Special Projects Fund

Project Title

NYC Nurse-Family Partnership Medicaid Billing Project

Grant Amount

$131,195

Priority Area

Special Projects Fund

Date Awarded

December 8, 2010

Region

NYC

Status

Closed

Website

http://www.fphny.org/

SEE GRANT OUTCOMES

The Nurse-Family Partnership is a nurse home-visiting program for low-income, first-time mothers and their babies that currently serves 2,230 families in the areas of highest need in all five boroughs.

The Fund for Public Health in New York (the Fund), which is an affiliated nonprofit partner of the New York City Department of Health and Mental Hygiene, is responsible for the program’s implementation in nine sites, ensuring fidelity to the national model while expanding within the city. The Federal Centers for Medicare and Medicaid Services approved the Nurse-Family Partnership to receive Medicaid funding. Approximately 30% of the program’s costs are reimbursable through this new funding source.

This grant enabled the Nurse-Family Partnership to hire a Medicaid Billing Specialist to develop and implement mechanisms and controls to ensure accurate completion of the required Medicaid documentation resulting in maximum Medicaid reimbursement. The Specialist provided training and technical assistance to the nine project sites throughout New York City; served as the program’s liaison with the New York State Department of Health, the Nurse-Family Partnership project in Monroe County, and the Nurse-Family Partnership national service office; and tracked key indicators to improve and maximize the payment on services reimbursable through Medicaid.