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Protect CDPA - Stabilize wages and reimbursement
Call to Action
Have you sent a note to Governor Cuomo yet asking him to stop the attack
If not, I'm asking you to take one moment now to take action. Maybe your
wages, or those of your workers, are not being attacked today; but,
managed care companies are watching what is happening. If those who cut
today get away with this - more cuts will follow.
Recently, managed long term care plans have dramatically cut consumer
directed personal assistance (CDPA) reimbursements to fiscal
intermediaries (FIs). With so much reimbursement going to wages and other
costs related to workers, there is no place for FIs to absorb these cuts
except in worker wages. These reductions are resulting in a crisis in
care, with workers having no choice but to leave consumers who, in many
instances, they have worked for for years.
This has created a crisis. People with disabilities and seniors who have
been thriving in their homes are facing the loss of independence and a
The state must take immediate action to reverse these cuts.
If you have a question as to whether or not we can be successful, note
Senate Health Committee Chair Kemp Hannon has already heard you and joined
your call. Last Friday, he wrote to NYS Medicaid Director Jason Helgerson
and said, "Most recently I am told, GuildNet, issued a second cut in 6
months, which effectively makes a total cut of S3.0O per hour for aides.
Personal Assistance workers cannot have their pay arbitrarily go from S
13.13 per hour to 510 something an hour and be expected to continue
working. Fiscal Intermediaries cannot absorb those costs either, as they
are already struggling with survival as a result of the ELSA overtime
rules, rising minimum wages and several years of reduced rates from
managed care plans."
For years, the State has maintained that they cannot get involved in the
private negotiations between third parties. But, we have reached the
crisis of which CDPAANYS has been warning. These "negotiations" have led
to a point where the nominal wages that have been paid cannot be
sustained. If allowed to continue unchecked, the system will collapse.
People will go to nursing homes. CDPA will cease to exist.
What is worst is that last year, the State gave all managed care companies
money to supplement the reimbursements of fiscal intermediaries to pay for
the new overtime requirements. It is a joke to think that supplement can
accomplish anything if the plans just cut the base by up to TEN TIMES the
Let that sink in. A plan gave a $0.34 per hour supplement and CUT the base
wage over $3.00 per hour.
We must tell the state that this is unacceptable!
To stop this crisis, we are demanding that the State tell plans they have
to, at a minimum hold reimbursement equal to what it was on October 1,
2015 when the supplement took effect.
This simple and common sense approach will not address the long term
problems that have caused wages to remain too long; but, it will address
the immediate crisis and help us get through it so we can fight for higher
wages another day.
Please take a minute and send a message to Governor Cuomo demanding that
he take this action. I don't like to over-dramatize, but the future of
CDPA could very well rely on it. To quote Senator Hannon again, "New York
State cannot sit back and leave this to the plans and providers to work
out. Nor can the state allow the program to fail because rates are
inadequate. Doing so will not only be costly to the state, it will he
devastating to the consumers and families the program serves."
Click the link below to log in and send your message:
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Albany, NY 12210