HOLY SMOKE! Recreational Marijuana Use in New York: What Does It Mean for Your Facility?

New Yorkers are abuzz with the news that the state has legalized recreational adult use of marijuana effective September 2022. Under the Compassionate Care Act, skilled nursing facilities (SNFs) and assisted living facilities (ALFs) have supported the use of medical marijuana for residents with qualifying conditions since the Act was passed in 2014. With legalized adult use of marijuana, how will health care facilities and their residents be impacted?

Navigating the New Discharge Process for Nursing Residents

Effectuating the discharge of a nursing home resident can be a complicated and difficult process and it is important to maintain compliance with all newly enacted and existing regulations to preserve residents’ rights and insulate the facility from liability.


We offer creative solutions to ensure the discharge process goes smoothly and that any and all ancillary concerns, such as nonpayment and resident safety, are fully addressed.

Your Bottom Line is Our Business

As the end of the pandemic nears, so does the expiration of the Medicaid GIS that provides for “COVID approvals.” With this in mind, it’s important that skilled nursing facilities put systems, policies and procedures in place now that adequately address the likely deluge of both new institutional Medicaid applications and those applications previously approved under the current COVID regulations that at recertification, must be completed vis a vis the production of the 5 year look back. One such procedure that must be implemented is the meticulous calendaring of all Medicaid deadlines. With such stringent deadlines, a successful Medicaid Coordinator must keep a detailed calendar that closely monitors the issuing date and due date of all “pend or deferral letters” as well as when the facility’s correspondence to financial institutions must be sent in order prevail at a Fair Hearing, should the financial institution fail to produce the requested documentation within the Medicaid Program’s prescribed time frame. Additionally, the issuing date and deadline to request a Fair Hearing on all adverse notices from the Medicaid Program must also be fastidiously chronicled so as to preserve the facility’s right to appeal an erroneous denial.