Time-Limited Waiver for Hospital-Based Detoxification Services
March 12, 2018 - On March 2, the New York State Department of Health (DOH) and Office of Alcoholism and Substance Abuse Services (OASAS) published Dear Administrator Letter (DAL) 18-05 on the availability of time-limited waivers for providers seeking to treat individuals requiring hospital-based detoxification services.
Existing OASAS Certification Requirements
New York State Mental Hygiene Law and regulation require OASAS certification when operating a discrete chemical dependence services unit of five beds or greater than 10% of overall patient days of an Article 28-licensed hospital.
New Regulatory Flexibility and Waiver
OASAS will provide Article 28 hospitals with a time-limited waiver to operate more than five chemical dependence services beds or greater than 10% of overall patient days without requiring an OASAS operating certificate. Waivers will be valid until December 31, 2018, at which point OASAS and DOH will review need to continue a waiver.
Detoxification services provided in a medical/surgical bed are reimbursed via an acute payment APR-DRG methodology. Please see the DAL for additional reimbursement guidance.