Update on FI Awards, Transition Policies 

Situation Report | April 26, 2021

On April 19, the state Department of Health (DOH) notified Fiscal Intermediary (FIs) about the recent Request for Offers (RFO) process and to remind FIs of the transition policies for non-awarded FIs under Managed Long Term Care (MLTC) Policy 21.01.

The enacted 2021-22 state budget required the Department to make additional FI awards based on certain criteria as well as responses to a survey that DOH would conduct of all entities that submitted qualified offers under the RFO. 

DOH is in the process of developing this survey, which will be distributed in the coming weeks to all offerors that submitted a qualified response to the December 18, 2019 RFO. After the survey responses are received and reviewed by DOH, and the additional awards are made, DOH will continue the contracting process with all awarded FIs.  

MLTC Policy 21.01, meanwhile, outlines the process through which non-awarded FIs will have to transition consumers to DOH-contracted FIs. It says that any current FI can continue providing services until the contract notification date (as defined in the policy), after which the non-awarded FI will have 90 days to cease FI operations.

DOH notes that the contract notification date has not yet been determined and no current FIs are required to transition consumers at this time.

FIs are encouraged to review Policy 21.01 to ensure your understanding of the transition policies. 

Questions on the transition process can be submitted to consumerdirected@health.ny.gov