Last week, the Department of Health (DOH) announced the availability of American Rescue Plan Act (ARPA) Enhanced Federal Medical Assistance Percentage (eFMAP) funding for distribution to adult day health care (ADHC) programs. The notice was sent to all ADHC programs and sponsoring nursing homes. Please reach out to Meg Everett if you did not receive the communication.

The funding opportunity is non-competitive and intended to assist with reopening and rebuilding ADHC programs statewide post-COVID. Overall, ADHC programs will be receiving a total of approximately $6 million ($3 million State share, $6 million federal share). It will be distributed by lump sum to ADHC programs in the fall after ADHC programs register, confirm eligibility, and submit spending plans. DOH will be following up with spending plan requirements and will establish a process for moving ahead with funding soon. They will be holding a webinar as well.

The eFMAP funding for ADHC programs was originally proposed for ADHC programs either open or actively reopening. The announcement indicates that only programs open by Aug. 1^st will be eligible for funding.

There may be a few programs in the process of reopening or may fall into a limbo status due to renovations or program relocation. The Adult Day Health Care Council (ADHCC) will advocate for inclusion of these programs in this funding opportunity. Please reach out to Meg Everett if you have comments or questions on this point.

DOH communication:

Good afternoon,

The New York State Department of Health (NYSDOH) submitted a State Plan Amendment (SPA) to the Centers for Medicare & Medicaid Services (CMS) on March 31, 2023. Please be aware that all funding will follow the published State Plan Amendment (SPA) #23-0020, approved by CMS June 21st, 2023.

Adult Day and AIDS Adult Day Health Centers in State Fiscal Year 2023 may be eligible for a one-time supplemental payment. Program sites will qualify for the SPA payment based on their operating certificate’s spot capacity approved by the Department. To be eligible for this one-time lump sum payment, program sites will be required to attest to fund uses and submit quarterly information. Sites that are not open by August 1, 2023 will not be eligible for supplemental payment. Sites must also be open and providing services when payments are distributed.

Eligible sites must hold a valid operating certificate and be actively working toward or confirm their compliance to the HCBS Settings Rule and programmatic regulations as stated in the HCBS Final Rule Statewide Transition Plan. Sites must also submit an attestation of their intended use of funds and confirm funding will not be used for capital investments.

Next Steps:

• If your site is eligible, please click on the following link and submit a form by August 18, 2023: Site Verification Form.
• This form should be completed once by one point of contact determined at your site.
• As this the opportunity is based on ADHC Operating Certificate capacity; the form should be completed once for each Operating Certificate.

Excluded sites:

• Sites which are closed or are not open as of August 1, 2023.
• Sites which are not actively providing services at the time of fund distribution.
• Sites which do not have a valid Operating Certificate.
• Sites which do not provide HCBS through the medical model of Adult Day Care Services.
• Sites which only provide the social model of Adult Day Care Services.
• Sites which do not submit an accepted attestation of their intended use of funds.
• Sites which do not confirm funds will not be used for capital investments.

Thank you,

 NYSDOH ADHC ARPA team

Contact: Meg Everett, meverett@leadingageny.org, 518-867-8871