MLTC Policy 20.01

Office of Health Insurance Programs
Division of Long Term Care

Managed Long Term Care Policy 20.01: Transition Policy Transition Policies for Fiscal Intermediaries (FIs) and Consumers under the Consumer Directed Personal Assistance Program (CDPAP)

Date of Issuance: March 6, 2020

In 2019, Social Services Law (SSL) Section 365–f, which governs the Consumer Directed Personal Assistance Program (CDPAP), was amended to require a procurement process through which the Commissioner of the Department of Health (the Department or DOH) would enter into contracts with eligible entities that submit offers under a Requests for Offers (RFO) and are selected to contract with the State to provide Fiscal Intermediary (FI) services required by the program. In response to this legislative requirement, the Department published RFO #20039 New York State Fiscal Intermediaries for the Consumer Directed Personal Assistance Program on December 18, 2019, with a proposal due date, as amended, of March 3, 2020. RFO #20039 is posted here.

MLTC Policy 20.01 facilitates the transfer of services from entities currently providing fiscal intermediary services (“Current FIs´) that decide or are required to cease operations as a result of RFO #20039 This policy is effective immediately and provides guidance primarily to Current FIs and Managed Care Plans for transitions both before and after when the Department will announce the entities selected to provide FI services pursuant to the RFO on the “Contract Notification Date.´

To ensure continuity of care and an orderly and efficient transition for CDPAP consumers that may need to select and transition to a Receiving FI, the Department will permit all Current FIs that did not submit an offer and were not included as a Collaborating Partner in any offer under the RFO to continue to operate until the Contract Notification Date.

In addition, to be eligible to operate during this time period, Current FIs that did not submit an offer under the RFO, nor were included as a Collaborating Partner in any offer, must notify the Department of their intent to continue operations through this period on or before March 20, 2020 by submitting an election form, which is located below, to ConsumerDirected@health.ny.gov.