2020 New York Laws
PBH - Public Health
Article 40 - Hospice
4012 - Payment for Hospice.

§  4012.  Payment for hospice. 1. No government agency shall purchase,
  pay for or make reimbursement or grants-in-aid for services provided  by
  a  hospice  unless,  at the time the services were provided, the hospice
  possessed a valid certificate of approval.
2. Payments for hospice care made by government agencies shall  be  at
  rates approved by the state director of the budget.
3.  Prior  to  the  approval  of hospice rates, the commissioner shall
  determine and certify to the state  director  of  the  budget  that  the
  proposed rate schedules for payments for hospice services are reasonable
  and adequate to meet the costs which must be incurred by efficiently and
  economically  operated  programs.  In  making  such  certification,  the
  commissioner  shall  take  into  consideration  the  elements  of  cost,
  geographical  differentials in the elements of cost considered, economic
  factors in the area in which the hospice is located,  costs  of  hospice
  programs of comparable size, the need for incentives to improve services
  and   institute   economies,   and   applicable  medicare  reimbursement
  regulations.
5. The commissioner shall establish a methodology as  of  July  first,
  two  thousand  eighteen  subject to federal financial participation that
  shall  ensure  a  prospective  ten-percent  increase  in  the   medicaid
  reimbursement rates for hospice providers, relative to the reimbursement
  rate,  as  of  March  thirty-first,  two thousand eighteen, for services
  provided by such providers  on  and  after  April  first,  two  thousand
  eighteen.