DSRIP - VBP Resource Library - Final CAG Reports

What are Clinical Advisory Groups (CAG)?

In addition to the subcommittees, Clinical Advisory Groups (CAG) were created to review the care bundle design and subpopulation definitions most relevant to NYS Medicaid. The CAG made recommendations to the State on quality measures, data and support required for providers to be successful, and addressed other implementation details related to specific VBP arrangements, including bundles and subpopulations. For CAG participation, VBP Workgroup members nominated individuals with specific skillsets including: clinical experience and knowledge focused on the care or condition being discussed; industry knowledge and experience; geographic diversity knowledge; and total care spectrum experience as it relates to the specific care or condition. The following CAGs met throughout 2015-16 and discussed key aspects of each respective VBP arrangement:

  • Maternity
  • Chronic Heart / Diabetes
  • Behavioral Health
  • HIV / AIDS
  • Managed Long Term Care (MLTC)
  • Intellectually/Developmentally Disabled (I/DD)
  • Children´s Health (This Series is being conducted as a combination of a Clinical Advisory Group and Subcommittee.)

CAG Members

Clinical Advisory Group Meeting Materials

Clinical Advisory Group Recommendation Reports:

The following CAG Recommendation Report contains recommendations provided by Children's CAG. This CAG recommendation report will be posted for public comment for a period of 14 days, concluding on September 25, 2017. Comments should be submitted to vbp@health.ny.gov.

Children´s CAG Recommendation Report
Children´s CAG Children´s CAG Recommendation Report 9.12.17 (PDF)

The following CAG progress report contains recommendations provided by the Intellectually/Developmentally Disabled CAG, specific to VBP arrangement definition and quality measures. This CAG progress report will posted for public comment for a period of 30 days, concluding on January 20, 2017. Comments should be submitted to dsrip@health.ny.gov.

Clinical Advisory Group Recommendation Report
Intellectually/Developmentally Disabled CAG IDD Report 12.20.16
Intellectually/Developmentally Disabled CAG Public Comments (PDF, 3.6MB)

The following CAG Recommendation Report contains recommendations provided by the Managed Long-Term Care CAG, specific to VBP arrangement definition and quality measures.

Clinical Advisory Group Recommendation Report
Managed Long–Term Care 2016 MLTC Report 12.9.16
Managed Long–Term Care 2017 MLTC Report 10.5.17

The following CAG Recommendation Report contains recommendations provided by the Behavioral Health CAG, specific to VBP arrangement definition and quality measures. This CAG recommendation report will be posted for public comment for a period of 30 days, concluding on November 28, 2016. Comments should be submitted to dsrip@health.ny.gov.

Clinical Advisory Group Recommendation Report
Behavioral Health Chronic Conditions BHCC Report 10.28.16

The following CAG Recommendation Reports contain the recommendations provided by each CAG, specific to VBP arrangement definition and quality measures.

The following CAG recommendation reports were posted for public comment for a period of 30 days, concluding on July 24, 2016.

Clinical Advisory Group Recommendation Report
Behavioral Health HARP CAG Report 4.19.16
HIV/AIDS HIV/AIDS Report 5.6.16
Maternity Maternity Report 6.3.16

The following CAG Recommendation Reports contain recommendations provided by each CAG, specific to VBP arrangement definition and quality measures.

These CAG recommendation reports were posted for public comment for a period of 30 days, concluding on October 14, 2016.

Clinical Advisory Group Recommendation Report
Chronic Heart Disease Chronic Heart Disease Report 9.13.16
Pulmonary Pulmonary Report 9.13.16
Diabetes Diabetes Report 9.13.16

Final CAG Reports

Each CAG will produce CAG Recommendation Reports that establishes the defining characteristics of each arrangement and their associated quality measures. Recommendation Reports for all current and future CAGs will be made available for public comment and posted to this site once finalized.