Previously Released Information
VAP Exception Appeal Process
The Vital Access Provider (VAP) Exception appeal process ended on October 24, 2014 for all Medicaid providers, physicians and pharmacies or facilities that did not qualify by the Safety Net Definition by calculation or by appeal. If the exception was granted, then the applicant would be qualified to participate in the DSRIP program. Non-qualifying facilities are limited; they may only receive up to 5% (as a group) of their PPS's award. This appeal process was used for any provider type that is not currently considered a safety net provider and intends to be a lead for the DSRIP Project Plan application. (See Safety Net Definition)
The following VAP Exception appeals were provided for a 30 day public comment period ending on December 3, 2014. Approval of these exception appeals was contingent upon obtaining approval from the federal Centers for Medicare and Medicaid Services (CMS).
- Adult Care Facilities - Exception appeals (PDF, 310KB)
- Other - Exception appeals (PDF, 3MB)
- Licensed Home Care Service Agencies - Exception appeals (PDF, 690KB)
- Hospitals - Exception appeals (PDF, 880KB)
- Clinics - Exception appeals (PDF, 356KB)
- Nursing Homes - Exception appeals (PDF, 230KB)
- CHHAs - Exception appeals (PDF, 860KB)
- OASAS/OMH/OPWDD Safety Net Calculations - Exception appeals (PDF, 4.2MB)
- Physicians - Exception appeals (PDF, 3.8MB)
- Pharmacies - Exception appeal (PDF,1.2MB)
- OMH/OASAS1915i Providers - Exception appeals (PDF, 5.7MB)
- Pending Safety Net Harm Reduction 1915i Providers - Exception appeals (PDF, 350KB)
- State Designated Health Homes and Downstream Care Management Agencies - Exception appeals (PDF, 6.1MB)
- Catholic Medical Partners - Exception appeals (PDF, 11.3MB)
Comments were submitted electronically to bvapr@health.ny.gov.
Public comments can be found here
The links below contain the February 24, 2015 CMS approval letter and summary of their determination of the Vital Access Provider (VAP) Safety-Net Exception recommendations submitted for inclusion in the DSRIP safety net process:
- VAP Exception for CMS Review
- 02242015 New York VAP Exceptions Approval Letter
- 02242015 New York DSRIP safety net exceptions review
Forms and Instructions
VAP Exception Appeal Forms and Instructions
- VAP Exception Appeal Form Instructions - New September 24, 2014 (PDF, 686KB)
- VAP Exception Appeal Form - New September 24, 2014 (XLSX, 264KB)
- Health Home and Downstream Exception Form - New October 16, 2014 (XLSX, 251KB)
- HCBS-1915i Service Providers Exception Form - New October 16, 2014 (XLSX, 268KB)
Safety Net Appeal Forms
- Physicians and Pharmacies Safety Net Appeal Form Instructions (PDF, 856KB)
- Physicians and Pharmacies Safety Net Appeal Form (XLS, 694KB)
- Safety Net Appeal Form Instructions (PDF, 713KB)
- Safety Net Appeal Form (XLS, 316KB)
DSRIP VAP Exception forms were due by October 24, 2014. Late appeals were not accepted. If you are already included on an approved safety net list, there is no need to apply for more than one list type unless your identifier (opcert, license, agency code, etc) does not include other services that you wish to be included.
Please note that the Department created two VAP Exception forms expressly for the HCBS/1915i service providers and the State designated Health Homes and Downstream Care Management Agencies. The Health Home and Downstream exception form is for Health Homes and Downstream providers. The use of this form implies that you are using the third exception category: Any state-designated health home or group of health homes.
The HCBS-1915i provider exception form is for pending 1915i OMH, OASAS and Harm Reduction Providers. The use of this form implies that you are using the first exception category: A community will not be served without granting the exception because no other eligible provider is willing or capable of serving the community.
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