Final VBP Roadmap Approval Letter from CMS

Centers for Medicare & Medicaid Services
7500 Security Boulevard, Mail Stop S2–01–16
Baltimore, Maryland 21244–1850

CMS Center for Medicaid & Chip Services

State Demonstrations Group

March 30, 2017

Jason Helgerson
State Medicaid Director and Deputy Commissioner
Office of Health Insurance Programs
New York State Department of Health
Empire State Plaza
Corning Tower (OCP – 1211)
Albany, NY 12237

Dear Mr. Helgerson:

This letter is to inform you that the Centers for Medicare & Medicaid Services (CMS) is approving the state´s value based purchasing (VBP) "roadmap" that was required in accordance with New York´s section 1115 demonstration, Partnership Plan (Project No. l l–W–00114/2).

The roadmap provides a path forward for payment reform as part of New York´s delivery system reform efforts and serves as one of several methods to help support financial sustainability of the state´s Medicaid program.

Given the need to ensure the VBP roadmap continues to align with the Delivery System Reform Incentive Payment (DSRIP) program, CMS requires the state to update the VBP roadmap at least annually. In the next update, CMS requests that the state include a strategy to work toward an alternative payment model that includes both upside and downside risk for providers. We look forward to having conversations with you regarding your approach.

Your project officer, Deborah Steinbach, can be reached by phone at (410) 786–7404, or by e–mail at, should you need to contact her. We look forward to continuing to work with you and your staff on your 1115 demonstration.


Eliot Fishman