July 21, 2025 | Volume 10, Issue No. 27


The Latest From DOH – July 2025 

On July 10, 2025, HCANYS and other associations representing the long-term care continuum met with the state Department of Health (DOH) Office of Aging and Long Term Care (OALTC). The DOH holds meetings with the associations to provide updates and give the participants the opportunity to raise any issues. 

 

Managed Care Policy and Planning Updates – July 2025 

Some of the important issues discussed in the meeting included Behavioral Health updates, Compliance Reviews by the Office of Medicaid Inspector General (OMIG), Social Adult Day Care, Managed Care Long Term Quality Incentive, Bureau of Managed Care Fiscal Oversight and the New York Independent Assessor Program. 


Congress’ Next Steps After Reconciliation 

While several of the 13 separate appropriations bills will pass either the House or Senate, it is expected that an omnibus appropriations bill will need to be passed by October 1 to keep the government operating. 

 

NYS DOH Deepens Focus Group Meetings on Future of NHTD 

At Friday’s meeting, the Executive shared the latest NHTD enrollment and expenditure data, including the percent enrolled per geographic region of the state, as well as the varying trends related to NHTD cost per patient cost depending on whether referrals emanate from the community or from patients initially enrolled in Medicaid managed care plans. 


New Patient and Family Resources from The National Alliance for Care at Home 

HCANYS encourages you to share this with your colleagues, patients, and families to help inform and prepare for the care at home journey. 

 

CMS Releases CY 2026 Medicare Advantage Plan and Part D Final Rule 

According to CMS, Medicare Advantage (MA) plans can expect a payment increase of 5.03% in 2026, more than double what the previous administration proposed. In the final days of the previous Administration, CMS proposed a 2.23% funding increase for MA plans. The payment increase is significantly more than MA plans received in previous years. 

 

FY 2026 Medicare Hospice Proposed Rule Expected Soon 

The Federal Fiscal Year (FFY) 2026 Medicare Hospice Payment Rate and Wage Index proposed rule, along with all other Medicare FFY payment rules, has cleared the Office of Management and Budget (OMB), and we expect the proposed rule to be released very soon.   


HCA E&R Hearts in Home Care Nurse Scholarship Deadline This Week! 

To be eligible, a current employee must have at least one year of service and be interested in pursuing an advanced degree or specialty certification in the field of nursing that will serve to enhance the availability and quality of nursing care in the home care setting.


HCANYS Memo on CY2026 HHPPS Proposed Rules for Medicare Home Health Services 

HCANYS will exercise strong advocacy to protect the Medicare home health benefit including immediate engagement with New York’s Congressional delegation in July as well as working with our colleagues at the National Association for Home Care and Hospice (NAHC). 


Complimentary Webinar: Active Shooter Survivor Stories 

As part of the Health Emergency Preparedness Training Center Webinar Series, hear firsthand accounts and insights for prevention and mitigation from people responding to some of the most heinous and volatile active shooter attacks, including the 2018 Parkland High School Shooting, 2017 Las Vegas Harvest 91 Attack, 2012 Aurora Movie Theater Shooting, and the 1993 Long Island Rail Road Shooting.   


Recorded Webinar Available: Lunch and Learn Series 

HCANYS encourages members to take advantage of these offerings on compliance, surveys and a host of topics.


A Few Minutes Of Your Time: SHIN-NY Feedback 

NYeC would appreciate receiving direct feedback from Statewide Health Information Network for New York (SHIN-NY) users-- the clinicians, case managers, integration specialists, etc. 

 

UPCOMING EVENTS



Effective Strategies for Managing AI in the Workplace

July 30

1 -2 PM


Blueprint for OASIS Accuracy OASIS E-1 2025

October 27 and 28

8 AM - 4 PM


For more information on our upcoming education visit our education webpage. 

The Situation Report is a weekly publication of the Home Care Association of New York State (HCA). Unless otherwise noted, all articles appearing in The Situation Report are the property of the Home Care Association of New York State. Reuse of any content within this newsletter requires permission from HCA.


If you have any difficulties accessing the newsletter links, please contact Brandon Vogel.