MRT Waiver Amendment Information Page
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 if 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.
A groundbreaking Medicaid 1115 waiver will be necessary to fully implement the MRT action plan. The waiver will allow the state to reinvest in its health care infrastructure as well as the freedom to innovate. The waiver will also allow the state to prepare for implementation of national health care reform as well as effectively bend the cost curve for the state's overall health care system. This web page provides resources to those who are interested in the MRT waiver amendment and would like to participate in the process.
NYS MRT Waiver Amendment Request
New York officially submitted its request to the Centers for Medicare and Medicaid Services on August 6, 2012.
- NYS MRT Waiver Amendment Request - Letter to Cindy Mann, Director of the Center for Medicaid and CHIP Services (PDF, 39KB, 1pgs.)
- NYS MRT Waiver Amendment Request - Document (PDF, 4.4MB, 152pgs.)
- Submit comments directly to CMS on the NYS MRT Waiver Amendment Request
- Governor Cuomo Announces New York Submits Federal Waiver Request
Medicaid Redesign Team Waiver Amendment: Information and Fact Sheet
| English (PDF, 93KB, 2pgs.) | Chinese (PDF, 152KB, 2pgs.) | French (PDF, 97KB, 2pgs.) | French Creole (PDF, 96KB, 2pgs.) | Italian (PDF, 96KB, 2pgs.) | Korean (PDF, 199KB, 2pgs.) | Russian (PDF, 109KB, 3pgs.) | Spanish (PDF, 96KB, 2pgs.) |
Follow-Up Responses to CMS Questions
- August 24, 2012 Responses to CMS Questions re: MRT Waiver Amendment Request (PDF, 564KB, 50pgs.)
New York State Stakeholder Letters of Support
- New York State Stakeholder Letters of Support (PDF, 29KB, 652pgs.)
- 446 letters from stakeholders in support of New York's MRT waiver amendement request have been received to date and shared with CMS.
Partnership Plan Waiver Extension Information
New York State is requesting that the federal government extend the New York State's Medicaid Section 1115 Partnership plan Demonstration for an additional five years. This extension is necessary to allow the state time to fully implement the MRT amendment's reinvestment and multi-year action plan.
Waiver Amendment Overview Presentation
This presentation provides an overview of the MRT Waiver Amendment process, and is the presentation shown at the MRT Public Forums.
- September 5 Presentation: Overview of MRT Waiver Amendment Process (PPT, 23.4MB, 38slides)
Waiver Amendment Document Summary
- Medicaid Waiver: Tool to Fully Implement the MRT Action Plan (PDF, 276KB, 9pgs.)
This document provides an overview of the 1115 waiver amendment that the state is seeking to implement. This summary represents a first step in both a state-federal dialog as well as state-stakeholder discussion on how a new Medicaid waiver can help implement the MRT plan and prepare the state for national health care reform. This document will continue to evolve as a result of those important discussions.
MRT Action Plan
The MRT Action Plan is a multi-year roadmap to a program and a system that is affordable and will produce good outcomes for all New Yorkers, based on the recommendations of the Medicaid Redesign Team.
Stakeholder Engagement Process
Information on public hearings and ways to provide provide comments and stay informed on the state's waiver amendment application.
- The Department of Health is working with the Planning Committee of the Public Health and Health Planning Council to develop a regional health planning framework for New York State. New York's 1115 waiver amendment application includes a regional planning component along with a refined map. The Planning Committee is advancing a refined map, based on Governor Cuomo's Regional Economic Development Council boundaries, with some modifications to account for existing health planning infrastructure. The Planning Committee and the Department are seeking comments from stakeholders concerning these revised regions. Please send your comments to: mrtwaiver@health.state.ny.us by October 1st.
Email Listserv for Notifications Related to the MRT Waiver
Sign up today and be notified of updates to this website, new information related to the MRT waiver process, and opportunities to participate in the public engagement process.
Public Notice
Pursuant to 42 CFR Section 431.408 the State announced its intent to seek a waiver amendment by public notice in the New York State Register
Tribal Consultation
- June 6, 2012 Tribal Notification Letter (PDF, 43KB, 2pgs.)
- June 28, 2012 Tribal Notification Letter (PDF, 41KB, 2pgs.)
