Redesigning New York's Medicaid Program
"It is of compelling public importance that the State conduct a fundamental restructuring of its Medicaid program to achieve measurable improvement in health outcomes, sustainable cost control and a more efficient administrative structure."
- Governor Andrew M. Cuomo, January 5, 2011
Governor Cuomo Announces Medicaid Spending Finishes Year $14 Million Under Global Medicaid Cap
Governor Andrew M. Cuomo announced on May 1 that New York Medicaid spending finished the 2011-12 fiscal year $14 million under the Medicaid Global Spending Cap without reducing benefits, while providing health insurance coverage to an additional 140,000 low income New Yorkers.
The Governor also announced that the initiatives proposed by the Medicaid Redesign Team (MRT) and adopted by the Legislature last year will lead to major savings for state and federal taxpayers. The MRT initiatives will save a total of $34.3 billion over the next five years- divided between the state and federal government. Personal care spending is on the decline with per-recipient spending reduced to 2006 levels, and spending on home care has been reduced by $300 million since 2010. Without the MRT initiatives, state spending would have grown by $2.3 billion in the 2011-12 fiscal year.
- http://www.governor.ny.gov/press/05012012Medicaid
- Medicaid Redesign Team Final Report (PDF, 2.25MB, 49pgs.)
- Companion Document: Medicaid Redesign Team Work Group Final Recommendations (PDF, 17.57MB, 509pgs.)
- Medicaid Redesign Team Members (PDF, 156.1KB, 1pg.)
About The Medicaid Redesign Team
Governor Cuomo established the Medicaid Redesign Team (MRT) by Executive Order upon taking office in January 2011, bringing together stakeholders and experts from throughout the state to work cooperatively to reform the system and reduce costs.
In Phase 1, the MRT provided a blueprint for lowering Medicaid spending in State Fiscal Year 2011-12 by $2.2 billion. This phase was completed in February 2011 when the MRT submitted an initial report to meet the Governor's Medicaid spending target contained in his 2011-2012 Executive Budget. The initial report included 79 recommendations to redesign and restructure the Medicaid program to be more efficient and get better results for patients. 78 recommendations were approved by the Legislature as part of the enacted budget and are now being implemented. The recommendations met the Governor's Medicaid budget target, introduced significant structural reforms that will bend the Medicaid cost curve, and achieved the savings without any cuts to eligibility.
The MRT continued its innovative work in Phase 2 by establishing 10 work groups to address more complex issues, as well as monitoring the implementation of key recommendations enacted in Phase 1. These work groups provided an additional 175 stakeholders the opportunity to participate in the MRT process. All work group meetings were public and multiple public hearings were held.
The efforts of the MRT will result in a multi-year road map that will lead toward a more efficient program and system that is affordable and will achieve better health outcomes for New Yorkers.
- Medicaid Redesign Team Members
- Governor Cuomo Issues Executive Order Creating Medicaid Redesign Team
- Public Hearings and Meetings
- MRT Work Groups
Medicaid Redesign Team - Progress Updates
- Monthly Global Cap Updates
- Phase 1 Project Management Plan (as of 4/10/12)
- Open Projects (XLS, 2.82MB)
- Completed, Merged, Cancelled Projects (XLS, 314KB)
- Medicaid Redesign Team - January 18 Status Update (PPT, 3.3MB, 26slides)
New York State Medicaid State Plan
Assisted Living Program Application
Chapter 56 of the Laws of 2012 amended Section 461-l of the Social Services Law (SSL) to authorize the Commissioner of Health to establish up to 6,000 new Assisted Living Program (ALP) beds.
Interested applicants must submit the Opportunity for Development (OFD) proposal by 5:00 p.m. July 18, 2012. This form and instructions, as well as other relevant information, can be accessed below:
NYSDOH Demonstration Proposal to Integrate Care for Dual Eligible Individuals
UPDATE: As a result of the numerous and extensive comments, the state asked for and received an extension of 30 days to file an official dual eligible demonstration proposal with CMS. The updated proposal will include significant modifications to the original proposal currently posted. These modifications will include a managed fee for service element as well as changes to the current capitated approach.
The updated proposal was posted on May 3, 2012 for additional public comments.
Thank you for your continued interest in the dual eligible population.
- Request for Public Comment: NYSDOH Demonstration Proposal to Integrate Care for Dual Eligible Individuals
- Second Draft Proposal - Demonstration to Integrate Care for Dual Eligible Individuals (PDF, 1.36MB, 74pgs.)
2012-13 Enacted Medicaid Budget - Webinar Briefing
- MRT Enacted Budget Briefing Webinar (WMV, 17.7MB)
- 2012-13 Enacted Budget Webinar Presentation (PPT, 3.09MB, 15slides)
- Matrix: MRT Phase 2 Proposals Included in 2012-13 Enacted Budget Proposal (XLS, 71KB)
