New York State Partnership Plan
Projected 1115 Waiver Budget Neutrality Impact Through December 2014
Extension Application Through 12/31/2019
DY 9
(10/1/06-9/30/07)
Actual
DY 10
(10/1/07-9/30/08)
Actual
DY 11
(10/1/08-9/30/09)
Actual
DY 12
(10/1/09-9/30/10)
Actual
DY 13A
10/1/10-3/31/11)
Actual
Demostration Group 1 (Includes
FSHRP)- TANF Children under age 1
through 20
$8,641,454,877
$9,086,365,132
$10,048,004,954
$11,210,460,422
$6,105,699,488
Demonstration Group 2 (Includes
FSHRP) - TANF Adults 21-64
$3,045,582,094
$3,217,134,170
$3,856,757,531
$4,517,252,946
$2,467,348,368
Demonstration Group 6 - FHP Adults
w/Children
$1,691,957,919
$1,813,935,485
$1,746,457,301
$1,874,936,618
$1,043,047,420
$144,639,878,523
$13,378,994,889
$14,117,434,787
$15,651,219,785
$17,602,649,986
$9,616,095,275
DY 1 - 8
(10/1/97 - 9/30/06)
Projected
DY 9
(10/1/06-9/30/07)
Actual
DY 10
(10/1/07-9/30/08)
Actual
DY 11
(10/1/08-9/30/09)
Actual
DY 12
(10/1/09-9/30/10)
Actual
DY 13A
10/1/10-3/31/11)
Actual
$4,006,367,977
$4,412,472,964
$4,828,196,168
$4,492,088,177
$1,827,792,863
Budget Neutrality Cap
(Without Waiver)
DY 1 - 8
(10/1/97 - 9/30/06)
Projected
Demonstration Group 8 - Family
Planning Expansion
Demonstration Group 10 - MLTC Adult
Age 18-64 Duals
Demonstration Group 11 - MLTC age
65+ Duals
Demonstration Group 3 (FSHRP)–
Disabled Adults and Children 0-64
voluntarily enrolled in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
Demonstration Group 4 (FSHRP)–
Disabled Adults and Children 0-64
required to enroll in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
Demonstration Group 5 (FSHRP)–
Disabled Adults and Children 65+
voluntarily enrolled in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
Demonstration Group 6 (FSHRP)–
Disabled Adults and Children 65+
required to enroll in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
Demonstration Group 7 (FSHRP)– Non
Duals 18-64
Demonstration Group 8(FSHRP) – Non
Duals 65+
W/O Waiver Total
Budget Neutrality Cap
(With Waiver)
Demostration Group 1 (Includes
FSHRP) - TANF Children under age 1
through 20
Demonstration Group 2 (Includes
FSHRP) - TANF Adults 21-64
$2,062,992,139
$2,222,230,858
$2,553,996,035
$2,712,728,726
$1,159,889,284
Demonstration Group 5 - Safety Net
Adults
$3,017,805,826
$3,213,033,028
$3,818,572,584
$4,224,557,751
$1,864,361,807
Demonstration Group 6 - FHP Adults
w/Children up tp 150%
$813,927,831
$884,575,928
$894,902,321
$965,325,522
$502,539,894
Demonstration Group 7 - FHP Adults
without Children up to 100%
$587,725,574
$566,489,543
$412,034,961
$316,237,864
$155,882,395
Demonstration Group 8 - Family
Planning Expansion
$10,471,785
$10,598,020
$11,138,799
$11,835,960
$4,164,485
N/A
N/A
N/A
N/A
N/A
Demonstration Group 9 - Home and
Community Based Expansion (HCBS)
Demonstration Group 10 - MLTC Adult
Age 18-64 Duals
Demonstration Group 11 - MLTC age
65+ Duals
Demonstration Group 3 (FSHRP)–
Disabled Adults and Children 0-64
voluntarily enrolled in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
Demonstration Group 4 (FSHRP)–
Disabled Adults and Children 0-64
required to enroll in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
Demonstration Group 5 (FSHRP)–
Disabled Adults and Children 65+
voluntarily enrolled in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
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9/21/2015
New York State Partnership Plan
Projected 1115 Waiver Budget Neutrality Impact Through December 2014
Extension Application Through 12/31/2019
DY 1 - 8
(10/1/97 - 9/30/06)
Projected
DY 9
(10/1/06-9/30/07)
Actual
DY 10
(10/1/07-9/30/08)
Actual
DY 11
(10/1/08-9/30/09)
Actual
DY 12
(10/1/09-9/30/10)
Actual
DY 13A
10/1/10-3/31/11)
Actual
With Waiver Total
$123,931,127,812
$10,499,291,132
$11,309,400,341
$12,518,840,867
$12,722,773,999
$5,514,630,728
Expenditures (Over)/Under Cap
$20,708,750,711
$2,879,703,758
$2,808,034,445
$3,132,378,919
$4,879,875,987
$4,101,464,547
Budget Neutrality Cap
(Without Waiver)
Demonstration Group 6 (FSHRP) –
Disabled Adults and Children 65+
required to enroll in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
Demonstration Group 7 (FSHRP)– Non
Duals 18-64
Demonstration Group 8 (FSHRP) – Non
Duals 65+
Designated State Health Programs
(Existing F-SHRP)
Designated State Health Programs (New
F-SHRP)
Demonstration Population 1: State
Indigent Care Pool Direct Expenditures
(ICP-Direct)
Demonstration Population 2:
Designated State Health Programs to
Support Clinic Uncompensated Care
Funding (ICP - DSHP)
Demonstration Population 3:
Designated State Health Programs to
Support Medical Home Demonstration
(DSHP - HMH Demo)
Demonstration Population 4:
Designated State Health Programs to
Support Potentially Preventable
Readmission Demonstration (DSHP PPR Demo)
Demonstration Population 5:
Designated State Health Programs
(Various)
DSHP DD
DSHP: Orderly Close out of Demo
Group 6
DSHP: APTC Wrap
DSHP For DSRIP
DSRIP
IAAF
Demonstration only services provided
in MMMC
65 Year Olds in the Adult Group
Coverage gap
HARPS "HCBS Services"
Note: * All Final 21 months of 1115 expenditures have been reported in MBES through quarter ending March 2011.
C:\Users\kmcgettigan\Desktop\New folder (2)\New York Partnership Plan\Copy of Copy of BN_1115_5Year_Extension_UncompensatedCare08 20 15(iso su...
9/21/2015
New York State Partnership Plan
Projected 1115 Waiver Budget Neutrality Impact Through December 2014
Extension Application Through 12/31/2019
DY 13B
(4/1/11-9/30/11)
Projected
DY 14
(10/1/11-9/30/12)
Projected
DY 15
(10/1/12-9/30/13)
Projected
DY 16A
(10/1/13-12/31/13)
Projected
DY 16B
(1/1/14-3/31/14)
Projected
DY 16C
(4/1/14 - 12/31/14)
Projected
Extension Period
(10/1/06 - 12/31/14)
Projected
Demostration Group 1 (Includes
FSHRP)- TANF Children under age 1
through 20
$6,124,915,586
$13,431,555,927
$14,853,389,777
$3,975,139,194
$3,975,139,194
$12,414,265,562
$99,866,390,111
Demonstration Group 2 (Includes
FSHRP) - TANF Adults 21-64
$2,443,182,702
$5,362,266,874
$5,914,379,682
$1,579,889,213
$1,579,889,213
$4,990,746,528
$38,974,429,320
Demonstration Group 6 - FHP Adults
w/Children
$1,055,415,331
$2,341,067,454
$2,632,237,613
$724,658,042
$5,140,241
$10,702,271
$1,856,551
$247,394,784
$1,027,336,330
$260,284,563
$260,284,563
$810,989,159
$2,606,289,399
$2,554,212,091
$10,820,566,375
$2,796,750,566
$2,796,750,566
Budget Neutrality Cap
(Without Waiver)
Demonstration Group 8 - Family
Planning Expansion
Demonstration Group 10 - MLTC Adult
Age 18-64 Duals
Demonstration Group 11 - MLTC age
65+ Duals
$14,923,713,183
$17,699,062
$8,757,811,131
$27,726,090,729
Demonstration Group 3 (FSHRP)–
Disabled Adults and Children 0-64
voluntarily enrolled in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
$6,740,030,752
$6,740,030,752
Demonstration Group 4 (FSHRP)–
Disabled Adults and Children 0-64
required to enroll in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
$2,917,455,149
$2,917,455,149
Demonstration Group 5 (FSHRP)–
Disabled Adults and Children 65+
voluntarily enrolled in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
$297,127,032
$297,127,032
Demonstration Group 6 (FSHRP)–
Disabled Adults and Children 65+
required to enroll in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
$196,481,343
$196,481,343
$260,463,274
$260,463,274
Demonstration Group 7 (FSHRP)– Non
Duals 18-64
Demonstration Group 8(FSHRP) – Non
Duals 65+
W/O Waiver Total
Budget Neutrality Cap
(With Waiver)
Demostration Group 1 (Includes
FSHRP) - TANF Children under age 1
through 20
Demonstration Group 2 (Includes
FSHRP) - TANF Adults 21-64
$67,786,019
$67,786,019
$9,628,653,860
$23,947,199,400
$35,249,766,328
$9,336,721,578
$8,612,063,536
$37,453,155,948
$194,593,955,373
$339,233,833,896
DY 13B
(4/1/11-9/30/11)
Projected
DY 14
(10/1/11-9/30/12)
Projected
DY 15
(10/1/12-9/30/13)
Projected
DY 16A
(10/1/13-12/31/13)
Projected
DY 16B
(1/1/14-3/31/14)
Projected
DY 16C
(4/1/14 - 12/31/14)
Projected
Extension Period
(10/1/06 - 12/31/14)
Projected
DY 1 - DY 16
$2,801,314,813
$6,274,647,760
$6,920,891,478
$1,841,829,404
$1,840,421,312
$5,730,328,833
$44,976,351,747
$1,019,416,724
$3,245,361,788
$24,833,496,118
$1,546,569,069
$3,469,798,151
$3,820,998,638
$1,019,514,707
Demonstration Group 5 - Safety Net
Adults
$2,829,518,468
$6,893,620,899
$8,184,495,364
$2,210,213,971
$36,256,179,698
Demonstration Group 6 - FHP Adults
w/Children up tp 150%
$553,389,253
$1,173,058,139
$1,313,450,137
$360,124,780
$7,461,293,807
Demonstration Group 7 - FHP Adults
without Children up to 100%
$173,575,211
$352,894,110
$401,041,648
$110,970,648
$3,076,851,953
Demonstration Group 8 - Family
Planning Expansion
$6,573,308
$13,934,296
$2,462,132
Demonstration Group 9 - Home and
Community Based Expansion (HCBS)
$3,699,108
$3,699,108
$3,699,108
$924,777
$924,777
$2,774,331
$15,721,209
$249,276,515
$999,765,437
$249,927,129
$249,927,129
$773,248,277
$2,522,144,487
$2,561,508,288
$10,403,512,554
$2,629,869,736
$2,629,869,736
$8,187,002,770
$26,411,763,084
Demonstration Group 3 (FSHRP)–
Disabled Adults and Children 0-64
voluntarily enrolled in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
$5,800,497,292
$5,800,497,292
Demonstration Group 4 (FSHRP)–
Disabled Adults and Children 0-64
required to enroll in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
$2,054,061,282
$2,054,061,282
Demonstration Group 5 (FSHRP)–
Disabled Adults and Children 65+
voluntarily enrolled in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
$333,662,997
$333,662,997
Demonstration Group 10 - MLTC Adult
Age 18-64 Duals
Demonstration Group 11 - MLTC age
65+ Duals
DY 1 - DY 16
$71,178,785
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9/21/2015
New York State Partnership Plan
Projected 1115 Waiver Budget Neutrality Impact Through December 2014
Extension Application Through 12/31/2019
DY 16C
(4/1/14 - 12/31/14)
Projected
Extension Period
(10/1/06 - 12/31/14)
Projected
Demonstration Group 6 (FSHRP) –
Disabled Adults and Children 65+
required to enroll in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
$150,888,689
$150,888,689
Demonstration Group 7 (FSHRP)– Non
Duals 18-64
$221,887,579
$221,887,579
Demonstration Group 8 (FSHRP) – Non
Duals 65+
$59,275,663
$59,275,663
Budget Neutrality Cap
(Without Waiver)
DY 13B
(4/1/11-9/30/11)
Projected
DY 14
(10/1/11-9/30/12)
Projected
DY 15
(10/1/12-9/30/13)
Projected
DY 16A
(10/1/13-12/31/13)
Projected
DY 16B
(1/1/14-3/31/14)
Projected
Designated State Health Programs
(Existing F-SHRP)
$0
Designated State Health Programs (New
F-SHRP)
$0
Demonstration Population 1: State
Indigent Care Pool Direct Expenditures
(ICP-Direct)
Demonstration Population 2:
Designated State Health Programs to
Support Clinic Uncompensated Care
Funding (ICP - DSHP)
Demonstration Population 3:
Designated State Health Programs to
Support Medical Home Demonstration
(DSHP - HMH Demo)
Demonstration Population 4:
Designated State Health Programs to
Support Potentially Preventable
Readmission Demonstration (DSHP PPR Demo)
Demonstration Population 5:
Designated State Health Programs
(Various)
$2,600,000
$14,650,000
$13,700,000
$3,400,000
$38,526,248
$100,848,121
$108,780,000
$27,195,000
$27,195,000
$81,585,000
$384,129,369
$0
$100,000,000
$100,000,000
$25,000,000
$25,000,000
$50,000,000
$300,000,000
$0
$4,433,333
$4,433,333
$1,108,333
$1,108,333
$2,216,667
$13,300,000
$100,000,000
$100,000,000
$300,000,000
$500,000,000
$34,350,000
$500,000,000
$500,000,000
$363,417,732
$635,987,007
$999,404,739
$7,000,800
$84,009,600
$91,010,400
$376,000,000
$376,000,000
DSHP DD
DSHP: Orderly Close out of Demo
Group 6
DSHP: APTC Wrap
DY 1 - DY 16
DSHP For DSRIP
$24,000,000
$24,000,000
$1,000,000,000
$1,000,000,000
DSRIP
IAAF
Demonstration only services provided
in MMMC
$0
65 Year Olds in the Adult Group
$0
Coverage gap
$0
HARPS "HCBS Services"
$0
With Waiver Total
$7,955,765,478
$21,212,368,721
$32,277,229,829
$8,580,078,484
$6,264,281,543
$29,612,787,775
$158,467,448,897
$282,398,576,709
Expenditures (Over)/Under Cap
$1,672,888,381
$2,734,830,679
$2,972,536,498
$756,643,094
$2,347,781,994
$7,840,368,173
$36,126,506,476
$56,835,257,187
Note: * All Final 21 months of 1115 expen
C:\Users\kmcgettigan\Desktop\New folder (2)\New York Partnership Plan\Copy of Copy of BN_1115_5Year_Extension_UncompensatedCare08 20 15(iso su...
9/21/2015
New York State Partnership Plan
Projected 1115 Waiver Budget Neutrality Impact Through December 2014
Extension Application Through 12/31/2019
DY 17
(1/1/15 - 12/31/15)
Projected
DY 18
(1/1/16 - 12/31/16)
Projected
DY 19
(1/1/17 - 12/31/17)
Projected
DY 20
(1/1/18 - 12/31/18)
Projected
DY 21
(1/1/19 - 12/31/19)
Projected
Current Extension
Period
(1/1/15 - 12/31/19)
Projected
Demostration Group 1 (Includes
FSHRP)- TANF Children under age 1
through 20
$17,645,613,012
$18,810,799,030
$20,053,186,973
$21,377,810,257
$22,789,715,193
$100,677,124,465
Demonstration Group 2 (Includes
FSHRP) - TANF Adults 21-64
$7,081,635,471
$7,535,329,645
$8,018,298,047
$8,532,242,453
$9,079,281,993
$40,246,787,609
Budget Neutrality Cap
(Without Waiver)
Demonstration Group 6 - FHP Adults
w/Children
$0
Demonstration Group 8 - Family
Planning Expansion
$0
DY 1 - DY 21
Demonstration Group 10 - MLTC Adult
Age 18-64 Duals
$1,172,096,556
$1,364,802,292
$1,383,228,677
$1,400,567,568
$1,417,233,942
$6,737,929,036
Demonstration Group 11 - MLTC age
65+ Duals
$13,028,810,692
$15,702,703,366
$16,234,869,317
$16,769,495,565
$17,311,153,074
$79,047,032,013
Demonstration Group 3 (FSHRP)–
Disabled Adults and Children 0-64
voluntarily enrolled in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
$5,217,606,005
$5,221,378,989
$5,231,860,540
$5,552,853,881
$5,892,047,876
$27,115,747,291
Demonstration Group 4 (FSHRP)–
Disabled Adults and Children 0-64
required to enroll in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
$8,690,188,441
$9,629,135,131
$10,591,938,428
$11,241,791,703
$11,928,492,328
$52,081,546,031
Demonstration Group 5 (FSHRP)–
Disabled Adults and Children 65+
voluntarily enrolled in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
$115,287,674
$96,117,801
$77,899,577
$82,079,354
$86,505,001
$457,889,407
Demonstration Group 6 (FSHRP)–
Disabled Adults and Children 65+
required to enroll in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
$581,017,822
$639,235,895
$698,311,674
$735,780,264
$775,452,890
$3,429,798,545
$373,622,309
$399,781,370
$425,974,437
$451,106,815
$477,722,059
$2,128,206,991
$95,105,016
$99,552,526
$103,795,256
$107,531,930
$111,403,116
$517,387,843
$54,000,982,998
$59,498,836,045
$62,819,362,925
$66,251,259,791
$69,869,007,470
$312,439,449,229
$651,673,283,125
DY 17
(1/1/15 - 12/31/15)
Projected
DY 18
(1/1/16 - 12/31/16)
Projected
DY 19
(1/1/17 - 12/31/17)
Projected
DY 20
(1/1/18 - 12/31/18)
Projected
DY 21
(1/1/19 - 12/31/19)
Projected
Current Extension
Period
(1/1/15 - 12/31/19)
Projected
DY 1 - DY 21
$7,739,333,331
$8,241,746,621
$8,785,674,939
$9,314,977,910
$9,314,977,910
$43,396,710,710
$4,324,089,616
$4,612,583,472
$4,939,531,466
$5,451,310,347
$5,451,310,347
$24,778,825,248
Demonstration Group 7 (FSHRP)– Non
Duals 18-64
Demonstration Group 8(FSHRP) – Non
Duals 65+
W/O Waiver Total
Budget Neutrality Cap
(With Waiver)
Demostration Group 1 (Includes
FSHRP) - TANF Children under age 1
through 20
Demonstration Group 2 (Includes
FSHRP) - TANF Adults 21-64
Demonstration Group 5 - Safety Net
Adults
$0
Demonstration Group 6 - FHP Adults
w/Children up tp 150%
$0
Demonstration Group 7 - FHP Adults
without Children up to 100%
$0
Demonstration Group 8 - Family
Planning Expansion
$0
Demonstration Group 9 - Home and
Community Based Expansion (HCBS)
$3,699,108
$3,699,108
$3,699,108
$3,699,108
$3,699,108
$18,495,540
Demonstration Group 10 - MLTC Adult
Age 18-64 Duals
$1,162,406,668
$1,388,540,836
$1,422,903,191
$1,480,841,723
$1,480,841,723
$6,935,534,141
Demonstration Group 11 - MLTC age
65+ Duals
$12,429,251,623
$15,118,044,459
$15,619,482,984
$16,358,745,504
$16,358,745,504
$75,884,270,074
Demonstration Group 3 (FSHRP)–
Disabled Adults and Children 0-64
voluntarily enrolled in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
$3,951,999,754
$3,956,791,450
$3,816,034,808
$3,816,034,808
$3,816,034,808
$19,356,895,626
Demonstration Group 4 (FSHRP)–
Disabled Adults and Children 0-64
required to enroll in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
$6,053,693,623
$6,636,646,162
$7,224,046,405
$7,224,046,405
$7,224,046,405
$34,362,479,001
Demonstration Group 5 (FSHRP)–
Disabled Adults and Children 65+
voluntarily enrolled in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
$190,609,691
$194,209,851
$188,661,308
$188,661,308
$188,661,308
$950,803,465
C:\Users\kmcgettigan\Desktop\New folder (2)\New York Partnership Plan\Copy of Copy of BN_1115_5Year_Extension_UncompensatedCare08 20 15(iso su...
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New York State Partnership Plan
Projected 1115 Waiver Budget Neutrality Impact Through December 2014
Extension Application Through 12/31/2019
DY 17
(1/1/15 - 12/31/15)
Projected
DY 18
(1/1/16 - 12/31/16)
Projected
DY 19
(1/1/17 - 12/31/17)
Projected
DY 20
(1/1/18 - 12/31/18)
Projected
DY 21
(1/1/19 - 12/31/19)
Projected
Current Extension
Period
(1/1/15 - 12/31/19)
Projected
Demonstration Group 6 (FSHRP) –
Disabled Adults and Children 65+
required to enroll in managed care in
those counties participating in the
Partnership Plan as of October 1, 2006.
$444,696,514
$487,519,454
$530,669,118
$530,669,118
$530,669,118
$2,524,223,321
Demonstration Group 7 (FSHRP)– Non
Duals 18-64
$321,593,199
$347,683,789
$374,311,551
$374,311,551
$374,311,551
$1,792,211,640
Demonstration Group 8 (FSHRP) – Non
Duals 65+
$85,894,211
$92,861,786
$99,996,824
$99,996,824
$99,996,824
$478,746,469
Budget Neutrality Cap
(Without Waiver)
Designated State Health Programs
(Existing F-SHRP)
$0
Designated State Health Programs (New
F-SHRP)
$0
Demonstration Population 1: State
Indigent Care Pool Direct Expenditures
(ICP-Direct)
Demonstration Population 2:
Designated State Health Programs to
Support Clinic Uncompensated Care
Funding (ICP - DSHP)
Demonstration Population 3:
Designated State Health Programs to
Support Medical Home Demonstration
(DSHP - HMH Demo)
Demonstration Population 4:
Designated State Health Programs to
Support Potentially Preventable
Readmission Demonstration (DSHP PPR Demo)
Demonstration Population 5:
Designated State Health Programs
(Various)
DY 1 - DY 21
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
DSHP: APTC Wrap
$183,170,000
$0
$0
$0
$0
$183,170,000
DSHP For DSRIP
$690,800,000
$953,200,000
$935,600,000
$687,000,000
$357,400,000
$3,624,000,000
$1,556,000,000
$1,374,200,000
$2,564,000,000
$2,434,000,000
$1,756,000,000
$9,684,200,000
$0
$0
$0
$0
$0
$0
$882,631
$1,878,240
$1,998,447
$2,126,348
$2,262,434
$9,148,100
65 Year Olds in the Adult Group
$918,894,625
$983,217,485
$1,052,042,805
$1,052,042,805
$1,052,042,805
$5,058,240,525
Coverage gap
$122,726,316
$65,386,264
HARPS "HCBS Services"
$200,000,000
$491,800,000
$400,000,000
$200,000,000
$397,200,000
$1,689,000,000
With Waiver Total
$40,379,740,911
$44,950,008,976
$47,958,652,954
$49,218,463,757
$48,408,199,843
$230,915,066,441
$513,313,643,151
Expenditures (Over)/Under Cap
$13,621,242,087
$14,548,827,069
$14,860,709,971
$17,032,796,034
$21,460,807,627
$81,524,382,788
$138,359,639,974
DSHP DD
DSHP: Orderly Close out of Demo
Group 6
DSRIP
IAAF
Demonstration only services provided
in MMMC
$0
$188,112,580
Note: * All Final 21 months of 1115 expen
C:\Users\kmcgettigan\Desktop\New folder (2)\New York Partnership Plan\Copy of Copy of BN_1115_5Year_Extension_UncompensatedCare08 20 15(iso su...
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2014 INDIGENT CARE DISTRIBUTION
Diagnostic Treatment Centers
1 of 5
OPCERT OR
OMH
AGENCY
CODE
DIAGNOSTIC & TREATMENT CENTERS/OMH
CLINICS
DOH
0101205R
0301201R
0401201R
1101201R
1401202R
1401219R
1401227R
1401230R
2701211R
2701221R
2908201R
2950209R
3202204R
3301207R
3501201R
3529200R
3702200R
3726201R
3953200R
4353200R
4353202R
4353204R
4420200R
4601203R
5153207R
5155200R
5660200R
5861200R
5901200R
5903200R
5904201R
5905200R
6121203R
7000212R
7000217R
7000221R
7000225R
7000226R
7000236R
7000243R
7000255R
7000265R
7000267R
7000277R
7000279R
7001243R
7001250R
7001254R
7001256R
7001259R
7001265R
7001296R
7002103R
7002105R
7002107R
7002113R
7002116R
7002119R
7002134R
7002136R
7002137R
7002153R
7002160R
7002161R
Whitney M. Young, Jr. HC
Broome County DOH
Southern Tier Community Health Center
Family Health Network of Central NY
Erie County Department of Health
Northwest Buffalo Comm. Hlth. Ctr.
AIDS Community Services of Western NY
Community Health Center of Buffalo
Anthony L. Jordan Health Center
Oak Orchard Community Health Center
Hempstead Comm HC (Nassau Health Care Corp)
Primary Health Care Plus
Oneida County DOH
Syracuse Community Health Center, Inc.
Middletown Community Health Center, Inc.
Greater Hudson Valley Family Hlth Ctr
Oswego County Opportunities
Northern Oswego County Health Services
St. Christophers Inn
Rockland Co. DOH
Refuah Health Center
Community Medical & Dental Care, Inc.
UCP of North Country
Schenectady Family Hlth Svc (Carver)
Huntington Hospital Dolan Family Hlth. Ctr.
Suffolk Co. DOH
Hudson Headwaters aka Warrensburg HC
Finger Lakes Migrant Health Care Project
Hudson River HealthCare (Peekskill)
Mount Vernon Neighborhood Health Center
Westchester County DOH
Open Door Family Med Ctr (Ossining Open Door)
Rushville Health Center Inc
Doctor Martin Luther King, Jr. HC
AECOM - MMTP
Morrisania Neighborhood Fam. Care Ctr.
Urban Health Plan
P.R.O.M.E.S.A.
Morris Heights Health Center
Segundo Ruiz Belvis NFCC
Union Community Health Center
BASICS
Med Alliance Medical & Rehab Services
H.E.L.P./Project Samaritan Services Corp
Care For The Homeless, Inc
Bedford Stuyvesant Family Care Center
Brooklyn Plaza Medical Center
ODA Community Health Center
Brownsville Multi-Service Fam.Hlth.Ctr.
Cumberland Neighborhood Family Care Ctr.
East New York NFCC
L'Refuah Rehabilitation & Medical Ctr
Gouverneur Diagnostic & Treatment Center
Settlement Health & Medical Seervices
Chinatown Action for Progree
Heritage Health Care (Council's Center)
Covenant House/Under 21, Inc.
Community Healthcare Network
Center for Comp. Hlth. Practice
Renaissance Health Care Network
Institute for Urban Family Health
Upper Room Aids Ministry (Harlem United)
Michael Callen-Audre Lorde Community Health Cen
Project Renewal Inc.
ALLOWABLE
VISTS FOR CURRENT
BD/CC
MEDICAID
PURPOSES
RATE
13110
2216
951
5301
2145
4654
1206
4628
6687
8096
26910
896
2302
26268
9989
12258
2129
7515
2098
4025
16589
9813
2463
4726
7900
52911
44943
13931
68600
41962
6282
62578
4637
39081
2324
18140
36490
1527
28218
12826
11211
852
5179
5107
11341
3018
3800
6372
3922
24764
17471
2847
78692
12081
29654
1882
10136
65440
1185
19423
48077
1687
22861
8059
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
120.27
80.66
113.41
109.07
95.85
98.04
136.13
128.37
136.00
114.71
220.91
177.23
76.92
119.65
145.12
173.35
224.88
85.94
135.01
172.98
185.24
145.41
124.33
120.44
163.01
125.84
120.95
108.61
199.72
166.53
111.98
153.86
132.36
205.86
128.80
124.56
202.57
145.71
163.89
132.10
206.74
131.27
148.88
238.86
195.88
179.66
166.06
150.20
194.18
149.88
129.12
230.02
118.16
251.29
189.61
191.04
173.45
213.65
131.44
156.93
191.89
208.67
216.91
208.12
9/21/2015
BD/CC
OPERATING
COSTS
$1,576,740
$178,743
$107,853
$578,180
$205,598
$456,278
$164,173
$594,096
$909,432
$928,692
$5,944,688
$158,798
$177,070
$3,142,966
$1,449,604
$2,124,924
$478,770
$645,839
$283,251
$696,245
$3,072,946
$1,426,908
$306,225
$569,199
$1,287,779
$6,658,320
$5,435,856
$1,513,046
$13,700,792
$6,987,932
$703,458
$9,628,251
$613,753
$8,045,215
$299,331
$2,259,518
$7,391,779
$222,499
$4,624,648
$1,694,315
$2,317,762
$111,842
$771,050
$1,219,858
$2,221,475
$542,214
$631,028
$957,074
$761,574
$3,711,628
$2,255,856
$654,867
$9,298,247
$3,035,834
$5,622,695
$359,537
$1,758,089
$13,981,256
$155,756
$3,048,051
$9,225,496
$352,026
$4,958,780
$1,677,239
LESS TOTAL
OFFSETTING
REVENUES
$224,178
$918
$29,892
$186,969
$9,717
$142,010
$8,209
$72,732
$229,044
$225,171
$609,425
$57,731
$33,815
$484,693
$136,837
$464,419
$187,179
$304,578
$4,228
$164,743
$761,976
$269,338
$170,481
$104,618
$267,714
$2,099,203
$2,590,880
$404,747
$1,802,266
$726,913
$231
$2,059,775
$404,967
$2,820,047
$0
$216,579
$604,518
$15,535
$609,979
($49,043)
$305,921
$0
$68,238
$546,306
$0
$125,367
$10,967
$263,920
$144,625
$157,137
($80,908)
$219,050
$1,647,266
$231,367
$1,157,593
$115,010
$0
$536,151
$7,428
$26,692
$336,271
$0
$505,271
$0
NET OPERATING 2014 REGULAR
LOSS (IF ELIGIBLE) BD/CC AWARD
($1,352,562)
($177,825)
($77,961)
($391,211)
($195,881)
($314,268)
($155,964)
($521,364)
($680,388)
($703,521)
($5,335,263)
($101,067)
($143,255)
($2,658,273)
($1,312,767)
($1,660,505)
($291,591)
($341,261)
($279,023)
($531,502)
($2,310,970)
($1,157,570)
($135,744)
($464,581)
($1,020,065)
($4,559,117)
($2,844,976)
($1,108,299)
($11,898,526)
($6,261,019)
($703,227)
($7,568,476)
($208,786)
($5,225,168)
($299,331)
($2,042,939)
($6,787,261)
($206,964)
($4,014,669)
($1,743,358)
($2,011,841)
($111,842)
($702,812)
($673,552)
($2,221,475)
($416,847)
($620,061)
($693,154)
($616,949)
($3,554,491)
($2,336,764)
($435,817)
($7,650,981)
($2,804,467)
($4,465,102)
($244,527)
($1,758,089)
($13,445,105)
($148,328)
($3,021,359)
($8,889,225)
($352,026)
($4,453,509)
($1,677,239)
$689,248
$135,682
$35,242
$176,848
$137,204
$142,066
$82,153
$235,684
$307,571
$318,028
$3,508,749
$45,688
$86,944
$1,201,678
$622,348
$750,635
$131,814
$154,268
$199,158
$308,333
$1,044,679
$523,282
$61,363
$210,015
$564,501
$2,655,583
$1,441,548
$705,623
$6,552,508
$3,561,167
$561,781
$4,646,295
$94,382
$2,362,047
$135,313
$1,006,731
$3,068,195
$93,559
$1,944,720
$898,073
$909,457
$50,558
$317,707
$304,480
$1,571,506
$188,436
$280,300
$313,342
$278,893
$1,936,610
$1,214,388
$197,012
$4,274,042
$1,553,374
$2,018,458
$110,539
$1,345,490
$8,199,689
$67,052
$1,736,096
$4,018,391
$159,134
$2,574,385
$1,094,368
C:\Users\kmcgettigan\Desktop\New folder (2)\New York Partnership Plan\Copy of 2014 Indigent Care Model - CMS Mike
2014 INDIGENT CARE DISTRIBUTION
Diagnostic Treatment Centers
OPCERT OR
OMH
AGENCY
CODE
DIAGNOSTIC & TREATMENT CENTERS/OMH
CLINICS
7002169R
7002173R
7002178R
7002185R
7002208R
7002217R
7002222R
7002233R
7002243R
7002289R
7003234R
7003236R
7003246R
7003249R
7004209R
7004210R
Ryan/Chelsea-Clinton Community Health Ctr.
APICA's Primary Care Center
Mount Sinai D & TC
New Alternatives for Children Inc
Betances Health Unit
East Harlem Tenants Council (East Harlem Council f
International Center for Integrative Studies (The Do
Children's Aid Society
William F. Ryan Community Health Center
St. John's Guild - Floating Hospital
Joseph B. Addabbo Health Center
J-Cap Treatment Facility
Samaritan Health Services, Inc.
Medisys Family Care Center (Jamaica Hsp MC)
Beacon Christian Community Health Ctr
Comm Hlth Cntr of Richmond / Rchmnd Comm Sup
Article 28 Total
2 of 5
ALLOWABLE
VISTS FOR CURRENT
BD/CC
MEDICAID
PURPOSES
RATE
7635
445
9144
276
1348
12952
34993
4287
26240
7102
21765
810
4180
3931
1123
6291
$1,156,908
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
269.85
226.59
149.18
190.97
193.17
171.37
255.76
209.79
204.48
221.51
179.34
118.76
201.00
140.44
213.37
199.78
$
-
9/21/2015
BD/CC
OPERATING
COSTS
LESS TOTAL
OFFSETTING
REVENUES
NET OPERATING 2014 REGULAR
LOSS (IF ELIGIBLE) BD/CC AWARD
$2,060,305
$100,833
$1,364,102
$52,708
$260,393
$2,219,584
$8,949,810
$899,370
$5,365,555
$1,573,164
$3,903,335
$96,196
$840,180
$552,070
$239,615
$1,256,816
$410,539
$9,790
$379,165
$0
$2,115
$137,879
$0
$0
$819,271
$75,557
$0
$4,050
$42,991
$85,660
$35,357
$93,312
($1,649,766)
($91,043)
($984,937)
($52,708)
($258,278)
($2,081,705)
($8,949,810)
($899,370)
($4,546,284)
($1,497,607)
($3,903,335)
($92,146)
($797,189)
($466,410)
($204,258)
($1,163,504)
$196,606,980
$27,876,570
($168,730,410)
$841,713
$41,156
$445,243
$25,213
$116,755
$1,199,795
$7,113,959
$472,910
$2,100,684
$726,203
$1,764,498
$41,655
$360,371
$210,841
$92,335
$643,014
$92,310,758
C:\Users\kmcgettigan\Desktop\New folder (2)\New York Partnership Plan\Copy of 2014 Indigent Care Model - CMS Mike
2014 INDIGENT CARE DISTRIBUTION
Diagnostic Treatment Centers
OPCERT OR
OMH
AGENCY
CODE
ALLOWABLE
VISTS FOR CURRENT
BD/CC
MEDICAID
PURPOSES
RATE
DIAGNOSTIC & TREATMENT CENTERS/OMH
CLINICS
BD/CC
OPERATING
COSTS
LESS TOTAL
OFFSETTING
REVENUES
NET OPERATING 2014 REGULAR
LOSS (IF ELIGIBLE) BD/CC AWARD
2014 Indigent Care Distribution
OMH Clinics
3 of 5
00166
01523
10560
10570
10820
11120
11920
PROMESA
12290
North Country Trans Living Services
13050
14110
14220
14510
14590
15300
15380
15410
15460
15780
15980
16140
16190
18050
18150
18180
18190
18270
18320
18890
18940
19210
19730
20250
20580
20660
21070
21290
22250
22290
23680
24900
26000
27700
29620
31470
Northeast Parent and Child Society
Family Services of Westchester
The Mental Health Association of Westchester Cou
ClearView Center, Inc.
WESTCHESTER JEWISH COMMUNITY SERVICS
Bleuler Psychotherapy Center, Inc.
The Fifth Avenue Counseling Center, Inc.
Interborough Developmental & Consultation Inc.
QUEENS COUNTY NEUROPSYCHIATRIC INSITU
Northwest Community Mental Health Center
FAMILY COUNSELING CENTER
MENTAL HEALTH PROVIDERS OF WESTERN Q
Long Island Consultation Center, Inc.
THE GUIDANCE CENTER OF BROOKLYN, INC
KAREN HORNEY CLINIC, INC.
BLANTON-PEALE INSTITUTE
UNION SETTLEMENT ASSOCIATION
Postgraduate Center for Mental Health
Astor Services for Children & Families
William F. Ryan Community Health Center
Hudson Guild
ohel
SAFE HORIZON, INC
Catholic Family Center
Catholic Charities
The Children's Aid Society
GRAHAM WINDHAM
JEWISH BOARD OF FAMILY & CHILDREN SERV
New York Foundling Hospital
St. Regis Mohawk Tribe
Transitional Services for New York, Inc.
Community Healthcare Network
EPILEPSY FOUNDATION OF LONG ISLAND
Putnam Family and Community Service, Inc
Spanish Speaking Elderly Council-RAICES
Inwood Community Services, Inc.
31640
BROOKLYN AIDS TASK FORCE AI C
40260
40290
40390
40400
40570
43660
45000
45540
50150
50250
50370
50440
50630
50660
50710
50730
Human Technologies Corporation
Skills Unlimited, Inc.
SAMUEL FIELD YM&YWHA, INC.
Parsons Child and Family Center
THE DALE ASSOCIATION, INC.
Albany County Department for Children, Youth and
Hudson Valley Mental Health, Inc.
The Institute for Family Health
Southeast Nassau Guidance Center, Inc
Lake Shore Behavioral Health
Hamilton-Madison House, Inc.
Family Service League
Peninsula Counseling Center
Liberty Resources, Inc.
Central Nassau Guidance & Counseling Svc.Inc
Greenwich House, Inc.
Fortune Society Company
Hamburg Counseling Services, Inc.
Community Concern of WNY, Inc.
Child and Family Services of Erie County
Family & Children's Service of Ithaca
The Neighborhood Center, Inc.
10,602
731
307
351
2,040
2,184
2,022
667
1,503
4,680
4,448
725
3,129
3,327
2,308
9,540
793
1,141
8,984
2,760
2,233
1,871
1,523
2,554
4,425
2,018
3,479
910
396
2,750
987
618
2,639
1,219
316
11,154
495
652
1,026
903
301
3,166
330
720
1,360
1,264
383
921
800
784
104
6,248
2,129
920
3,271
1,876
2,428
2,805
3,641
1,355
7,094
$147.52
$113.54
$105.38
$116.39
$116.87
$117.25
$108.59
$114.97
$129.21
$127.29
$128.70
$110.08
$120.13
$134.80
$130.92
$128.71
$127.07
$78.66
$111.73
$145.63
$129.32
$116.98
$124.64
$121.88
$119.29
$141.36
$131.36
$204.48
$130.21
$141.06
$153.68
$103.12
$110.54
$125.06
$133.31
$117.67
$217.18
$113.06
$111.64
$213.65
$122.26
$111.33
$160.52
$137.41
$110.62
$109.67
$113.17
$110.93
$130.79
$94.51
$171.14
$132.53
$191.89
$112.98
$120.49
$140.00
$121.40
$109.88
$108.77
$98.26
$127.07
9/21/2015
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1,564,033
82,997
32,352
40,853
238,423
256,077
219,561
76,684
194,208
595,713
572,456
79,811
375,888
448,465
302,163
1,227,893
100,766
89,753
1,003,785
401,933
288,764
218,868
189,822
311,279
527,864
285,268
457,016
186,077
51,562
387,911
151,679
63,729
291,709
152,454
42,126
1,312,501
107,502
73,715
114,542
192,926
36,799
352,458
52,972
98,939
150,449
138,623
43,343
102,169
104,633
74,094
17,798
828,060
408,534
103,943
394,137
262,640
294,748
308,213
396,022
133,143
901,419
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
241,724
13,487
8,452
122,940
99,873
6,208
8,958
34,631
44,641
535
52,164
136,559
134,244
64,368
35,744
10,000
164,647
82,824
76,919
105,980
68,535
76,665
16,423
97,175
225,871
22,377
6,107
41,955
91,607
44,382
1,185
1,076,024
177
23,439
4,272
5,238
30,250
57,206
4,200
3,805
10
3,812
4,639
390
16,885
65
41,063
233,114
21,952
56,798
46,001
61,377
84,677
2,098
27,280
9,722
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(1,322,309)
(82,997)
(18,865)
(32,401)
(115,483)
(156,204)
(213,353)
(76,684)
(185,250)
(561,082)
(527,815)
(79,276)
(323,724)
(311,906)
(167,919)
(1,163,525)
(65,022)
(79,753)
(839,138)
(319,109)
(211,845)
(112,888)
(121,287)
(234,614)
(511,441)
(188,093)
(231,145)
(163,700)
(45,455)
(345,956)
(60,072)
(63,729)
(247,327)
(152,454)
(40,941)
(236,477)
(107,325)
(50,276)
(110,270)
(187,688)
(6,549)
(295,252)
(48,772)
(95,134)
(150,439)
(134,811)
(43,343)
(97,530)
(104,243)
(57,209)
(17,733)
(786,997)
(175,420)
(81,991)
(337,339)
(216,639)
(233,371)
(223,536)
(393,924)
(105,863)
(891,697)
$657,321
$44,784
$8,528
$14,647
$52,204
$70,612
$96,447
$34,665
$83,742
$253,638
$252,183
$35,837
$146,340
$140,998
$75,908
$525,974
$29,393
$36,052
$516,982
$144,254
$95,765
$51,031
$54,828
$108,340
$231,198
$85,028
$104,489
$74,001
$20,548
$156,390
$27,156
$28,809
$111,805
$80,211
$18,507
$106,900
$48,517
$27,804
$49,848
$84,845
$2,961
$143,937
$22,047
$43,005
$94,642
$60,942
$20,366
$44,088
$47,123
$25,862
$8,016
$378,424
$79,299
$37,064
$152,495
$97,932
$105,496
$101,050
$178,074
$47,856
$663,635
C:\Users\kmcgettigan\Desktop\New folder (2)\New York Partnership Plan\Copy of 2014 Indigent Care Model - CMS Mike
2014 INDIGENT CARE DISTRIBUTION
Diagnostic Treatment Centers
4 of 5
OPCERT OR
OMH
AGENCY
CODE
DIAGNOSTIC & TREATMENT CENTERS/OMH
CLINICS
50810
50830
70000
70010
70020
70030
70050
70060
70070
70120
70130
70140
70150
70160
70170
70250
70300
70330
70340
70350
70360
70370
70410
70430
70510
70520
70540
70640
70650
70660
70680
70690
70740
70750
Family Services of Chemung County
Jewish Family Service of Buffalo
Broome County Mental Health
Chenango County Community Mental Hygiene Serv
Clinton County Community Services Administration
CORTLAND COUNTY MENTAL HEALTH SERV
Delaware County Community Services
Essex County Community Services
Herkimer County Mental Health
Otsego County Community Services
Tompkins County Mental Health
Columbia County Dept of Human Services
Niagara County Community Services Board
SCHUYLER COUNTY COMMUNITY SERVICES
Sullivan County DCS
Orleans County Department of Mental Health
RENSSELAER CTY DEPT OF MENTAL HEALTH
Seneca County Community CounselingCenter
Ontario County Mental Health
Cayuga County CMHC
CHAUTAUQUA CO DEPT OF MENTAL HEALTH
Suffolk County DHS, Div. of Comm. MH Services
Livingston County Mental Health Services
Orange County Dept. of Mental Health
Tioga County Dept of Mental Hygiene
Albany County Mental Health
WAYNE BEHAVIORAL HEALTH NETWORK
Steuben County Community Services
Genesee County Mental Health
ULSTER COUNTY MENTAL HEALTH DEPT
Greene County Mental Health Center
Cattaraugus County Community Services
Schoharie County Community mental Health Servic
Madison County Mental Health Department
ALLOWABLE
VISTS FOR CURRENT
BD/CC
MEDICAID
PURPOSES
RATE
6,468
300
841
2,952
1,382
1,660
951
1,185
949
2,039
2,514
1,808
1,107
556
1,523
1,067
1,399
951
492
771
1,742
2,924
615
1,195
1,381
1,520
3,417
3,494
1,991
2,201
3,454
1,543
545
1,413
$100.86
$116.44
$151.76
$151.92
$146.66
$147.34
$167.13
$161.90
$168.24
$145.85
$146.33
$163.10
$133.59
$160.31
$104.56
$153.93
$173.80
$148.08
$156.28
$164.41
$154.18
$157.75
$147.40
$150.59
$141.15
$146.48
$123.47
$139.53
$148.40
$138.92
$167.16
$148.08
$141.22
$170.44
BD/CC
OPERATING
COSTS
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
652,387
34,933
127,633
448,480
202,678
244,585
158,943
191,855
159,663
297,394
367,864
294,876
147,881
89,132
159,241
164,244
243,141
140,828
76,889
126,757
268,580
461,247
90,649
179,953
194,922
222,646
421,896
487,503
295,457
305,768
577,370
228,483
76,965
240,838
Article 31 Total
204,660
$26,895,948
GRAND TOTALS
1,361,568
$ 223,502,928
9/21/2015
LESS TOTAL
OFFSETTING
REVENUES
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
24,676
11,162
8,528
43,331
79,112
93,496
30,173
15,923
24
5,635
38,780
51,893
18,702
40,699
13,211
5,158
7,879
6,714
5,317
6,433
11,817
30,510
7,504
10,553
3,170
7,201
59,444
37,869
40,741
25,866
5,715
7,701
18,847
29,003
$4,754,461
$
32,631,031
NET OPERATING 2014 REGULAR
LOSS (IF ELIGIBLE) BD/CC AWARD
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(627,711)
(23,771)
(119,105)
(405,149)
(123,566)
(151,089)
(128,770)
(175,932)
(159,639)
(291,759)
(329,084)
(242,983)
(129,179)
(48,433)
(146,030)
(159,086)
(235,262)
(134,114)
(71,572)
(120,324)
(256,763)
(430,737)
(83,145)
(169,400)
(191,752)
(215,445)
(362,452)
(449,634)
(254,716)
(279,902)
(571,655)
(220,782)
(58,118)
(211,835)
($22,141,487)
$283,758
$10,746
$53,842
$183,148
$55,858
$68,300
$58,211
$81,775
$72,165
$139,057
$148,763
$109,841
$58,396
$21,894
$66,013
$71,915
$106,350
$60,626
$32,354
$54,393
$116,070
$207,643
$37,586
$76,578
$86,682
$97,393
$163,847
$203,258
$115,145
$126,530
$258,418
$99,805
$26,272
$95,767
$10,589,242
($190,871,897) $ 102,900,000
C:\Users\kmcgettigan\Desktop\New folder (2)\New York Partnership Plan\Copy of 2014 Indigent Care Model - CMS Mike
2014 Supplemental Indigent Care Grants for New and Expanded D&TC's
OPCERT
FACILITY
CURRENT
MEDICAID
RATE
2014 PROJ BD/CC OPER
COST (VISITS * RATE)
LESS 2014 PROJ
OFFSETTING
REVENUES
2014 PROJ INITIAL OPER
LOSS (BD/CC ELIGIBLE)
ADUSTED BD/CC OPER.
LOSS (Prorated)
OPER LOSS PAID IN 2014
SUPPLEMENTAL 2014
BD/CC GRANT
0601200R
The Chautaqua Center, Inc
450
$199.14
89,613
43,390
(46,223)
0
(38,519)
20,686
1101201R
Family Health Network of Central New York
5,423
$109.07
591,487
145,022
(446,465)
(391,211)
(46,045)
20,554
2701221R
Oak Orchard Community Health Center, Inc.
9,885
$114.71
1,133,908
369,149
(764,759)
(703,521)
(61,238)
27,680
2908201R
Hempstead Community HC (Nassau Health Care Corp.)
30,242
$220.91
6,680,760
647,052
(6,033,708)
(5,335,260)
(698,448)
419,126
3501201R
Middletown Community Health Center
12,163
$145.12
1,765,095
166,618
(1,598,477)
(1,312,767)
(190,473)
89,696
3529200R
Greater Hudson Valley Family Health Center
17,402
$173.35
3,016,637
507,372
(2,509,265)
(1,660,505)
(848,760)
378,886
4353202R
Refuah Health Center
26,604
$185.24
4,928,125
850,664
(4,077,461)
(2,310,970)
(1,766,491)
788,561
5901200R
Hudson River Healthcare, Inc.
105,724
$199.72
21,115,197
2,415,918
(18,699,279)
(11,898,526)
(2,266,918)
1,250,893
5905200R
Open Door Family Medical
69,612
$152.77
10,634,625
2,462,602
(8,172,023)
(7,568,476)
(603,547)
374,447
7000225R
Urban Health Plan
43,992
$202.57
8,911,459
733,354
(8,178,105)
(6,787,261)
(1,390,844)
620,872
7000236R
Morris Heights Health Center
28,284
$163.89
4,635,465
317,382
(4,318,083)
(4,014,669)
(227,560)
101,583
7000279R
Care for the Homeless (CFH)
14,094
$195.88
2,760,733
0
(2,760,733)
(2,221,475)
(404,443)
287,561
7001132R
Premium Health, Inc.
2,000
$228.33
456,660
50,000
(406,660)
0
(304,995)
150,616
7001254R
ODA Primary Health Care Center, Inc.
9,636
$150.20
1,447,327
399,111
(1,048,216)
(693,154)
(355,062)
158,500
7002137R
Institute of Family Health
54,156
$190.57
10,320,509
438,082
(9,882,427)
(8,889,225)
(579,368)
258,630
7002153R
Upper Room Ministries
4,640
$208.67
968,229
0
(968,229)
(352,026)
(616,203)
312,809
7002217R
East Harlem Council for Human Services, Inc.
17,963
$171.37
3,078,319
205,668
(2,872,651)
(2,081,705)
(461,385)
262,788
7002243R
William F. Ryan Community Health Center
27,909
$204.48
5,706,832
836,971
(4,869,861)
(4,546,284)
(323,577)
150,678
7002289R
The Floating Hospital
7,900
$221.51
1,749,929
79,078
(1,670,851)
(1,497,607)
(144,370)
65,521
7003246R
Damian Family Health Care Centers, Inc.
5,774
$201.00
1,160,574
60,627
(1,099,947)
(797,189)
(75,690)
33,788
7004210R
Community Health Center of Richmond
8,080
$199.78
1,614,222
119,900
(1,494,322)
(1,163,504)
(192,977)
106,125
$92,765,706
$10,847,960
($81,425,058)
($63,834,124)
($11,512,351)
$5,880,000
TOTAL SUPPLEMENTAL
9/21/2015
2014 PROJ
TOTAL ELIGIBLE
VISITS
501,933
5 of 5
Copy of 2014 Indigent Care Model - CMS Mike
ISCELLANEOUS
MNOTICES/HEARINGS
Notice of Abandoned Property
Received by the State Comptroller
Pursuant to provisions of the Abandoned Property Law and related
laws, the Office of the State Comptroller receives unclaimed monies
and other property deemed abandoned. A list of the names and last
known addresses of the entitled owners of this abandoned property is
maintained by the office in accordance with Section 1401 of the
Abandoned Property Law. Interested parties may inquire if they ap­
pear on the Abandoned Property Listing by contacting the Office of
Unclaimed Funds, Monday through Friday from 8:00 a.m. to 4:30
p.m., at:
1-800-221-9311
or visit our web site at:
www.osc.state.ny.us
Claims for abandoned property must be filed with the New York
State Comptroller's Office of Unclaimed Funds as provided in Sec­
tion 1406 of the Abandoned Property Law. For further information
contact: Office of the State Comptroller, Office of Unclaimed Funds,
110 State St., Albany, NY 12236.
PUBLIC NOTICE
CERTIFICATION
Upon the results of the referendum as set forth above, I hereby
certify, pursuant to 1 NYCRR § 203.13 and Agriculture and Markets
Law section 294(2), that the percentage of eligible New York State
onion growers required to approve the continuation of the Onion
Research and Development Program has been met, with 91 percent of
such onion growers voting in favor of continuation of the Program.
NOW, THEREFORE, upon the findings and conclusions herein, I
determine that the Onion Research and Development Program (1
NYCRR Part 203) should be and hereby is continued pursuant and
subject to Article 25 of the Agriculture and Markets Law and 1
NYCRR § 203.13.
RICHARD A. BALL
Commissioner of Agriculture and
Markets of the State of New York
Dated at the Town of Colonie
(Albany County), New York this
29th day of May, 2015
Department of Agriculture and Markets
PUBLIC NOTICE
In the Matter of Considering the
Continuation of the New York State
Onion Research and Development
Program, Pursuant to Article 25 of the
Agriculture and Markets Law and 1
NYCRR section 203.1
Division of Criminal Justice Services
DETERMINATION
PRELIMINARY STATEMENT
Section 203.13 of Title One of the Official Compilation of Codes,
Rules and Regulations of the State of New York (“1 NYCRR”), relat­
ing to the New York State Onion Research and Development Program
(“Program”), provides that at least once during each six-year period
the Program is in effect, the Commissioner shall conduct a referen­
dum of eligible New York State onion growers to determine whether
they approve the continuation of the Program. Continuation of the
Program is subject to the approval of more than 50 percent of such
growers voting in the referendum. Upon such approval, a new sixyear period begins as of the first of April of the year following the
date approval of continuation of the Program is certified.
FINDINGS AND CONCLUSIONS
Pursuant to a Notice of Referendum, dated March 19, 2015, a refer­
endum of eligible New York State onion growers was conducted
through May 15, 2015 inclusive, to determine whether such growers
approve continuation of the Program. The results of the referendum
have been duly recorded and verified as follows:
In favor -In opposition -Total eligible ballots counted and
verified:
43 (91%)
4 (9%)
47
In addition, one ballot was declared ineligible because it was
received after May 15, 2015.
Pursuant to Public Officers Law section 104, the Division of Crim­
inal Justice Services gives notice of a meeting of the New York State
Commission on Forensic Science to be held on:
Date:
Time:
Place:
Video Conference Site:
Friday, June 19, 2015
9:00 AM-1:00 PM
Empire State Development Corporation (ESDC)
633 3rd Ave.
37th Floor/Conference Room
New York, NY
*Identification and sign-in required
Division of Criminal Justice Services
Alfred E. Smith Office Building
80 South Swan St.
3rd Floor – Room 348
Albany, NY 12210
*Identification and sign-in required
*Identification and sign-in is required at this location. For further
information, or if you need a reasonable accommodation to attend
this meeting, contact: Catherine White, Division of Criminal Justice
Services, Office of Forensic Services, 80 Swan St., Albany, NY
12210, (518) 485-5052
PUBLIC NOTICE
New York City Deferred Compensation Plan
The New York City Deferred Compensation Plan (the “Plan”) is
seeking qualified vendors to provide active and/or passive socially
responsible investment management services for the Global Socially
Responsible Fund (the “GSRF”) investment option of the Plan. The
81
Miscellaneous Notices/Hearings
objective of the GSRF is to meet or exceed the Morgan Stanley Capital
International World Index. The Plan may construct the Global Socially
Responsible Fund investment option using a global equity strategy or
from the combination of US and non-US equity strategies. To be
considered, vendors must submit their product information to Mercer
Investment Consulting. Vendors should input or update their product
information, as applicable, on Mercer’s Global Investment Manage­
ment Database (GIMD). The address for the website is:
www.mercergimd.com. Vendors not already registered, please call
(866) 657-6487 for a user I.D. and password to access the database.
There is no fee for entering product information on the database.
Please complete the submission of product information in the Mercer
database no later than 4:30 P.M. Eastern Time on July 1, 2015.
PUBLIC NOTICE
New York City Deferred Compensation Plan
The New York City Deferred Compensation Plan (the “Plan”) is
seeking qualified vendors to provide third party foreign exchange ser­
vices for certain investment options of the Plan. To be considered,
qualified vendors must contact Mercer Investment Consulting to
obtain and complete a Third Party Foreign Exchange Provider
Questionnaire. There is no fee for requesting or completing the Third
Party Foreign Exchange Provider Questionnaire. Please complete and
submit the Questionnaire to Mercer Investment Consulting no later
than 4:30 P.M. Eastern Time on July 1, 2015. The Plan also recom­
mends that vendors interested in this procurement visit the Plan’s
website at www.nyc.gov/olr and download and review the applicable
documents.
To request Mercer Investment Consulting’s Third Party Foreign
Exchange Provider Questionnaire or if you have any questions regard­
ing the Questionnaire, please contact Mercer Investment Consulting.
The primary contacts at Mercer Investment Consulting are: Paul G.
Sachs (215) 982-4264 and Greg Cran (312) 917-0789.
The Third Party Foreign Exchange Provider Questionnaire should
be submitted to Mercer via email at [email protected] and
[email protected].
PUBLIC NOTICE
Department of Health
On July 15, 1997, New York State’s Medicaid demonstration
program, The Partnership Plan, was approved by the Federal govern­
ment under Section 1115 of the Social Security Act. This waiver has
been extended and amended to reflect programmatic needs. Under the
waiver, the State is required to seek Federal approval of any
amendments.
The New York State Department of Health (NYSDOH) is seeking
approval from the federal Centers for Medicare & Medicaid Services
(CMS) for the following changes:
D to extend the Clinic Uncompensated Care Funding which expired
on December 31, 2014. The proposed amendment would extend the
federal funding agreement through March 31, 2017.
The Clinic Uncompensated Care program provides funding to
qualifying clinic providers including mental health clinics to assist in
covering the uncompensated costs of services provided to the unin­
sured population. In order to receive these funds, each provider must:
D provide a comprehensive range of health care or mental health
services;
D have at least five percent of their annual visits providing services
to uninsured individuals; and
D have a process in place to collect payments from third party payers.
Additional information concerning the Partnership Plan and any
amendment requests can be obtained by writing to:
Department of Health, Office of Health Insurance Programs, Corn­
ing Tower (OCP Suite 720), Attention: Waiver Management Unit,
Albany, NY 12237 or by e-mail: [email protected]
Written comments concerning the amendment will be accepted at
the above address for a period of thirty (30) days from the date of this
notice.
82
NYS Register/June 17, 2015
Partnership Plan information is also available to the public on-line
at http://www.health.ny.gov/healthcare/medicaid/redesign/
medicaidwaiver1115.htm
PUBLIC NOTICE
Department of Health
Pursuant to 42 CFR Section 447.205, the Department of Health
hereby gives public notice of the following:
The Department of Health proposes to amend the Title XIX
(Medicaid) State Plan for non-institutional services to comply with
enacted statutory provisions. The following changes are proposed for
Medicaid transportation services:
Non-Institutional Services
Effective July 1, 2015, the Commissioner of Health is adding two
Long Island New York counties to the management of Medicaid
transportation services, to complete the State’s assumption of the
Medicaid transportation management in all New York counties. The
assumption of Medicaid transportation management in New York is a
Medicaid Redesign Team’s quality assurance and cost savings
initiative.
The estimated cost of the contract for managing Medicaid transpor­
tation in these two counties for the State fiscal year 2015-16 is $2
million.
The public is invited to review and comment on this proposed State
Plan Amendment. Copies of which will be available for public review
on the Department’s website at http://www.health.ny.gov/regulations/
stateplans/status.
Copies of the proposed State Plan Amendments will be on file in
each local (county) social services district and available for public
review.
For the New York City district, copies will be available at the fol­
lowing places:
New York County
250 Church Street
New York, New York 10018
Queens County, Queens Center
3220 Northern Boulevard
Long Island City, New York 11101
Kings County, Fulton Center
114 Willoughby Street
Brooklyn, New York 11201
Bronx County, Tremont Center
1916 Monterey Avenue
Bronx, New York 10457
Richmond County, Richmond Center
95 Central Avenue, St. George
Staten Island, New York 10301
For further information and to review and comment, please contact:
Department of Health, Bureau of Federal Relations & Provider As­
sessments, 99 Washington Ave., One Commerce Plaza, Suite 1460,
Albany, NY 12210, spa[email protected]
PUBLIC NOTICE
Town of Liberty
The Town of Liberty is soliciting proposals from administrative
service agencies relating to trust service, and administration and/or
funding of a Deferred Compensation Plan for the employees of the
Town of Liberty. They must meet the requirements of section 457 of
the Internal Revenue Code and Section 5 of the State Finance Law,
including all rules and regulations issued pursuant thereto.
NYS Register/June 17, 2015
A copy of the proposal questionnaire may be obtained from: Town
of Liberty Finance Office, Earl Bertsch, Director of Finance, 120 N.
Main St., Liberty, NY 12754, (845) 292-5772
All proposals must be received in a sealed envelope marked
“Deferred Compensation RFP” by the Town of Liberty Clerk’s Of­
fice, 120 N. Main St., Liberty, NY 12754 no later than 11:00 A.M. on
July 30, 2015.
PUBLIC NOTICE
New York State and Local Retirement Systems
Unclaimed Amounts Payable to Beneficiaries
Pursuant to the Retirement and Social Security Law, the New York
State and Local Retirement Systems hereby gives public notice of the
amounts payable to beneficiaries.
The State Comptroller, pursuant to Sections 109 (a) and 409 (a) of
the Retirement and Social Security Law has received, from the New
York State and Local Retirement Systems, a listing of beneficiaries or
estates having unclaimed amounts in the Retirement System. A list of
the names contained in this notice is on file and open to public inspec­
tion at the office of the New York State and Local Retirement Systems
located at 110 State St., in the City of Albany, New York.
Set forth below are the names and addresses (last known) of benefi­
ciaries and estates appearing from the records of the New York State
and Local Retirement Systems, entitled to the unclaimed benefits.
At the expiration of six months from the date of publication of this
list of beneficiaries and estates, unless previously paid to the claimant,
the amounts shall be deemed abandoned and placed in the pension ac­
cumulation fund to be used for the purpose of said fund.
Any amounts so deemed abandoned and transferred to the pension
accumulation fund, may be claimed by the executor or administrator
of the estates or beneficiaries so designated to receive such amounts,
by filing a claim with the State Comptroller. In the event such claim is
properly made, the State Comptroller shall pay over to the estates or to
the person or persons making such claim, the amount without interest.
0A030577 120148355 SAMMIS,VIRGINIA TICONDEROGA NY
0A215632 111306897 CASON,CAROLYN M FLEMING IS­
LAND FL
0A215632 111306897 HELMLINGER,BELINDA S MIDDLE­
BURG FL
0A215632 111306897 MATTHEWS,KATHERINE A MIDDLE­
BURG FL
0A215632 111306897 MATTHEWS,KIRK A PHOENIX AZ
0A215632 111306897 MATTHEWS,PATRICK M OLYMPIA WA
0A314476 134308908 SNYDER,ROBERT J NORTHPORT NY
0A384966 088221553 ANDERSON,DOLORES K ESTATE OF
YORKTOWN HGTS NY
00949925 113145286 ZECCA,ROSEMARY M ESTATE OF
BINGHAMTON FL
01365196 062186865 KRIEGEL,GERTRUDE V ESTATE OF AT­
TICA NY
01450204 104091456 TOTTEN,MARION C HENRIETTA NY
03433414 122057177 RINALDO,MICHAEL A ESTATE OF
DAYTON OH
04051132 088246307 YOUNG,HERBERT A COBLESKILL NY
04794442 094267682 BYERS,JEAN ESTATE OF ALBANY..
05042122 075107616 PELLEGRINI,JOSEPHINE ESTATE OF
EDISON NJ
05074869 117120357 WOODRICK,MARY C ESTATE OF MO­
HAWK NY
05569603 126056907 KULINSKI,ALFREDA ESTATE OF AL­
BANY NY
05605522 050183157 HILL,MEGAN A KENNE NY
05931431 111145680 HELPER,DONALD S ESTATE OF
CLEARWATER FL
06024160 077348436 TRIMBLE,BEVERLY D ESTATE OF
CANISTEO NY
Miscellaneous Notices/Hearings
06060867 084168765 PHIFER,GEORGE C ESTATE OF
PLATTSBURGH NY
06111389 120203904 MULHERN,JOHN M ESTATE OF CLAY
NY
06417174 103097567 THURSTON,CHARLES SOUND BEACH
NY
06436455 051247338 ANDERSON,LLOYD T WAPPINGERS
FALLS NY
06616734 057244517 BRAUN,STURMIUS G ESTATE OF
LOUDONVILLE NY
06620454 119266065 GIANIS,ANNETTE ESTATE OF WELLS­
VILLE NY
06730733 009148947 KEIM,CLAIRE ALBANY FL
06850036 066126470 ZAWISKI,RUDOLPH S WEBSTER NY
06911820 091241582 SMITH,ROSALIE A ESTATE OF EAST
SYRACUSE NY
06966691 054164360 CAHILL,EMMA ESTATE OF DALTON
MA
06989081 086306248 HOMMEL,GENE A ESTATE OF
CATSKILL NY
07131790 244423072 OLIVER,DAPHNE WHITE PLAINS NY
07135437 149181308 LINARDAKIS,ATHANASIUS ROSEN­
DALE NJ
07247273 112053681 CORDELLO,DOMINIC M ESTATE OF
ROCHESTER NY
07296494 177019844 DAVIES,KENNETH J ESTATE OF PENN
RUN PA
07372535 098059934 RIZZO,MARTHA ESTATE OF HUNTING­
TON STATION NY
07374325 075077719 BLANSFIELD,LENA ESTATE OF PLEAS­
ANT GARDEN NC
PUBLIC NOTICE
County of Ontario
The County of Ontario is requesting proposals from qualified
administrative services agencies, and/or financial organizations relat­
ing to administration, trustee services and/or funding of a deferred
compensation plan for employees of The County of Ontario meeting
the requirements of Section 457 of the Internal Revenue Code and
Section 5 of the State Finance Law and a 401a Savings Match plan,
including all rules and regulations issued pursuant thereto.
A copy of the proposal questionnaire may be obtained by emailing
[email protected].
All proposals must be submitted no later than 30 days from the date
of publication in the New York State Register, no later than 4:30 p.m.
PUBLIC NOTICE
Town of Queensbury
The Town of Queensbury is soliciting proposals from Administra­
tive Service Agencies, Trustees, and Financial Organizations for ser­
vices in connection with a Deferred Compensation Plan that will meet
the requirements of Section 457 of the Internal Revenue Code and
Section 5 of the State Finance Law, including all rules and regulations
issued pursuant thereto.
A copy of the proposal questionnaire may be obtained from: Joanne
Watkins, Purchasing Agent, Town of Queensbury, 742 Bay Rd.,
Queensbury, NY 12804, e-mail: [email protected]
All proposals must be submitted not later than 30 days from the
date of publication in the New York State Register.
83
Miscellaneous Notices/Hearings
PUBLIC NOTICE
Department of State
Notice of Routine Program Change
Town of Penfield
Local Waterfront Revitalization Program
PURSUANT to 15 CFR 923.84(b), the New York State Depart­
ment of State (DOS) has submitted a routine program change to the
federal Office of Coastal Management (OCM). The change to the New
York State Coastal Management Program (CMP) covered by this
request is the incorporation of the amendment to the Town of Penfield
Local Waterfront Revitalization Program (LWRP) into the State's
CMP.
A major component of the State's CMP is the provision that local
governments be allowed to prepare and amend Local Waterfront
Revitalization Programs, which further detail and make geographi­
cally specific the State's coastal policies. Each LWRP is reviewed for
consistency with the State's CMP and approved if it meets the
guidelines established in the State CMP and Article 42 of the NYS
Executive Law.
The Town of Penfield LWRP Amendment is a long-term manage­
ment program for the Town’s waterfront resources along Irondequoit
Creek and Bay, prepared under the provisions of Article 42 of the Ex­
ecutive Law and its implementing regulations to update the original
Penfield LWRP, approved in 1991. The LWRP Amendment revises
the inland alignment of the coastal boundary by excluding the primar­
ily built-out residential neighborhoods east of Empire Boulevard and
east of Irondequoit Creek, based on the consideration that the potential
future development of these areas could be controlled by existing
Town legislation or regulations to have a minimal impact on the
adjacent environmentally sensitive areas along Irondequoit Creek and
Bay. The Penfield LWRP Amendment also includes revised compre­
hensive text and graphics describing the existing and proposed land
uses and controls adopted since 1991, such as the Environmental
Protection Overlay Districts, providing additional protections for
wetlands, steep slopes, floodplains, watercourses, and woodlands re­
sources, and the LaSalle’s Landing Development District, designed to
protect sensitive environmental features and encourage water oriented
recreation and other appropriate uses adjacent to parts of Irondequoit
Bay. Other regulations reflected in the Penfield LWRP Amendment,
adopted since 1991, include: the Construction Stormwater Pollution
Prevention and Erosion and Sediment Control Law (Local Law No. 3
- 2007), Design and Management of Post-Construction Stormwater
Pollution Prevention Measures Law (Local Law No. 4 - 2007),
Stormwater Illicit Discharge Connection Law (Local Law No. 5 –
2007), Town of Penfield Stormwater Management Policy (adopted
1988 and revised 2000), Irondequoit Bay Harbor Management Plan
(adopted 2003), Irondequoit Bay Harbor Management Law (adopted
2008), and the Penfield Waterfront Consistency Review Law (adopted
1991 and amended in 2015).
The Town of Penfield prepared the LWRP Amendment in partner­
ship with the New York State Department of State, in accordance with
the New York State Waterfront Revitalization of Coastal Areas and
Inland Waterways Act and the New York State Coastal Management
Program. The draft LWRP Amendment was circulated by the Depart­
ment of State to potentially affected State, federal, and regional agen­
cies during a review period from May 8, 2013 to July 12, 2013. Fol­
lowing this review period, the Department of State coordinated
responses to comments received with the Town of Penfield, and
revised the draft LWRP where necessary. The Town of Penfield
LWRP Amendment was adopted by resolution by the Town of
Penfield Town Board on March 4, 2015, and approved by the New
York State Secretary of State on May 26, 2015, pursuant to the New
York State Waterfront Revitalization of Coastal Areas and Inland
Waterways Act (NYS Executive Law, Article 42).
The Town of Penfield Local Waterfront Revitalization Program is
available online at http://www.dos.ny.gov/opd/programs/
WFRevitalization/LWRPstatus.html
Any comments on whether or not the action constitutes a routine
program change to the State’s approved Coastal Management Program
84
NYS Register/June 17, 2015
should be submitted by July 10, 2015 to: Jackie Rolleri, Stewardship
Division, Office of Coastal Management, National Oceanic and
Atmospheric Administration, 1305 East-West Highway, Silver Spring,
MD 20910
Further information on this routine program change may be
obtained from: Renee Parsons, Office of Planning and Development,
NYS Department of State, 99 Washington Ave., Suite 1010, Albany,
NY 12231-0001, (518) 473-2464
PUBLIC NOTICE
Uniform Code Regional Boards of Review
Pursuant to 19 NYCRR 1205, the petitions below have been
received by the Department of State for action by the Uniform Code
Regional Boards of Review. Unless otherwise indicated, they involve
requests for relief from provisions of the New York State Uniform
Fire Prevention and Building Code. Persons wishing to review any
petitions, provide comments, or receive actual notices of any subse­
quent proceeding may contact Brian Tollsen, Building Standards And
Codes, Department of State, One Commerce Plaza, 99 Washington
Ave., Albany, NY 12231, (518) 474-4073 to make appropriate
arrangements.
2015-0192 Matter of Old Path Chapel Perry, c/o Jeff Guenso, 181
South Main Street, Village of Perry, Wyoming County, New York
14630. The petitioner requests a variance concerning the relief from
automatic sprinkler system as required by Part 903.2.1.4 of Title 19­
Part 1221 of the Building Code.
2015-0209 Matter of Forestville Town Hall Building, 18 Chestnut
Street, Village of Forestville, Chautauqua County, New York, 14062.
The petitioner requests a variance concerning the relief from ad­
ditional layer of roofing as required by part 606.2.1 of Title 19-Part
1227 of the Existing Building Code.
2015-0203 Matter of SANTIAGO BURGER, LLC, MICHAEL A
BURGER, 1250 PITTSFORD-VICTOR ROAD, BLDG 100, SUITE
190, PITTSFORD, NY 14534, for a an appeal of a Code Officials De­
cision regarding property maintenance violations at a building, lo­
cated at 74 Diem Street, City of Rochester, County of Monroe, State
of New York.
2015-0212 Matter of Angel Valdez, 1534 Oneida Street, Utica, NY
13501 for a variance related to wood on walls of exit stairway, second
means of egress, the fire rating of a cellar ceiling in accordance with
the New York State Multiple Residence Law.
Involved is a three story building, located at 1534 Oneida Street,
City of Utica, Oneida County, State of New York.
2015-0247 Matter of Patrick J. Currier, R.A., Aubertine & Currier
Arch,, 522 Bradley Street, Watertown, NY 13601for a variance
concerning fire safety and building code requirements including al­
lowable building area, the use of a two story wood frame barn for as­
sembly occupancy and requirements for a sprinkler system.
Involved is the conversion of a second story of an agricultural build­
ing to assembly occupancy, known as Maple Dream Manor, located at
2310 New York State Route 206, Town of Coventry, Chenango
County, New York.
2015-0251 Matter of NELSON T BOND, 18703 WORTHINGTON
ROAD, HUDSON, FL 34667, for an appeal of a code officials deci­
sion regarding a sprinkler system in a building located at 43-57 North
Main Street, Village of Brockport, County of Monroe, State of New
York.
2015-0252 Matter of NELSON T BOND, 18703 WORTHINGTON
ROAD, HUDSON, FL 34667, for a variance concerning safety
requirements, including a sprinkler system in a building located at
43-57 North Main Street, Village of Brockport, County of Monroe,
State of New York.
2015-0256 Matter of Ralph Cavo, 1540 Miller Street, Utica, NY
13501, for a variance to the fire rating of cellar stairway in accordance
with the New York State Multiple Residence Law.
Involved is a two story building, located at 1221 Elm Street, City of
Utica, Oneida County, State of New York.
2015-0265 Matter of EYP Architecture & Engineering P.C.,
NYS Register/June 17, 2015
Miscellaneous Notices/Hearings
NanoFab East, 257 Fuller Road, 1st floor, Albany, NY 12203, for
variances concerning building code requirements pertaining to
quantity limits for hazardous materials in a fabrication area.
Involved is the construction of an 82,250 square foot, 2 story
manufacturing facility located at 50 Collamer Crossings Parkway,
East Syracuse, NY, County of Onondaga.
85