There is a new provider list on the DSRIP webpage but first some context.
As we’ve said on a number of occasions, OMH will release a manual that will have updated 1915(i) definitions and the process by which providers can become an (i) providers sometime this month. EACH AND EVERY ACL PROVIDER SHOULD APPLY TO BECOME AN (i) PROVIDER FOR AS MANY SERVICES AS YOU THINK YOU CAN MAKE A CREDIBLE CASE. This is an opportunity for all of you to expand your businesses. Also, a lot of these services will be brought to your clients wherever they live, so it makes sense for each of you to be providing (i) services to your housing clients.
NON-MEDICAID PROVIDERS: Many NON-Medicaid providers, through their advocates (ACL included), expressed a wish to become Safety Net Providers for purposes of DSRIP. Only Medicaid providers have been deemed Safety Net Providers, HOWEVER, DOH, OMH and OASAS worked together to create a list of non-Medicaid providers that might become 1915(i) providers, and therefore, Medicaid providers, which would make them eligible for Safety Net Status. These providers will be considered for Safety Net status if they become 1915(i) providers and if they meet the volume thresholds. Most of ACL members are already on the Safety Net List, so this latest list is not relevant to most of you. HOWEVER, if you are NOT a Medicaid provider and want to become one by providing 1915(i) services, please look at the list and see if you are there If not, please call me and we will see what we can do. The list can be found at https://www.health.ny.gov/health_care/medicaid/redesign/docs/safety_net_1915i.pdf . Remember that Non-Medicaid providers that want to be 1915(i) providers will need to get an NPI number and get a Medicaid license because 1915(i) will be billed through Medicaid Managed Care Plans from inception.
ALL PROVIDERS: In order for any provider to become a 1915(i) provider, they will have to demonstrate that they currently have an expertise in each of the services that they wish to provide. Each provider may be approved to operate more than one service, but it must demonstrate an expertise in each service and apply for each service. ACL members are uniquely qualified to provide most, if not all, of the (i) services, e.g., non-medical transportation, habilitation, residential supports in community settings, crisis respite, etc. Full definitions will be available soon in the aforementioned OMH Manual.
TIMELINE: The move of BH services into Managed Care and the start of HARP services has been delayed to April 1, 2014 in the city and October 1, 2014 for the rest of the state. We do not know if this automatically moves the date for residential in 2016 from January to later in the year.