Medicaid Analytics Performance Portal (MAPP)

The Medicaid Analytics Performance Portal (MAPP) is a performance management system that:

  • Provides tools and program performance management technologies to Performing Provider Systems (PPSs) in their effort to develop and implement transformative projects through the Delivery System Reform Incentive Payment (DSRIP) Program
  • Supports care management efforts for the State´s Health Home (HH) program

This web–based application is found in the Health Commerce System (HCS). Only HCS account holders, who have been designated by the PPS´s Lead or Alternate Gatekeeper and processed by the Department´s DSRIP Team, will be allowed to access the MAPP system.

  • The (provider) Network Tool
  • The Attribution Tool
  • The Project Plan Application Tool
  • The Implementation Plan to capture the PPS quarterly updates.

The MAPP system will expand to house additional DSRIP Performance Tools as the DSRIP program progresses. This will include the DSRIP Dashboard Performance Module, which will provide DSRIP performance and improvement indicator dashboard capabilities.

For more information on using MAPP, please see the MAPP 101 webinar.

Access to the Medicaid Analytics Performance Portal (MAPP) is limited to the following HCS users:

  • A User affiliated with a PPS, designated as a MAPP user; currently each PPS can have 10 authorized MAPP users (unless a justified hub model)
  • State employees that are affiliated with the MAPP Project
  • State contractors supporting DSRIP and contractors supporting a PPS within the PPS authorized limit

If you feel that you should have access to MAPP, please reach out to your PPS´s lead or alternate gatekeeper to verify that you are in fact an authorized MAPP user for the PPS.

If it is determined that you should have access to MAPP, your PPS gatekeeper will need to send an email with your HCS user ID to the NYS DSRIP Team at requesting that the MAPP users for your PPS be updated. If your PPS already has the maximum number of HCS Users that can be authorized to have MAPP access, the PPS lead must also state in the email which HCS User should have their MAPP access removed.

Instructions for how to get MAPP access can be found here.

Please refer to the following document for an overview of new features included in the MAPP DSRIP Portal following the January 2016 release. Information included within is test data and does not include real PPS provider details.

Export – Import Functionality

Effective September 17th, 2014, PPS users were able to export their provider data to a CSV file. Likewise, PPS users were also able to import a CSV file containing provider data. Instructions for the export and import functionality have been added below under the Network Tool Resources section.

The Network Tool is part of the MAPP System that is available to designated PPS users. The Network Tool is a means by which PPS entities can update/replace their list of partner organizations for the remainder of the DSRIP planning process.

In order to receive the most accurate attribution results, it is imperative that a PPS provides all valid MMIS and NPI numbers for all Medicaid providers within their network. The Network Tool has flagged these crucial pieces of information (MMIS and NPI), as "Errors" if the numbers are missing and needed for attribution. Please be sure to address these errors prior to the initial attribution calculation.

Note: The Lead Representative within the Lead PPS entity must attest that each partner included in its Network Tool partner list has officially consented to be part of the PPS. This requirement will apply to BOTH initial and final attribution.

The Network had opened temporarily during the month of November 2015 in order to add new previously unaffiliated providers into a PPS Network.

Please refer to the following aides for further instruction:

The Attribution Tool is part of the MAPP System that is non–public facing. Using a matching logic/hierarchy, the Attribution Tool takes information from the DSRIP Network Tool in order to connect Medicaid beneficiaries (on a 1:1 basis) to providers that are partners in PPS networks. Attribution will play a vital part in DSRIP project valuation as well as for DSRIP performance measurement (although different attribution logics will be used for each type of attribution). Once the attribution logic is run, attribution reports will be made available to PPS Leads. PPS Leads must have submitted Data Exchange Application & Agreement (DEAA) to the State in order to view any attribution results.

The State has completed its 1st & 2nd rounds of DSRIP initial attribution. The reports from the 2nd round of initial attribution do not contain PHI data and have been made public (see below). As well, results from the 1st & 2nd rounds do not include attribution of none and low utilizing Medicaid members. The state has issued guidance to PPS and created webinars and slides (please see below) to help PPS prepare for the 3rd round of initial attribution.

The State ran a 3rd round of initial attribution on November 11, 2014 and PPS were expected to have their updated partner lists in the Network Tool by 4:00pm on Tuesday, November 11, 2014.

This report summarizes DSRIP Member Attribution by PPS as of 10/27/2014. Each PPS is listed by region and displays the attributed lives by the "swim lane" categories: Developmental Disabilities, Long Term Care, Behavioral Health and Other. For the Sole PPS, the count of members attributed outside loyalty is also listed. Please note the report excludes non and low utilizing members. These members will be attributed during final attribution.

*Please note that slide 6 (DSRIP Attribution Loyalty Logic for Valuation) in the 2nd Round Attribution webinar is incorrect/outdated. Slide 6 has been updated to reflect the most current attribution logic in the 2nd Round Attribution slide deck. To be specific, levels specified in the behavioral health swim lane of slide 6 in the webinar are incorrect. The correct levels for the behavioral health attribution logic are:

Level 1: Health Home, TCM or ACT or HCBS Waiver (Kids)
Level 2: Intermediate or Intensive Residential Care (RTF, RRSY, Rehab Services to CR Residents, etc.)
Level 3: OMH/OASAS Outpatient Clinic, CDT, PROS, Day Treatment, MMTP, Outpatient Rehab
Level 4: Freestanding MD, psychiatrist, psychologist treating BH
Level 5: Specialty Medical or Inpatient/ED for BH

The previous slide indicated BH Level 3 (where most of the BH swim lane members are attributed) was PCP/Medical Clinic or Practitioner. This is incorrect, BH Level 3 is BH Clinic and Day programs as indicated above.

PPSs used the MAPP system to submit their DSRIP Domain 1 Implementation Plans on July 1, 2015. This submission included their DSRIP Implementation Plan organizational components, their full plan for Project 2.a.i, and Patient Engagement Speed for all of the PPS´s applicable projects.

The Project Plan Implementation within the Medicaid Analytics & Performance Portal (MAPP) was live as of July 1, 2015, in preparation for the first Quarterly Report (DY1 Q1). The revised Domain 1 and Project Implementation Plans (IPs) serve as this first Quarterly Report, the purpose of which is to provide PPSs with the opportunity to baseline all Organizational and Project activities planned over the life of the DSRIP waiver.

During DY1 Q1, PPSs were expected to enter start and end date commitments for all workplan milestone and task activities. Once the DY1 Q1 report is submitted, the PPS will have the opportunity to edit the start and end date commitments in all future reports. For all periods beginning with DY1 Q2, anytime dates are edited within the quarterly report, a narrative explanation will be required from the PPS and the change will be identified for IA review. PPSs will use this Implementation Plan section to submit the remainder of their DSRIP Quarterly Reports.