SAFETY NET APPEAL PROCESS: ROUND TWO

 

GOOD AFTERNOON,
Medicaid providers who did not make it into the first round of selection as designated Medicaid Safety Net providers may try again. The second-round Delivery System Reform Incentive Program Safety Net designation appeal process began Monday (Aug. 12).  DSRIP Safety Net Appeal forms must be submitted to state Health Department no later than 5 p.m. Wednesday, Aug. 27.

The state Health Department's announcement of a second round of appeals for safety net status is open to all Medicaid providers, including physicians and pharmacies.

Links to forms and instructions are below:

Safety Net Appeal Form Instructions

Safety Net Appeal Form

Physicians and Pharmacies Safety Net Appeal Form Instructions 

Physicians and Pharmacies Safety Net Appeal Form 

The DSRIP Safety Net Appeal Form should be completed in Microsoft Excel format and sent by 5:00pm, August 27, 2014 via unsecured e-mail to:

BVAPR@health.state.ny.us

The e-mail subject line should read "Appeal Facility Name[type your facility or provider name] – DSRIP Safety Net Appeal." DOH specified that late appeals will not be accepted. 

In its announcement, state DOH officials specified that non-qualifying providers can still participate in Performing Provider Systems. However, non-qualifying providers are eligible to receive Medicaid DSRIP payments totaling no more than 5 percent of a  project’s total valuation.

More information, including lists of current Safety Net provider designees, is posted on the DSRIP safety net web page:

http://www.health.ny.gov/health_care/medicaid/redesign/dsrip_safety_net_definition.htm

While providers who don't qualify for Safety Net status can still participate in Performing Providers Systems, they are eligible to receive DSRIP payments totaling no more than 5 percent of a project’s total valuation.  

Questions regarding the designations can be sent via email to BVAPR@ health.state.ny.us 

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