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Q&A

Discussion on Indigent Care Pool payments and Medicaid funding for NYC Health + Hospitals

1:40:57

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94 sec

Council Member Mercedes Narcisse inquires about the status of Indigent Care Pool (ICP) payments and Medicaid funding for NYC Health + Hospitals. Dr. Mitch Katz explains the current situation regarding the state's Directed Payment Template (DPT) request.

The state's DPT request is currently pending approval at CMS (Centers for Medicare & Medicaid Services)
Similar arrangements have been approved for other states
There is no specific timeline for approval from CMS

Mercedes Narcisse

1:40:57

Thank you.

1:40:59

And some of my questions you asked, so that was we're we're okay.

1:41:02

Yeah.

1:41:03

We're okay.

1:41:03

Alright.

1:41:04

Coming back.

1:41:05

The New York State fiscal twenty twenty six executive budget process did discontinuation of the state's indigent care pool payments for the city's public hospitals.

1:41:19

The state share of this ICP payment total of 56,700,000.0.

1:41:24

This action reflects New York City Health And Hospitals seeking to receive Medicaid funding at the average commercial rate for New York City, which would be a significant increase to the system.

1:41:35

We know that the state submitted its DPT request on 12/23/2024.

1:41:43

The council is seeking a change to that the near I mean, the nearly 57,000,000 reduction would only go into effect if the Medicaid reimbursement were approved or are covered by alternate forms of Medicaid funding.

1:41:58

Can you please provide any further update on the state's, DPT request as it has been approved yet?

1:42:05

What are the challenges throughout this process?

Dr. Mitch Katz

1:42:08

So it has not been approved yet.

1:42:10

It's sitting at CMS.

1:42:12

We don't have any further information on when they will approve it.

1:42:17

We can tell you that they have approved similar arrangements like this for other states.

1:42:23

We're not asking for something that has not been approved in other places, but but we have not heard anything from them.

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