memoranda 2006

View Archived Items 2011 2010 2009 2008 2007 2006 2005

All news


11/29/2006 12:00:00 AM

20% Limitation on Part-Time Clinic Thresholds

Subject: 20% Limitation on PT Clinic thresholds

DOH has begun to send out the attached correspondence warning clinics that they are exceeding the 20% limitation on PT thresholds. Rochester has already received this and is preparing a response indicating that their own review does not result in PT Thresholds in excess of the 20% and requests the detail of the visits that serve as a basis for the DOH determination.

The DOH letter speaks to exceeding 20% of Medicaid visits not total visits and it ignores the fact that the regulation speaks to exceeding 20% of total visits an “annual” basis. The letter is based on a projection from the first 3 months of 2006 and cites that compliance was required as of 2005. There is no attachment to the letter containing detail of the identified visits. Also the letter threatens potential recoupment etc. The regulation does not address potential consequences for non-compliance.

Please let me know if you have received this letter and please review your PT clinic thresholds for 2006 to determine if you are exceeding the 20%.

CP of NYS will be contacting DOH to discuss the matter.

[Attachment can be obtained by contacting the Affiliate Services Office at (518) 436-0178.]

Please note new e-mail address for replacement in your address book:  [email protected].  Thank you.

Joanne Genovese

Vice President, Regulatory Affairs

    & Policy Development

Cerebral Palsy Assns. of NYS

90 State Street, Suite 929

Albany, New York   12207

(518) 436-0178

Fax:  (518) 436-8619

[email protected]

Please Note:  The information contained in this message is privileged and/or confidential and is intended only for the use of the individual or entity named above.  If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited.  If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer.  Thank you.

Facebook Twitter DZone It! Digg It! StumbleUpon Technorati NewsVine Reddit Blinklist Add diigo bookmark