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

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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

CMS Official Documents

The official MRT Waiver Amendment & DSRIP documents from CMS are now available. New York is seeking comment on Attachments I & J through May 14.

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 sever 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

DSRIP Independent Assessor Documents

The Department of Health seeks to procure one contractor to serve as an independent assessor of New York State’s newly created DSRIP program. Information on the DSRIP independent assessor, including the Funding Availability Solicitation (FAS) for the procurement is on the DSRIP Independent Assessor webpage.

DSRIP Support Team Documents

DOH seeks to procure one statewide contractor to act as a Support Team for New York State’s DSRIP program for up to a one–year contract period. Information on the DSRIP Support Team, including the Funding Availability Solicitation (FAS) for the procurement is available on the DSRIP Support Team webpage.

Safety Net Definition

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.

DSRIP Letter of Intent

Letters of Intent, due by May 15th, were received and reviewed by the DOH. To see the recommendations made by the state, please refer to the following link:

Emerging Performing Provider Systems are strongly encouraged to submit non-binding Letters of Intent to the state by May 15, 2014.

DSRIP Project Design Grant Application

The state has made available funding to emerging Performing Provider Systems to develop comprehensive DSRIP Project Plans. To apply for these planning funds, the lead applicant from interested coalitions must submit a DSRIP Design Grant application to BVAPR@health.state.ny.us by June 26, 2014. Please note that any coalition who receives DSRIP Design Grant is required to submit certain deliverables over the course of the DSRIP planning phase, culminating in a DSRIP Project Plan application in December 2014.

DSRIP Project Toolkit

The DSRIP Project Toolkit was created to help Performing Provider Systems understand the core components of each DSRIP project. The toolkit describes how DSRIP projects are distinct from each other as well as the state's rationale for selecting each project. The projects provided in this toolkit are a compilation of strategies and recommendations submitted by the public with input from a number of state agencies/partners. The core components and other elements of the project description will be used as part of the DSRIP Project Plan checklist in the DSRIP Project Plan application review process. To assist providers in project selection, each project's value has been included for reference. Project index scores are based upon a grading rubric that evaluated the project's ability to transform the health care system.

The DSRIP Project Toolkit was updated on August 20, 2014. The updated toolkit incorporates feedback from the public comment period, but does not include the write-up for project 2.d.i as metrics and procedures for assessing this project are still being finalized in collaboration with CMS.

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 is seeking comment on a draft of the DSRIP Evaluation Plan through July 21, 2014. Comments may be sent to mark.sharp@health.ny.gov. The draft plan may be accessed at the following link: DSRIP Evaluation Plan (PDF, 524KB).

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.state.ny.us.