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    Q&A
            Discussion on Indigent Care Pool payments and Medicaid funding for NYC Health + Hospitals
1:40:57
·
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.
                                    