DSRIP Project Design Grant

February 3, 2015

Mr. Sam Shutman
Bronx-Lebanon Hospital Center
1276 Fulton Avenue
Bronx, NY 10456

Dear Mr. Shutman:

We are pleased to inform you that the PPS of Bronx-Lebanon Hospital Center has been awarded an additional DSRIP Project Design Grant (PDG) Award.

The amount of your final PDG payment is $1.3 million. This award is intended to provide funding to support Bronx-Lebanon Hospital Center´s continued implementation planning and collaboration activities following the DSRIP application . We expect payment to be released in mid-February 2015.

In order to receive the PDG payment in a timely manner, you must complete the electronically enclosed Supplemental Award contract (Appendix X) within 5 business days. The executed contract must be mailed back to the following address:

Bureau of Vital Access Provider Reimbursement , Attn: Michael Kadlec
Office of Health Insurance Programs
NYS Department of Health
Corning Tower (OCP - Room 1430)
Albany, New York 12237

If you have any questions regarding this information, please contact us via email at BVAPR@health.ny.gov.

Sincerely,

Jason A. Helgerson
Medicaid Director
Office of Health Insurance Programs

Enclosure.