New York State Partnership Plan
Projected 1115 Waiver Budget Neutrality Impact Through December 2014
Extension Application Through 12/31/2019
- 5 Year Extension is also available in EXCEL Format (EXCEL, 146KB) and Portable Document Format (PDF, 149KB)
Budget Neutrality Cap (Without Waiver) | DY 1 - 8 (10/1/97 - 9/30/06) Projected |
DY 9 (10/1/06-9/30/07) Actual |
DY 10 (10/1/07-9/30/08) Actual |
DY 11 (10/1/08-9/30/09) Actual |
DY 12 (10/1/09-9/30/10) Actual |
DY 13A (10/1/10-3/31/11) Actual |
DY 13B (4/1/11-9/30/11) Projected |
DY 14 (10/1/11-9/30/12) Projected |
DY 15 (10/1/12-9/30/13) Projected |
DY 16A (10/1/13-12/31/13) Projected |
DY 16B (1/1/14-3/31/14) Projected |
DY 16C (4/1/14 - 12/31/14) Projected |
Extension Period (10/1/06 - 12/31/14 Projected |
DY 1 - DY 16 | DY 17 (1/1/15 - 12/31/15) Projected |
DY 18 (1/1/16 - 12/31/16) Projected |
DY 19 (1/1/17 - 12/31/17) Projected |
DY 20 (1/1/18 - 12/31/18) Projected |
DY 21 (1/1/19 - 12/31/19) Projected |
Current Extension Period (1/1/15 - 12/31/19) Projected |
DY 1 - DY 21 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Demonstration Group 1 (Includes FSHRP)- TANF Children under age 1 through 20 | $8,641,454,877 | $9,086,365,132 | $10,048,004,954 | $11,210,460,422 | $6,105,699,488 | $6,124,915,586 | $13,431,555,927 | $14,853,389,777 | $3,975,139,194 | $3,975,139,194 | $12,414,265,562 | $99,866,390,111 | $17,645,613,012 | $18,810,799,030 | $20,053,186,973 | $21,377,810,257 | $22,789,715,193 | $100,677,124,465 | |||
Demonstration Group 2 (Includes FSHRP) - TANF Adults 21-64 | $3,045,582,094 | $3,217,134,170 | $3,856,757,531 | $4,517,252,946 | $2,467,348,368 | $2,443,182,702 | $5,362,266,874 | $5,914,379,682 | $1,579,889,213 | $1,579,889,213 | $4,990,746,528 | $38,974,429,320 | $7,081,635,471 | $7,535,329,645 | $8,018,298,047 | $8,532,242,453 | $9,079,281,993 | $40,246,787,609 | |||
Demonstration Group 6 - FHP Adults w/Children | $1,691,957,919 | $1,813,935,485 | $1,746,457,301 | $1,874,936,618 | $1,043,047,420 | $1,055,415,331 | $2,341,067,454 | $2,632,237,613 | $724,658,042 | $14,923,713,183 | $0 | ||||||||||
Demonstration Group 6A - FHP Adults w/Children @ 160% | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||||||||||||
Demonstration Group 8 - Family Planning Expansion | $5,140,241 | $10,702,271 | $1,856,551 | $17,699,062 | $0 | ||||||||||||||||
Demonstration Group 10 - MLTC Adult Age 18-64 Duals | $247,394,784 | $1,027,336,330 | $260,284,563 | $260,284,563 | $810,989,159 | $2,606,289,399 | $1,172,096,556 | $1,364,802,292 | $1,383,228,677 | $1,400,567,568 | $1,417,233,942 | $6,737,929,036 | |||||||||
Demonstration Group 11 - MLTC age 65+ Duals | $2,554,212,091 | $10,820,566,375 | $2,796,750,566 | $2,796,750,566 | $8,757,811,131 | $27,726,090,729 | $13,028,810,692 | $15,702,703,366 | $16,234,869,317 | $16,769,495,565 | $17,311,153,074 | $79,047,032,013 | |||||||||
Demonstration Group 3 (FSHRP)– Disabled Adults and Children 0-64 voluntarily enrolled in managed care in those counties participating in the Partnership Plan as of October 1, 2006. | $6,740,030,752 | $6,740,030,752 | $5,217,606,005 | $5,221,378,989 | $5,231,860,540 | $5,552,853,881 | $5,892,047,876 | $27,115,747,291 | |||||||||||||
Demonstration Group 4 (FSHRP)– Disabled Adults and Children 0-64 required to enroll in managed care in those counties participating in the Partnership Plan as of October 1, 2006. | $2,917,455,149 | $2,917,455,149 | $8,690,188,441 | $9,629,135,131 | $10,591,938,428 | $11,241,791,703 | $11,928,492,328 | $52,081,546,031 | |||||||||||||
Demonstration Group 5 (FSHRP)– Disabled Adults and Children 65+ voluntarily enrolled in managed care in those counties participating in the Partnership Plan as of October 1, 2006. | $297,127,032 | $297,127,032 | $115,287,674 | $96,117,801 | $77,899,577 | $82,079,354 | $86,505,001 | $457,889,407 | |||||||||||||
Demonstration Group 6 (FSHRP)– Disabled Adults and Children 65+ required to enroll in managed care in those counties participating in the Partnership Plan as of October 1, 2006. | $196,481,343 | $196,481,343 | $581,017,822 | $639,235,895 | $698,311,674 | $735,780,264 | $775,452,890 | $3,429,798,545 | |||||||||||||
Demonstration Group 7 (FSHRP)– Non Duals 18-64 | $260,463,274 | $260,463,274 | $373,622,309 | $399,781,370 | $425,974,437 | $451,106,815 | $477,722,059 | $2,128,206,991 | |||||||||||||
Demonstration Group 8(FSHRP) – Non Duals 65+ | $67,786,019 | $67,786,019 | $95,105,016 | $99,552,526 | $103,795,256 | $107,531,930 | $111,403,116 | $517,387,843 | |||||||||||||
W/O Waiver Total | $144,639,878,523 | $13,378,994,889 | $14,117,434,787 | $15,651,219,785 | $17,602,649,986 | $9,616,095,275 | $9,628,653,860 | $23,947,199,400 | $35,249,766,328 | $9,336,721,578 | $8,612,063,536 | $37,453,155,948 | $194,593,955,373 | $339,233,833,896 | $54,000,982,998 | $59,498,836,045 | $62,819,362,925 | $66,251,259,791 | $69,869,007,470 | $312,439,449,229 | $651,673,283,125 |
Budget Neutrality Cap (With Waiver) | DY 1 - 8 (10/1/97 - 9/30/06) Projected |
DY 9 (10/1/06-9/30/07) Actual |
DY 10 (10/1/07-9/30/08) Actual |
DY 11 (10/1/08-9/30/09) Actual |
DY 12 (10/1/09-9/30/10) Actual |
DY 13A (10/1/10-3/31/11) Actual |
DY 13B (4/1/11-9/30/11) Projected |
DY 14 (10/1/11-9/30/12) Projected |
DY 15 (10/1/12-9/30/13) Projected |
DY 16A (10/1/13-12/31/13) Projected |
DY 16B (1/1/14-3/31/14) Projected |
DY 16C (4/1/14 - 12/31/14) Projected |
Extension Period (10/1/06 - 12/31/14 Projected |
DY 1 - DY 16 | DY 17 (1/1/15 - 12/31/15) Projected |
DY 18 (1/1/16 - 12/31/16) Projected |
DY 19 (1/1/17 - 12/31/17) Projected |
DY 20 (1/1/18 - 12/31/18) Projected |
DY 21 (1/1/19 - 12/31/19) Projected |
Current Extension Period (1/1/15 - 12/31/19) Projected |
DY 1 - DY 21 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Demonstration Group 1 (Includes FSHRP) - TANF Children under age 1 through 20 | $4,006,367,977 | $4,412,472,964 | $4,828,196,168 | $4,492,088,177 | $1,827,792,863 | $2,801,314,813 | $6,274,647,760 | $6,920,891,478 | $1,841,829,404 | $1,840,421,312 | $5,730,328,833 | $44,976,351,747 | $7,739,333,331 | $8,241,746,621 | $8,785,674,939 | $9,314,977,910 | $9,314,977,910 | $43,396,710,710 | |||
Demonstration Group 2 (Includes FSHRP) - TANF Adults 21-64 | $2,062,992,139 | $2,222,230,858 | $2,553,996,035 | $2,712,728,726 | $1,159,889,284 | $1,546,569,069 | $3,469,798,151 | $3,820,998,638 | $1,019,514,707 | $1,019,416,724 | $3,245,361,788 | $24,833,496,118 | $4,324,089,616 | $4,612,583,472 | $4,939,531,466 | $5,451,310,347 | $5,451,310,347 | $24,778,825,248 | |||
Demonstration Group 5 - Safety Net Adults | $3,017,805,826 | $3,213,033,028 | $3,818,572,584 | $4,224,557,751 | $1,864,361,807 | $2,829,518,468 | $6,893,620,899 | $8,184,495,364 | $2,210,213,971 | $36,256,179,698 | $0 | ||||||||||
Demonstration Group 6 - FHP Adults w/Children up to 150% | $813,927,831 | $884,575,928 | $894,902,321 | $965,325,522 | $502,539,894 | $553,389,253 | $1,173,058,139 | $1,313,450,137 | $360,124,780 | $7,461,293,807 | $0 | ||||||||||
Demonstration Group 7 - FHP Adults without Children up to 100% | $587,725,574 | $566,489,543 | $412,034,961 | $316,237,864 | $155,882,395 | $173,575,211 | $352,894,110 | $401,041,648 | $110,970,648 | $3,076,851,953 | $0 | ||||||||||
Demonstration Group 6A - FHP Adults w/Children @ 160% | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||||||||||
Demonstration Group 7A - FHP Adults without Children @ 160% | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||||||||||
Demonstration Group 8 - Family Planning Expansion | $10,471,785 | $10,598,020 | $11,138,799 | $11,835,960 | $4,164,485 | $6,573,308 | $13,934,296 | $2,462,132 | $71,178,785 | $0 | |||||||||||
Demonstration Group 9 - Home and Community Based Expansion (HCBS) | N/A | N/A | N/A | N/A | N/A | $3,699,108 | $3,699,108 | $3,699,108 | $924,777 | $924,777 | $2,774,331 | $15,721,209 | $3,699,108 | $3,699,108 | $3,699,108 | $3,699,108 | $3,699,108 | $18,495,540 | |||
Demonstration Group 10 - MLTC Adult Age 18-64 Duals | $249,276,515 | $999,765,437 | $249,927,129 | $249,927,129 | $773,248,277 | $2,522,144,487 | $1,162,406,668 | $1,388,540,836 | $1,422,903,191 | $1,480,841,723 | $1,480,841,723 | $6,935,534,141 | |||||||||
Demonstration Group 11 - MLTC age 65+ Duals | $2,561,508,288 | $10,403,512,554 | $2,629,869,736 | $2,629,869,736 | $8,187,002,770 | $26,411,763,084 | $12,429,251,623 | $15,118,044,459 | $15,619,482,984 | $16,358,745,504 | $16,358,745,504 | $75,884,270,074 | |||||||||
Demonstration Group 3 (FSHRP)– Disabled Adults and Children 0-64 voluntarily enrolled in managed care in those counties participating in the Partnership Plan as of October 1, 2006. | $5,800,497,292 | $5,800,497,292 | $3,951,999,754 | $3,956,791,450 | $3,816,034,808 | $3,816,034,808 | $3,816,034,808 | $19,356,895,626 | |||||||||||||
Demonstration Group 4 (FSHRP)– Disabled Adults and Children 0-64 required to enroll in managed care in those counties participating in the Partnership Plan as of October 1, 2006. | $2,054,061,282 | $2,054,061,282 | $6,053,693,623 | $6,636,646,162 | $7,224,046,405 | $7,224,046,405 | $7,224,046,405 | $34,362,479,001 | |||||||||||||
Demonstration Group 5 (FSHRP)– Disabled Adults and Children 65+ voluntarily enrolled in managed care in those counties participating in the Partnership Plan as of October 1, 2006. | $333,662,997 | $333,662,997 | $190,609,691 | $194,209,851 | $188,661,308 | $188,661,308 | $188,661,308 | $950,803,465 | |||||||||||||
Demonstration Group 6 (FSHRP) – Disabled Adults and Children 65+ required to enroll in managed care in those counties participating in the Partnership Plan as of October 1, 2006. | $150,888,689 | $150,888,689 | $444,696,514 | $487,519,454 | $530,669,118 | $530,669,118 | $530,669,118 | $2,524,223,321 | |||||||||||||
Demonstration Group 7 (FSHRP)– Non Duals 18-64 | $221,887,579 | $221,887,579 | $321,593,199 | $347,683,789 | $374,311,551 | $374,311,551 | $374,311,551 | $1,792,211,640 | |||||||||||||
Demonstration Group 8 (FSHRP) – Non Duals 65+ | $59,275,663 | $59,275,663 | $85,894,211 | $92,861,786 | $99,996,824 | $99,996,824 | $99,996,824 | $478,746,469 | |||||||||||||
Designated State Health Programs (Existing F-SHRP) | $0 | $0 | |||||||||||||||||||
Designated State Health Programs (New F-SHRP) | $0 | $0 | |||||||||||||||||||
Demonstration Population 1: State Indigent Care Pool Direct Expenditures (ICP-Direct) | $2,600,000 | $14,650,000 | $13,700,000 | $3,400,000 | $34,350,000 | $0 | |||||||||||||||
Demonstration Population 2: Designated State Health Programs to Support Clinic Uncompensated Care Funding (ICP - DSHP) | $2,600,000 | $10,583,333 | $10,583,333 | $2,645,833 | $2,645,833 | $45,791,667 | $74,850,000 | $0 | |||||||||||||
Demonstration Population 3: Designated State Health Programs to Support Medical Home Demonstration (DSHP - HMH Demo) | $0 | $100,000,000 | $100,000,000 | $25,000,000 | $25,000,000 | $50,000,000 | $300,000,000 | $0 | |||||||||||||
Demonstration Population 4: Designated State Health Programs to Support Potentially Preventable Readmission Demonstration (DSHP - PPR Demo) | $0 | $4,433,333 | $4,433,333 | $1,108,333 | $1,108,333 | $2,216,667 | $13,300,000 | $0 | |||||||||||||
Demonstration Population 5: Designated State Health Programs (Various) | $100,000,000 | $100,000,000 | $300,000,000 | $500,000,000 | $0 | ||||||||||||||||
DSHP DD | $500,000,000 | $500,000,000 | $0 | $0 | $0 | $0 | $0 | $0 | |||||||||||||
DSHP: Orderly Close out of Demo Group 6 | $363,417,732 | $635,987,007 | $999,404,739 | $0 | |||||||||||||||||
DSHP: APTC Wrap | $7,000,800 | $84,009,600 | $91,010,400 | $183,170,000 | $0 | $0 | $0 | $0 | $183,170,000 | ||||||||||||
DSHP For DSRIP | $376,000,000 | $376,000,000 | $690,800,000 | $953,200,000 | $935,600,000 | $687,000,000 | $357,400,000 | $3,624,000,000 | |||||||||||||
DSRIP | $24,000,000 | $24,000,000 | $1,556,000,000 | $1,374,200,000 | $2,564,000,000 | $2,434,000,000 | $1,756,000,000 | $9,684,200,000 | |||||||||||||
IAAF | $1,000,000,000 | $1,000,000,000 | $0 | $0 | $0 | $0 | $0 | $0 | |||||||||||||
Demonstration only services provided in MMMC | $0 | $882,631 | $1,878,240 | $1,998,447 | $2,126,348 | $2,262,434 | $9,148,100 | ||||||||||||||
65 Year Olds in the Adult Group | $0 | $918,894,625 | $983,217,485 | $1,052,042,805 | $1,052,042,805 | $1,052,042,805 | $5,058,240,525 | ||||||||||||||
Coverage gap | $0 | $122,726,316 | $65,386,264 | $188,112,580 | |||||||||||||||||
HARPS "HCBS Services" | $0 | $200,000,000 | $491,800,000 | $400,000,000 | $200,000,000 | $397,200,000 | $1,689,000,000 | ||||||||||||||
With Waiver Total | $123,931,127,812 | $10,499,291,132 | $11,309,400,341 | $12,518,840,867 | $12,722,773,999 | $5,514,630,728 | $7,919,839,230 | $21,122,103,933 | $32,179,033,163 | $8,555,529,317 | $6,239,732,376 | $29,576,994,442 | $158,158,169,528 | $282,089,297,340 | $40,379,740,911 | $44,950,008,976 | $47,958,652,954 | $49,218,463,757 | $48,408,199,843 | $230,915,066,441 | $513,004,363,782 |
Expenditures (Over)/Under Cap | $20,708,750,711 | $2,879,703,758 | $2,808,034,445 | $3,132,378,919 | $4,879,875,987 | $4,101,464,547 | $1,708,814,629 | $2,825,095,467 | $3,070,733,165 | $781,192,261 | $2,372,331,160 | $7,876,161,507 | $36,435,785,845 | $57,144,536,556 | $13,621,242,087 | $14,548,827,069 | $14,860,709,971 | $17,032,796,034 | $21,460,807,627 | $81,524,382,788 | $138,668,919,343 |
Note: * All Final 21 months of 1115 expenditures have been reported in MBES through quarter ending March 2011.
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