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DOH Releases June 2015 Global Cap Report

Home care and personal care spending slightly above projections

The state Department of Health (DOH) has issued its June 2015 Medicaid Global Spending Cap Report.

It shows overall spending to be $11 million less than projected for the current fiscal year through June. (The current state fiscal year began on April 1, 2015 and ends March 31, 2016.)

The actual spending amount for this three-month period was $4.522 billion versus an estimated spending amount of $4.533 billion. The cap for the entire fiscal year is $17.7 billion.

The June report can be accessed at: http://www.health.ny.gov/health_care/medicaid/regulations/global_cap/monthly/sfy_2015-2016/docs/june_2015_report.pdf.

The category “Other Long Term Care,” which includes home care, was $17 million above projections for the second month of 2015-16 (projected spending of $156 million versus actual spending of $173 million), largely attributed to more recipients billed than anticipated in personal care (9.3 percent more).

The Accounts Receivable (A/R) ending balance for fiscal year 2015 was $280 million. The state is expected to recoup $170 million by the end of fiscal year 2016. Through the end of June, retroactive rates owed to the state were $351 million. This reflects an increase of $71 million since March 2015.

Medicaid total enrollment reached 6,248,147 enrollees at the end of June 2015. This reflects an increase of 77,081 enrollees, or 1.2 percent, since March 2015.

For further information, contact Patrick Conole at (518) 810-0661 or pconole@hcanys.org.

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