DSRIP White Board

New York State Medicaid Director, Jason Helgerson, discusses a variety of topics of the MRT Waiver Amendment Delivery System Reform Incentive Payment (DSRIP) Program.

5 Themes, 5 Minutes

Safety Net Definition

Five Years in the Future

Follow the Money

Follow Us


Delivery System Reform Incentive Payment (DSRIP) Program

Reducing Avoidable Hospital Use through Delivery System Reform

About this Website

This website provides access to informational and administrative materials related to New York's DSRIP program. This website also provides links to other relevant MRT Waiver Amendment resources. Please check back periodically, as this website will be updated with the most current New York State DSRIP documents as they become available.

DSRIP Background

On April 14, 2014 Governor Andrew M. Cuomo announced that New York has finalized terms and conditions with the federal government for a groundbreaking waiver that will allow the state to reinvest $8 billion in federal savings generated by Medicaid Redesign Team (MRT) reforms.

The waiver amendment dollars will address critical issues throughout the state and allow for comprehensive reform through a Delivery System Reform Incentive Payment (DSRIP) program. The DSRIP program will promote community-level collaborations and focus on system reform, specifically a goal to achieve a 25 percent reduction in avoidable hospital use over five years. Safety net providers will be required to collaborate to implement innovative projects focusing on system transformation, clinical improvement and population health improvement. Single providers will be ineligible to apply. All DSRIP funds will be based on performance linked to achievement of project milestones.

The $8 billion reinvestment will be allocated in the following ways:

  • $500 Million for the Interim Access Assurance Fund – temporary, time limited funding to ensure current trusted and viable Medicaid safety net providers can fully participate in the DSRIP transformation without disruption
  • $6.42 Billion for Delivery System Reform Incentive Payments(DSRIP) – including DSRIP Planning Grants, DSRIP Provider Incentive Payments, and DSRIP Administrative costs
  • $1.08 Billion for other Medicaid Redesign purposes – this funding will support Health Home development, and investments in long term care, workforce and enhanced behavioral health services

In addition, the special terms and conditions also commit the state to comprehensive payment reform and continuing New York's effort to effectively manage its Medicaid program within the confines of the Medicaid Global Spending Cap.

4.14.14 Governor Cuomo Announces Final Approval of $8 Billion MRT Waiver to Protect and Transform New York's Health Care System

CMS Official Documents

The official MRT Waiver Amendment & DSRIP documents from CMS are now available.

Capital Restructuring Financing Program

The New York State Department of Health and the Dormitory Authority of the State of New York announce the availability of funds under the Capital Restructuring Financing Program (CRFP), a State of New York grant program established pursuant to Section 2825 of the Public Health Law. Awards totaling up to $1.2 billion over seven years will support capital projects that help strengthen and promote access to essential health services including projects that will improve infrastructure, promote integrated health systems and support the development of additional primary care capacity. The grant program will complement awards granted by the Delivery System Reform Incentives Payment program, DSRIP. DOH will be taking public comments related to the CRFP for 30 days, through November 1. Comments and questions regarding the CRFP may be directed to CRFP@health.ny.gov.

Please check this website for updates and additional information that will be posted.

CRFP Conference:

Draft DSRIP Project Plan Application

The NY Draft DSRIP PPS Plan Application materials are now available for public review and comment. The state is required to engage the public and all relevant stakeholders (including the Centers for Medicare and Medicaid Services (CMS), community stakeholders, Medicaid beneficiaries, physician groups, hospitals, and health plans) by publishing the NY Draft DSRIP PPS Plan Application and Scoring Guide, including all relevant background material, and providing a public comment period that will be no less than 30 days. The process must ensure the submission of comments through electronic means. The material attached includes four key artifacts that are important to the PPS application process and Independent Assessor evaluation process. NY DOH is looking for the submission of comments through electronic means by sending emails to dsripapp@health.ny.gov after 9/29/2014 – 10/29/14. For more information, please visit the Draft DSRIP Project Plan Application below.

DSRIP PPS Lead & Financial Stability Test

The DSRIP PPS Lead & PPS Lead Financial Stability Test is now available for completion by potential PPS Lead organizations. A potential PPS Lead organization must complete both the DSRIP PPS Lead & PPS Lead Financial Stability Test document and the DSRIP PPS Lead & PPS Lead Financial Stability Test Excel Tool by November 10, 2014. The completed application documents along with all supporting documentation must be submitted to DSRIPApp@health.ny.gov by November 10, 2014. An organization that does not submit the completed application documents by November 10, 2014 will not be eligible to serve as a PPS Lead organization.

The DSRIP PPS Lead & PPS Lead Financial Stability Test document and Excel Tool can be found below. In addition, a redline version of the DSRIP PPS Lead & PPS Lead Financial Stability Test application document and a summary of the feedback from the public comment period with responses have been provided.

Interim Access Assurance Fund (IAAF)

The New York State Department of Health will award short-term IAAF funds to stabilize the financial position of safety net hospitals threatened by severe fiscal distress and assist them in transforming operations to integrated Performing Provider Systems that will achieve the goals of and be supported by DSRIP. More information is available at http://www.health.ny.gov/health_care/medicaid/redesign/iaaf/index.htm

Safety Net Definition & Safety Net Provider Lists

Safety net providers eligible to participate in DSRIP are defined in STC 2 of the MRT Waiver Amendment/DSRIP Section of the Partnership Plan Special Terms and Conditions. Eligible provider lists and supplemental information are available on the Safety Net Definition page.

DSRIP Frequently Asked Questions (FAQs)

This document has been created as a reference to those interested in learning more about New York's DSRIP Program. The FAQs cover a variety of topics related to the DSRIP program and will be updated periodically.

These conference calls address questions about topics related to DSRIP, such as the process or program implementation.

DSRIP Timeline

A general timeline and deliverables schedule is available below. More information, including specific dates and deadlines will be made available on this website and announced through the MRT listserv.

Emerging Performing Provider Systems (PPS)

The Department of Health received and reviewed non-binding Letters of Intent, due by May 15, 2014, from providers expressing a willingness to participate in DSRIP, DOH provided feeback to these potential Performing Provider Systems (PPS) to strengthen their networks and meet program requirements. Many o fthese providers submitted Design Grant Applications, due by June 26, 2014, to DOH to develop comprehensive DSRIP Project Plans. DSRIP Design Grant Awards were awarded on August 6, 2014. Click on the link below for more information on the Letters of Intent and Design Grant Applications and awards.

Medicaid Analytics Performance Portal (MAPP)

The Medicaid Analytics Performance Portal (MAPP) is a performance management system that will provide tools and program performance management technologies to Performing Provider Systems (PPS) in their effort to develop and implement transformative projects through the Delivery System Reform Incentive Payment (DSRIP) Program. The MAPP system is the home of three important DSRIP Tools: the (provider) Network Tool, the Attribution Tool and the Project Plan Application Tool.

Regulatory Flexibility Guidance for Emerging PPSs

The Department of Health, the Office of Mental Health, the Office of Alcoholism and Substance Abuse Services, and the Office for People With Developmental Disabilities are issuing this guidance to Performing Provider Systems interested in seeking regulatory waivers in connection with the Delivery System Reform Incentive Payment (DSRIP) Program and the Capital Restructuring Financing Program, pursuant to Public Health Law (PHL) § 2807(20)(e) and (21)(e).

DSRIP Community Needs Assessment

In order to advance the aims of the Delivery System Reform Incentive Payment (DSRIP) Program, emerging Performing Provider Systems are required to conduct a community needs assessment. This process includes a description of the population to be served, an assessment of its health status and clinical care needs, as well as an assessment of the health care and community wide systems available to address those needs. The DSRIP Community Needs Assessment webpage provides materials to aid emerging Performing Provider Systems in conducting a proper needs assessment.

DSRIP Glossary

A listing of terms and their definitions has been created to supplement the MRT Waiver Amendment/DSRIP STCs and Attachments listed above.

DSRIP Webinars & Presentations

The New York State DSRIP Team has created various presentations and webinars to help those interested in learning more about New York's DSRIP Program. The full list of DSRIP related materials are available on the DSRIP Webinars & Presentation website.

Stakeholder Engagement

The Department of Health will implement an extensive stakeholder engagement process on the MRT Waiver Amendment and DSRIP Program. Public Hearings have been scheduled, and additional opportunities will be announced on this website and through the MRT Listserv. A series of topic-specific webinars will provide specific detail on elements of the MRT Waiver Amendment and DSRIP Program.

DSRIP Performance Data

The Department will provide data as a resource to DSRIP applicants developing their DSRIP Project Plans.

DSRIP Evaluation

The DSRIP evaluation will assess program effectiveness on a statewide level in terms of health care improvements, better health outcomes, and reduced cost.

New York collected comment on a draft of the DSRIP Evaluation Plan through July 21, 2014. The draft plan may be accessed at the following link: DSRIP Evaluation Plan (PDF, 524KB).

Previously Released DSRIP Information

Other Helpful Links

Contact the DSRIP Team:

Most answers to questions can be found by checking the DSRIP FAQ.

Still Have Questions? Email the New York State DSRIP Team with your questions and comments at: dsrip@health.ny.gov.