441 payments, which are scheduled to be issued on June 19, 2024.
MMCPs must configure their systems with the updated rates and issue retroactive payment adjustments to providers for dates of service on or after November 1, 2023; no later than 90 days from this notice.
The adjusted Children's HCBS rate schedule can be found on the Department of Health Website.
Please contact 1915CR@health.ny.gov with any questions related to this notification.
