New York State Department of Health Seeks Continues Medicaid Waiver

On Wednesday, November 27, 2019, the New York State Department of Health (NYSDOH) submitted an amendment to CMS that would extend the current Medicaid 1115 waiver an additional year, with a 3-year renewal. The Medicaid Redesign Team (MRT) 1115 Waiver was submitted to the Centers for Medicare and Medicaid Services (CMS), who for the current waiver, is pursuing a 1 year extension, and a 3 year renewal. The current waiver does expire on March 31, 2020 but, per the NYSDOH website, since April 14, 2014, the waiver allows New York State to reinvest $8 Billion in federal savings.

The waiver “will address critical issues throughout the state and allow for comprehensive reform through a Delivery System Reform Incentive Payment (DSRIP) program.” Through the DSRIP program, its goal is to attain a 25% “reduction in avoidable hospital use over 5 years.” Additionally, another goal is to reduce preventable hospital admissions by 17%. The MRT reported that the top 5 Performing Provider Systems (PPS), which are participating in the current waiver, have reduced avoidable hospitalizations by almost 40%.

More information on the renewal of the waiver can be found here.

More information about the current waiver’s results can be found here.