Medicaid Redesign Team (MRT) II

Medicaid Redesign II banner

The FY 2021 Budget reconstitutes the MRT, bringing stakeholders who bring experience as health care providers back to the table to find solutions that will once again contain spending growth so that this critical program that provides health care to more than 6 million New Yorkers remains financially sustainable for the future.

The reconstituted Team will commence its work immediately and hold its first public meeting on Tuesday, February 11th. The Team will submit its report with findings and recommendations to the Governor and Legislature in March for consideration in the Fiscal Year 2021 Enacted Budget.

In addition, The MRT II will create an advisory Work Group to focus on issues associated with long-term care. Enrollment and spending in managed long-term care has accelerated dramatically over the last three years. Understanding the causes of this growth and identifying efficiencies within the program is an important priority of MRT II.

The MRT II will be charged with accelerating the strategies of MRT I that have proved successful for the last nine years while creating course corrections in order to restore financial sustainability to the Medicaid program. MRT II is charged with putting forth a plan that achieves $2.5 billion in State Medicaid savings in FY 21. The MRT II recommendations should address:

  • the drivers of greater-than-projected costs and growth in the Medicaid program;
  • models of healthcare delivery to improve care management for beneficiaries with complex health conditions;
  • existing regulations, laws and programs that hinder the modernization or achieving efficiencies in the Medicaid program and for the healthcare industry;
  • ways to ensure the availability of a stable and appropriately skilled workforce, especially with respect to meeting the needs of an aging population;
  • strengthening the sustainability of safety net providers serving vulnerable populations, including through regulatory reform;
  • changes in the Medicaid program to achieve short-term solutions and long-term systemic changes that advance the State´s successful healthcare reform strategy while restoring financial sustainability to ensure that benefits will always be available to those who need it;
  • whether any changes to the metric for calculating the Medicaid global cap are necessary;
  • the introduction of new data sets, data analytics and technologies to identify current and future trends and improve program oversight, and
  • policies to ensure the efficient and effective use of Medicaid dollars and reduce waste, fraud and abuse.

Proposed and Final Regulations Implementing MRT II Recommendations

The following includes proposed amendments for statutory changes resulting from MRT II recommendations, as adopted in the State Fiscal Year 2020-21 Enacted Budget.

  • Summary of Express Terms for Proposed Amended Regulations regarding Personal Care Services and Consumer Directed Personal Assistance Program Services (CDPAS) (18 NYCRR 505.14 & 505.28) - (PDF) - 06.30.20

MRT 1115 Waiver Amendment Proposals

Project Updates

MRT II Meetings

  • MRT II Meeting #1
    • When: Tuesday, February 11, 2020 at 1:00 p.m.
    • Where: Albany Capital Center, 55 Eagle Street, Albany, NY 12207
    • Presentation (PDF)
    • Webcast
  • MRT II Meeting #2
    • When: Tuesday, March 10, 2020 12:00 p.m.
    • Where: John E. Reeves Great Hall at Fashion Institute of Technology (FIT); street entrance to Hall available at 218 W 28th St New York City, NY 10001
    • Presentation Updated 3/12/20 Revisions to Slides 18 & 66
    • Webcast
  • MRT II Meeting #3

MRT II Public Comment Forum

  • MRT II Public Comment Forum #1
    • When: Friday, February 14, 2020 11:00 a.m. - 2:00 p.m.
      Registration begins at 10:00 a.m.
    • Where: John E. Reeves Great Hall at Fashion Institute of Technology (FIT); street entrance to Hall available at 218 W 28th Street, New York City, NY 10001
    • Presentation (PDF)
    • Webcast
  • MRT II Public Comment Forum #2
    • When: Tuesday, February 18, 2020, 12:00 noon. - 3:00 p.m.
      Registration begins at 11:00 a.m.
    • Where: High Falls A & B Auditorium at the Downtown Campus of Monroe Community College: 321 State St, Rochester, NY 14608.
    • Presentation (PDF)
    • Webcast
  • MRT II Public Comment Forum #3
    • When: Friday, February 21, 2020, 10:00 a.m. - 1:00 p.m.
    • Where: Albany Capital Center, 55 Eagle Street, Albany, NY 12207
    • Presentation (PDF)
    • Webcast
  • MRT II Public Comment Forum #4
    • When: Monday, March 2, 2020, 11:00 a.m. - 2:00 p.m.
    • Where: John E. Reeves Great Hall at Fashion Institute of Technology (FIT); street entrance to Hall available at 218 W 28th St New York City, NY 10001
    • Presentation
    • Webcast

Archive

MRT II Public Webinar

MRT II Long Term Care Advisory Group

Press Releases

  • March 19, 2020: Medicaid Redesign Team II Approves Recommendations
  • Media Advisories:
    • March 19, 2020: Media Advisory: Medicaid Redesign Team (MRT) II to Hold Member Meeting Today at Noon
    • March 18, 2020: Media Advisory: Medicaid Redesign Team (MRT) II to Hold Member Meeting March 19, 2020
    • March 9, 2020: Media Advisory: Medicaid Redesign Team (MRT) II Will Hold Second MRT II Member Meeting as Scheduled on March 10 in New York City
    • March 4, 2020: Event UPDATE: Start Time Changed to 12:00 p.m. for Medicaid Redesign Team (MRT) II Member Meeting, on March 10 in New York City
    • February 28, 2020: Media Advisory: Medicaid Redesign Team II Will Hold Second MRT II Member Meeting on March 10 in New York City
    • February 28, 2020: Media Advisory: Medicaid Redesign Team II to Re-Open MRT II Online Public Submission Portal March 2, 2020
    • February 26, 2020: Media Advisory: Medicaid Redesign Team II to Hold Additional Public Comment Forum in New York City on March 2, 2020
    • February 18, 2020: Medicaid Redesign Team II Will Hold Third Public Comment Forum on February 21, 2020
    • February 14, 2020: Medicaid Redesign Team II Will Hold Second Public Comment Forum on February 18, 2020
    • February 13, 2020: Medicaid Redesign Team II Will Hold First Public Comment Forum on February 14, 2020
    • February 10, 2020: Medicaid Redesign Team II Will Hold Public Meeting on February 11, 2020
  • Governor Cuomo Announces Members of MRT II - February 4, 2020