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New York 1115 Medicaid Waiver Information Page

New York State's Medicaid Section 1115 Waiver Partnership Plan has achieved significant results in meeting its major goals of improving access, quality and cost effectiveness of health services for the poorest and most at risk residents. The waiver, which has operated since 1997, has allowed the State to implement a managed care program which provides comprehensive and coordinated health care to Medicaid recipients, thereby improving their overall health coverage. This webpage provides resources to those who are interested in the waiver and would like to contribute to the effort.

Please email questions, comments, or concerns to: 1115waivers@health.state.ny.us

New York State is well positioned to lead the nation in Medicaid reform. Governor Cuomo's Medicaid Redesign Team (MRT) has developed a multi-year action plan (A Plan to Transform the Empire State's Medicaid Program) that when fully implemented will not only improve health outcomes for more than five million New Yorkers but also bend the state's Medicaid cost curve. Significant federal savings have already been realized through New York's MRT process and substantial savings will also accrue as part of this action plan.

Additional information can be found on the MRT website: http://www.health.ny.gov/health_care/medicaid/redesign/mrt_waiver.htm

Email Listserv for Notifications Related to the Partnership Plan Waiver Extension

NYS DOH has created a Listserv for interested stakeholders, advocates, consumers, counties, providers, and state associations to register to receive relevant updates on department program initiatives or new projects where stakeholder input is desired. Sign up today and be notified of updates to this website, new information related to the Partnership Plan waiver amendment and extension, and opportunities to participate in the public engagement process.

To subscribe send an email addressed to listserv@listserv.health.state.ny.us. In the body of the message, type:

  • SUBSCRIBE MRT-L YourFirstName YourLastName

Partnership Plan Extension (New)

New York State is requesting approval from CMS to extend the Partnership Plan Demonstration for an additional five years, from January 1, 2015 through December 31, 2019, in order for the State to reinvest federal savings generated by the Medicaid Redesign Team (MRT) reform initiatives and to reinvest in the state's health care system currently authorized by the Partnership Plan. Additionally, the New York State Department of Health (NYSDOH) is currently in negotiations with CMS to amend the Partnership Plan to continue MRT initiatives, and implement the MRT/Delivery System Reform Incentive Payment (DRIP) plan, and to integrate behavioral health benefits and populations into managed care.

The complete extension application with narrative and attachments is included below, along with the letter from CMS, accepting the application as complete.

Link to Application for Partnership Plan Waiver Extension on CMS webpage.

The public was invited to review and comment on the State's proposed waiver extension request.

Public Hearings were held for the month of April 2014 in the following New York cities:

  • Buffalo
  • Rochester
  • Syracuse
  • Albany
  • Brooklyn

Comments concerning the Application for Partnership Plan Extension can be sent to the email or postal address below for a period of thirty (30) days from the date of this notice.

Email: 1115waivers@health.state.ny.us

Address:

NYS Department of Health
Office of Health Insurance Programs
Division of Program Development and Management
Waiver Management Unit
Empire State Plaza, Corning Tower -OCP 1208
Albany, New York 12237

Latest News

Partnership Plan Revised STCs – As amended April 14, 2014

Partnership Plan Revised STCs -January 2014

Federal-State Health Reform Partnership Revised STCs - January 2014

Pending MRT Amendments

MRT Amendments

Additional Information