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.