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: 1115waivers@health.state.ny.us

New York State is well–positioned to lead the nation in Medicaid reform. Governor Cuomo´s 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: http://www.health.ny.gov/health_care/medicaid/redesign/mrt_waiver.htm

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 listserv@listserv.health.state.ny.us. In the body of the message, type:

  • SUBSCRIBE MRT–L YourFirstName YourLastName

The Department of Health is pleased to announce the date for Downstate Public Comment Day for New York´s 1115 Waiver programs.

The Downstate Public Comment Day will be held on November 29th at the New York Academy of Medicine, (1216 Fifth Avenue at 103rd Street, New York, NY 10029) from 1:00pm – 4:00pm. Any updates related to the forum will be sent via the MRT Listserv. Any written public comment may be submitted through December 7th to 1115waivers@health.ny.gov. Please include "1115 Public Forum Comment" in the subject line.

About the 1115 waiver:

  • The 1115 waiver, also known as the MRT Waiver in New York State, is an agreement between the federal Centers for Medicare and Medicaid Services (CMS) and New York State that allows the State to use a managed care delivery system to deliver benefits to Medicaid recipients, create efficiencies in the Medicaid program, and enable the extension of coverage to certain individuals who would otherwise be without health insurance.
  • The MRT waiver is a vehicle by which the State has implemented the initiatives of the Medicaid Redesign Team and subsequent health systems reforms, including the Delivery System Reform Incentive Payment (DSRIP) program.
  • In addition, New York’s goals in implementing its MRT waiver include improving access to health services and better health outcomes for New Yorkers through multiple programs.

This meeting will be webcast live and will be open to the public. No pre–registration is required. Individuals who wish to provide comment will be asked to register on site no later than 2pm and will speak in their order of registration. We kindly request that all comments be limited to 5 minutes per presenter to ensure that all public comments may be heard.

Following the meeting, the Department will post a transcript of the public comment day as well as any submitted written public comment to our website here: www.health.ny.gov/health_care/medicaid/redesign/medicaid_waiver_1115.

Please direct all questions to 1115waivers@health.ny.gov.

Public Comment Days

The Department of Health hosted the following New York´s 1115 Waiver Public Comment Day forums:

These meetings were webcast live and open to the public. Recordings can be accessed at http://www.health.ny.gov/events/webcasts/archive/

The Upstate Public Comment Day was held on June 19, 2018 in Albany at the Empire State Plaza, Meeting Room 6, Albany, NY.

The 1115 waiver is designed to permit New York to use a managed care delivery system to deliver benefits to Medicaid recipients, create efficiencies in the Medicaid program, and enable the extension of coverage to certain individuals who would otherwise be without health insurance. In addition, New York´s goals in implementing its 1115 waiver include improving access to health services and better health outcomes for New Yorkers through multiple programs. The Delivery System Reform Incentive Payment (DSRIP) program is a significant waiver initiative, and members of the DSRIP Project Approval and Oversight Panel will join DOH staff in listening to the feedback provided by members of the public and stakeholders at this meeting.

The agenda for the day was as follows:

10:15 – 10:30 Welcome
10:30 – 12:30 DSRIP PAOP Working Session
12:30 – 1:00 Break
1:00 – 4:00 Public Comment
3:50 – 4:00 Wrap–Up

Public comments received:

The Downstate Public Comment Day was held on November 16th at the New York Academy of Medicine, Reading Room, 1216 5th Ave, New York, NY 10029.

The Delivery System Reform Incentive Payment (DSRIP) program is a significant waiver initiative, and members of the DSRIP Project Approval and Oversight Panel joined DOH staff in listening to the feedback provided by members of the public and stakeholders.

The agenda for the day was as follows:

10:00 – 10:15 Welcome
10:15 – 12:00 PAOP Working Session
  • Mid–Point Assessment Update
  • Prevention Agenda & DSRIP
1:00 – 1:15 DOH Program Presentation
1:15 – 1:20 PAOP Co–Chair Welcome
1:20 – 3:50 Public Comment
3:50 – 4:00 Wrap–Up

Public comments received:

The Upstate Public Comment Day was held on August 14, 2017 in Albany at the SUNY Albany School of Public Health (1 University Pl, Rensselaer).

The 1115 waiver is designed to permit New York to use a managed care delivery system to deliver benefits to Medicaid recipients, create efficiencies in the Medicaid program, and enable the extension of coverage to certain individuals who would otherwise be without health insurance. In addition, New York´s goals in implementing its 1115 waiver include improving access to health services and better health outcomes for New Yorkers through multiple programs.

The Delivery System Reform Incentive Payment (DSRIP) program is a significant waiver initiative, and members of the DSRIP Project Approval and Oversight Panel were jointed by DOH staff in listening to the feedback provided by members of the public and stakeholders on these Public Comment Days.

The agenda for the day was as follows:

1:00 – 1:15 DOH Program Presentation
1:15 – 1:20 PAOP Co–Chair Welcome
1:20 – 3:50 Public Comment
3:50 – 4:00 Wrap–Up

Public comments received:


Currently, there are no programs related to community water fluoridation in either the 1115 waiver or DSRIP program. Fluoride comments can be sent to: oralhealth@health.ny.gov. Public comments submitted related to fluoridation are below:


Please direct all questions to DSRIP@health.ny.gov

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: 1115waivers@health.ny.gov