New York 1115 Medicaid Waiver Information Page

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New York State's Medicaid Section 1115 Medicaid Redesign Team (MRT) Waiver (formerly known as the Partnership Plan) has achieved significant results in meeting its major goals of improving access, quality, and cost effectiveness of health services for the poorest and most at risk residents. The waiver, which has operated since 1997, has allowed the State to implement a managed care program which provides comprehensive and coordinated health care to Medicaid recipients, thereby improving their overall health coverage. This webpage provides resources to those who are interested in the waiver and would like to contribute to the effort.

Please email questions, comments, or concerns to:

New York State is well-positioned to lead the nation in Medicaid reform. The Medicaid Redesign Team (MRT) has developed a multi-year action plan (A Plan to Transform the Empire State's Medicaid Program) that, when fully implemented, will not only improve health outcomes for more than five million New Yorkers but also bend the state's Medicaid cost curve. Significant federal savings have already been realized through New York's MRT process and substantial savings will also accrue as part of this action plan.

Additional information can be found on the MRT website

NYS DOH has created a Listserv for interested stakeholders, advocates, consumers, counties, providers, and state associations to register to receive relevant updates on department program initiatives or new projects where stakeholder input is desired. Sign up today and be notified of updates to this website, new information related to the MRT Waiver and opportunities to participate in the public engagement process.

To subscribe send an email addressed to and include the following information in the body of the message:

  • SUBSCRIBE MRT-L YourFirstName YourLastName
  • NYHER 1115 Waiver Amendment Overview - February 21, 2024
  • NYHER 1115 Waiver Amendment Approval - January 9, 2024
    • CMS approval letter - (PDF)
  • NYHER 1115 Waiver Amendment Application FAQ - October 3, 2022
  • Completeness Letter - received from CMS September 15, 2022
  • Final Amendment Request- submitted to CMS September 2, 2022
  • Draft Amendment Request
    • Draft Amendment Request - (PDF)
    • Full Public Notice - (PDF) - published in the NYS Register April 13, 2022
    • Abbreviated Public Notice - (PDF) - published in the NYS Register April 13, 2022
    • Tribal Consultation - (PDF)
  • Public Hearings
  • Concept Paper
    • Concept Paper - (Web) - (PDF) - submitted to CMS August 24, 2021
  • MRT II Waiver Amendment Proposals
  • Amendment Request - submitted to CMS June 8, 2022 - (PDF)
  • Amendment Approval Letter - received from CMS October 28, 2022 - (Web) - (PDF)
  • Evaluation Design - approved by CMS October 25, 2023 - (Web) - (PDF)
  • Amendment Request - submitted to CMS December 7, 2021 - (PDF)
  • Amendment Approval Letter - received from CMS January 18, 2022 - (Web) - (PDF)
  • Evaluation Design - approved by CMS January 10, 2023 - (PDF)
  • NY 1115 Demo Draft Eval Plan (Web) - (PDF) - 12.20.16 (PDF)

Public comments may be sent to:

Department of Health
Office of Health Insurance Programs
Attention Waiver Management Unit
99 Washington Avenue, 12th Flr., Suite 1208
Albany, NY 12210

or by Email: