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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

Centers for Medicare and Medicaid Services (CMS) Official Documents

The official MRT Waiver Amendment & DSRIP documents from CMS are listed below. New York is seeking comment on these documents through the stakeholder engagement opportunities listed below.

MRT Waiver Amendment/DSRIP Special Terms and Conditions (STCs)

Governing agreement between New York and CMS of Partnership Plan 1115 Waiver.  MRT Waiver Amendment STCs outline implementation of MRT Waiver Amendment programs, authorized funding sources and uses, and other requirements. These STCs have been excerpted from New York's Partnership Plan 1115 Waiver. New York will seek comment on these STCs for 15 days, through April 29, 2014.

Attachment I:  Program Funding and Mechanics Protocol

Describes the state and CMS process for reviewing DSRIP project plans, incentive payment methodologies, reporting requirements, and penalties for missed milestones. New York will seek comment on these STCs for 30 days, through May 14, 2014.

Attachment J: Strategies and Metrics Menu

Describes strategies and metrics available to Performing Provider Systems for including in their DSRIP Project Plan. New York will seek comment on these STCs for 30 days, through May 14, 2014.

Safety Net Definition:

Eligible safety net providers are defined in STC 2 of the DSRIP Section of the Partnership Plan Special Terms and Conditions. The definition as written in the STCs, and the lists of eligible providers are posted below.

These lists are preliminary and do not include OMH, OASAS and OPWDD providers, which will be added shortly.

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.

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 Presentation

This presentation provides an overview of the MRT waiver Amendment, including New York's DSRIP program. This presentation was used in the pre-recorded DSRIP webinar (see below) and will be used during the upcoming public meetings (see dates and locations below).

DSRIP Webinar*

Below is a two part, pre-recorded webinar providing an overview of the New York's MRT Waiver Amendment. The webinar is co-led by Jason Helgerson, NYS Medicaid Director and Greg Allen, Director of the Division of Program Development and Management within the NYS Office of Health Insurance Programs (OHIP).

If you were unable to attend one of the MRT Waiver Amendment & Waiver Extension Public meetings, this webinar presents the same MRT Waiver Amendment update covered during the public meetings. The webinar was pre-recorded on Friday, April 11, 2014.

*Please note that in Part 2 of the DSRIP Webinar (slide 44; time point 23:12), projects 3.a.i & 3.a.ii have the incorrect project descriptions. Project 3.a.i should read "Integration of Primary Care Services and Behavioral Health" & project 3.a.ii should read "Behavioral Health Community Crisis Stabilization Services." The proper project descriptions are listed in both the DSRIP Presentation (above) as well as in Attachment J: Strategies and Metrics Menu (above).

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.

Additionally, New York is seeking comments on the CMS Official Documents listed above. Comments may be sent to regarding the STCs through April 29, 2014. Comments may be sent regarding Attachments I & J through May 14, 2014.

Public Hearings are scheduled for:

MRT Waiver Amendment & Waiver Extension Public Hearing: April 14, 2014 - Buffalo
PLEASE NOTE: The Buffalo Public Hearing has been cancelled. This hearing has been rescheduled for April 23, 2014.

MRT Waiver Extension Public Hearing: April 15, 2014 - Rochester
8:30 AM to 11:30 AM
University of Rochester
Memorial Art Gallery
500 University Ave.
Rochester, NY 14607

MRT Waiver Extension Public Hearing: April 15, 2014 - Syracuse
2:00 PM to 5:00 PM
Crowne Plaza – Lafayette Room
701 East Genesee St.
Syracuse, NY 13210

MRT Waiver Extension Public Hearing: April 16, 2014 - Albany
10:00 AM to 1:00 PM
University at Albany
School of Public Health
One University Place
Rensselaer, NY 12144

The 4/16/14 Albany public hearing is also accessible via operator-assisted conference call, which will begin at 10 AM. Please use the dial-in information below:
Conference Call Dial-In:
Conference ID: 26976706

MRT Waiver Extension Public Hearing: April 17, 2014 - Brooklyn*
12:00 PM to 3:00 PM
New York City College of Technology
Atrium Amphitheater
300 Jay Street
Brooklyn, NY 11201

*Please note change in date and location from original notice.

MRT Waiver Extension Public Hearing: April 23, 2014 - Buffalo
1:30 PM to 4:30 PM
Holiday Inn Buffalo-Amherst
1881 Niagara Falls Blvd.
Buffalo, NY 14228

DSRIP Performance Data

Other Helpful Links

Contact the DSRIP Team:

Still Have Questions? Email the New York State DSRIP Team with your questions and comments at: