Section 86-13.6 - Transition periods and reimbursement

86-13.6 Transition periods and reimbursement.

(a) Transition to new methodology. The reimbursement methodology described in this subpart for prevocational services (site-based) and respite (hourly and free-standing) will be phased-in over a two year period, with a year for purposes of the transition period meaning a twelve month period from July first to the following June thirtieth, and with full implementation in the beginning of the third year. During this transition period, the base operating rate will transition to the target rate according to the phase-in schedule immediately below. The base operating rate will remain fixed and the target rate, as determined by the reimbursement methodology in this subpart, will be updated to reflect rebasing of cost data, trend factors and other appropriate adjustments.

 

 

Phase-in Percentage

Transition

Base operating rate

Target rate

 

Year One (July 1, 2015 – June 30, 2016)

50%

50%

Year Two (July 1, 2016 - June 30, 2017)

25%

75%

Year Three (July 1, 2017 – June 30, 2018)

0%

100%

 

 

Effective Date: 
Wednesday, April 13, 2016
Statutory Authority: 
Public Health Law, Section 201