Meeting 4
- Meeting Presentation also available in Portable Document Format (PDF)
December 1, 2017
Welcome & Agenda
Chad Shearer, Vice President for Policy, United Hospital Fund
Raising a Hand via Webinar
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Participating Without Webinar
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| Meeting Agenda | |||
|---|---|---|---|
| Item # | Agenda Items | Time | Duration |
| 1. | Welcome and Agenda | 1:00pm | 10 mins |
| 2. | Ten–Point Plan Recommendations Reveal | 1:10pm | 5 mins |
| 3. | Review of Process to Date | 1:15pm | 5 mins |
| 4. | Voting Process and Methodology | 1:20pm | 15 mins |
| 5. | Voting Results in Detail | 1:35pm | 15 mins |
| 6. | Comments from DOH | 1:50pm | 15 mins |
| 7. | Comments from SED | 2:05pm | 15 mins |
| 8. | Moving Toward Implementation | 2:20pm | 10 mins |
| 9. | Closing | 2:30pm | 5 mins |
Ten–Point Plan Recommendation Reveal
Nancy Zimpher, Co–Chair, First 1000 Days on Medicaid
First 1000 Days on Medicaid: 10–Point Plan
| Final Rank | Proposal Description |
|---|---|
| 1 | Proposal 17 – Braided Funding for Early Childhood Mental Health Consultations |
| 2 | Proposal 10 – Statewide Home Visiting |
| 3 | Proposal 1 – Create a Preventive Pediatric Clinical Advisory Group |
| 4 | Proposal 4 – Expand Centering Pregnancy |
| 5 | Proposal 2 – Promote Early Literacy through Local Strategies |
| 6 | Proposal 14 – Require Managed Care Plans to have a Kids Quality Agenda |
| 7 | Proposal 5 – New York State Developmental Inventory Upon Kindergarten Entry |
| 8 | Proposal 20 – Pilot and Evaluate Peer Family Navigators in Multiple Settings |
| 9 | Proposal 18 – Parent/Caregiver Diagnosis as Eligibility Criteria for Dyadic Therapy |
| 10 | Proposal 16 – Data System Development for Cross–Sector Referrals |
Review of Process to Date
Kate Breslin, Vice–Chair, First 1000 Days on Medicaid
Initial Charge
- ☒ The "First 1000 Days on Medicaid" initiative will be a collaborative effort, bringing together stakeholders to develop recommendations for a ten–point plan.
- ☒ Builds off of the successful VBP Advisory Group on Children´s Health.
- ☒ The group´s ten–point plan will focus on improving outcomes and access to services for children in their first 1000 days: the most crucial years of their development.
Where We´ve Been
- Kick–off discussion on August 7th set the foundation for idea generation
- Initial brainstorm period yielded over 300 suggestions
- Suggestions were grouped into 14 thematic areas with different potential approaches
- Based on discussion of those 14 thematic areas, 23 concrete and detailed proposals were developed
- 23 proposals were strengthened based on workgroup input
- All workgroup members were invited to score the proposals in a robust voting process
Voting Process & Methodology
Chad Shearer, Vice President for Policy, United Hospital Fund
Voting Structure
Part 1: Scoring based on five criteria areas:
- Affordability
- Cross–sector
- Feasibility
- Evidence–base
- Overall Impact
Part 2: Ranking of proposals in order of preference
Voting Response
- 93 completed responses (+1 partial completion)
Proposal Scoring Methodology
- Members scored each proposal on 5 criteria using a 1–5 (5 = best) scale to assess cost, cross–sector, feasibility, strength of evidence, and overall impact
- Averages (means) for each individual proposal/criteria were calculated and ranked, sum of those averages created score–based rank (higher better)
Example
| Proposal | Cost | Cross– Sector | Feasibility | Strength of Evidence | Overall Impact | Sum of Means | Score Rank |
|---|---|---|---|---|---|---|---|
| Proposal Y | 3.74 | 4.12 | 3.51 | 3.96 | 3.95 | 19.28 | 1 |
| Proposal X | 3.94 | 3.79 | 2.65 | 2.64 | 3.24 | 16.26 | 2 |
| Proposal Z | 3.58 | 2.47 | 1.77 | 1.53 | 1.76 | 11.11 | 3 |
Proposal Subjective Ranking Methodology
- Members ranked each proposal in order of preference from 1–23 (1 being top preference)
- Average subjective rank was calculated (sum of all ranks/number of rankers) and ranked, with lowest average given a rank of 1 and highest average a rank of 23
Example
| Proposal | Ranker A | Ranker B | Ranker C | Ranker D | Ranker E | Average Rank | Subjective Rank |
|---|---|---|---|---|---|---|---|
| Proposal X | 1 | 2 | 2 | 1 | 3 | 1.8 | 1 |
| Proposal Z | 3 | 1 | 1 | 3 | 2 | 2.0 | 2 |
| Proposal Y | 2 | 3 | 3 | 2 | 1 | 2.2 | 3 |
Final Ranking Methodology
- Score rank and subjective rank were averaged to create final rank (lowest average ranked first)
Example
| Proposal | Score Rank | Subjective Rank | Sum | Average | Final Rank |
|---|---|---|---|---|---|
| Proposal X | 2 | 1 | 3 | 1.5 | 1 |
| Proposal Y | 1 | 3 | 4 | 2 | 2 |
| Proposal Z | 3 | 2 | 5 | 2.5 | 3 |
Methodological Considerations
- Criteria averages used to create score–based rank (as opposed to individual criteria ranks) to reflect total points that scorers attributed to each proposal
- Final subjective rank used average (mean) ranking, but analysis also looked at score based (rank of 1 worth more points than a rank of 2) and number of times each proposal appeared in rankers´ top–ten, which produced nearly identical results
- Averaging the score rank and subjective rank provided the most comprehensive assessment of workgroup members relative agreement on the top 10 proposals
Questions?
|top of section| |top of page|Voting Results in Detail
Chad Shearer, Vice President for Policy, United Hospital Fund
| Final Rank |
Proposal Description | Subjective Rank |
Composite Score Rank |
Individual Scale Score Rank | ||||
|---|---|---|---|---|---|---|---|---|
| Cost | Cross– Sector | Feasibility | Strength of Evidence | Overall Impact | ||||
| 1 | Proposal 17 – Braided Funding for Early Childhood Mental Health Consultations | 2 | 1 | 13 | 1 | 10 | 4 | 4 |
| 2 | Proposal 10 – Statewide Home Visiting | 1 | 4 | 22 | 4 | 5 | 1 | 1 |
| 3 | Proposal 1 – Create a Preventive Pediatric Clinical Advisory Group | 4 | 2 | 16 | 19 | 4 | 2 | 2 |
| 4 | Proposal 4 – Expand Centering Pregnancy | 2 | 5 | 1 | 7 | 1 | 12 | 7 |
| 5 | Proposal 2 – Promote Early Literacy through Local Strategies | 7 | 3 | 11 | 11 | 2 | 5 | 5 |
| 6 | Proposal 14 – Require Managed Care Plans to have a Kids Quality Agenda | 8 | 6 | 3 | 10 | 7 | 16 | 12 |
| 7 | Proposal 5 – New York State Developmental Inventory Upon Kindergarten Entry | 9 | 7 | 7 | 9 | 13 | 8 | 9 |
| 8 | Proposal 20 – Pilot and Evaluate Peer Family Navigators in Multiple Settings | 5 | 12 | 20 | 3 | 8 | 10 | 6 |
| 9 | Proposal 18 – Parent/Caregiver Diagnosis as Eligibility Criteria for Dyadic Therapy | 6 | 13 | 21 | 20 | 3 | 3 | 3 |
| 10 | Proposal 16 – Data System Development for Cross–Sector Referrals | 10 | 10 | 12 | 5 | 18 | 14 | 9 |
| 11 | Proposal 8 – Children's Regulatory Modernization Workgroup | 13 | 11 | 5 | 17 | 6 | 20 | 17 |
| 12 | Proposal 15 – Insure All Kids Task Force | 17 | 8 | 6 | 8 | 11 | 15 | 14 |
| 13 | Proposal 22 – Evaluate Healthy Steps Outcomes with Goal Towards Value–Based Payment | 11 | 14 | 8 | 22 | 12 | 6 | 13 |
| 14 | Proposal 3 – Task Force on Perinatal Care | 18 | 9 | 2 | 12 | 9 | 17 | 21 |
| 15 | Proposal 11 – Developmental Screening Registry Demonstration Project | 12 | 16 | 9 | 6 | 22 | 18 | 16 |
| 16 | Proposal 13 – Expand Value–Based Payment to Child Health Plus | 15 | 15 | 4 | 16 | 14 | 21 | 15 |
| 17 | Proposal 6 – Expansion of "Connections: A Value–Driven Project to Build Strong Brains" Project | 14 | 18 | 23 | 2 | 16 | 12 | 8 |
| 18 | Proposal 7 – Incentivize Use of Infant Mental Health–Endorsement Credential | 16 | 19 | 19 | 13 | 21 | 11 | 11 |
| 19 | Proposal 21 – Use of Neurosequential Model of Therapeutics for Traumatic Stress | 20 | 17 | 17 | 15 | 20 | 7 | 17 |
| 20 | Proposal 9 – Common Home Visiting Training | 19 | 20 | 10 | 13 | 19 | 22 | 22 |
| 21 | Proposal 19 – Increasing In–Office Detection of Elevated Blood Lead Levels | 21 | 21 | 14 | 23 | 15 | 8 | 19 |
| 22 | Proposal 23 – Telemedicine Pilots | 22 | 22 | 18 | 18 | 17 | 19 | 20 |
| 23 | Proposal 12 – Carve–In Fee–For–Service Early Intervention Payments into Medicaid Managed Care | 23 | 23 | 15 | 21 | 23 | 23 | 23 |
* See appendix for additional score detail and summary information on top 10 proposals
Balance of Proposal "Types" and Areas of Focus
| Final Rank | Proposal Description | Proposal "Type" | Proposal Focus |
|---|---|---|---|
| 1 | Proposal 17 – Braided Funding for Early Childhood Mental Health Consultations | Hybrid | Mental Health |
| 2 | Proposal 10 – Statewide Home Visiting | Hybrid | Home Visiting |
| 3 | Proposal 1 – Create a Preventive Pediatric Clinical Advisory Group | Workgroup/Task Force | Primary Care |
| 4 | Proposal 4 – Expand Centering Pregnancy | Intervention | Prenatal Care |
| 5 | Proposal 2 – Promote Early Literacy through Local Strategies | Intervention | Early Literary |
| 6 | Proposal 14 – Require Managed Care Plans to have a Kids Quality Agenda | Hybrid | Health Care Quality |
| 7 | Proposal 5 – New York State Developmental Inventory Upon Kindergarten Entry | Workgroup/Task Force | Outcome Measures |
| 8 | Proposal 20 – Pilot and Evaluate Peer Family Navigators in Multiple Settings | Intervention | Service Provision for Social Determinants |
| 9 | Proposal 18 – Parent/Caregiver Diagnosis as Eligibility Criteria for Dyadic Therapy | Intervention | Parent/Caregiver Attachment |
| 10 | Proposal 16 – Data System Development for Cross–Sector Referrals | Intervention | Referral Tools for Social Determinants |
Cost Estimate Summary from Proposals (Draft)
| Proposal | Cost Estimate (State) |
|---|---|
| #17: Braided Funding for Early Childhood Mental Health Consultations | – |
| #10: Statewide Home Visiting | $2,016,200 |
| #1: Create a Preventive Pediatric Clinical Advisory Group | – |
| #4: Expand Centering Pregnancy | $388,125 |
| #2: Promote Early Literacy through Local Strategies | $193,556 |
| #14: Require Managed Care Plans to Have a Kids Quality Agenda | – |
| #5: New York State Developmental Inventory Upon Kindergarten Entry | – |
| #20: Pilot and Evaluate Peer Family Navigators in Multiple Settings | $1,140,000 |
| #18: Parent/Caregiver Diagnosis as Eligibility Criteria for Dyadic Therapy | $1,878,940 |
| #16: Data System Development for Cross–Sector Referrals | $250,000 |
| Total | $5,866,821 |
DOH Comments
Jason Helgerson, Deputy Commissioner and Medicaid Director, NYSDOH
|top of section| |top of page|SED Comments
Commissioner MaryEllen Elia, Co–Chair, First 1000 Days on Medicaid
NYS Board of Regents Early Childhood Blue Ribbon Committee
Presentation of Final Recommendations
Monday, December 11 or Tuesday, December 12
Agenda with specific timing and webcast details will be available at: http://www.regents.nysed.gov/meetings
Questions?
|top of section| |top of page|Moving Toward Implementation
Jeffrey Kaczorowski, Vice–Chair, First 1000 Days on Medicaid
Guiding Principles
- Stay focused on improved outcomes for children and families
- Approach work with a race, equity, and inclusion lens
- Implement activities consistent with National Culturally and Linguistically Appropriate Services Standards
- Leverage existing collective impact ´tables´ or other community efforts
- Include families/caregivers and ground–level CBO´s in final design and implementation
- Keep the goal of building family capacity at the center of the work
- Use evidence to drive implementation decisions
- Learn from the implementation process and use lessons to inform future policy and structural changes (e.g. future model contract changes)
- Seek synergies amongst the ten–point plan projects and with other efforts (e.g., SED Blue Ribbon Commission, ECAC, Children´s VBP, etc.)
- Leverage pilots and activities to strengthen systems of care, including family systems
- Continue to educate providers, policymakers, and the public about the importance of the first 1,000 days of life
Mile Markers on Road to Implementation
- NYS Board of Regents Early Childhood Blue Ribbon Committee final recommendations will be made public during December 11–12 Board of Regents meeting
- OHIP and SED will work internally to identify synergies between proposals, developing an evaluation plan, and beginning immediate implementation for no–cost budget proposals
- Workgroup will reconvene via webinar in January or February for an implementation update
How You Can Help
- Send by Friday, December 8 additional feedback on:
- Cross–sector opportunities missed in the ten–point plan proposals
- Thoughts on what you would consider successful implementation of the ten proposals and how success should be measured
- Any glaring omissions in the ten proposals (without changing overall scope)
- Volunteer to join an Evaluation Workgroup that will provide advice to DOH and SED on measuring the Ten–Point Plan.
- Offer reflections on the process to date.
All comments can be sent to Suzanne at sbrundage@uhfnyc.org
Questions?
|top of section| |top of page|Closing
Nancy Zimpher, Chair, First 1000 Days on Medicaid
Contact Information
Chad Shearer
Vice President for Policy Director, Medicaid Institute
cshearer@uhfnyc.org (212) 494–0793
@chadeshearer
Suzanne Brundage
Program Director, Children´s Health Initiative
sbrundage@uhfnyc.org (212) 494 – 0729@suzbrundage
Join the conversation on twitter: #First1KDaysNY @NewYorkMRT
|top of section| |top of page|Appendix
| Final Rank |
Proposal Description | Subjective Rank Mean (Average) | Sum of Score Means (Averages) | Individual Score Mean (Average) | ||||
|---|---|---|---|---|---|---|---|---|
| Cost | Cross– Sector | Feasibility | Strength of Evidence | Overall Impact | ||||
| 1 | Proposal 17 – Braided Funding for Early Childhood Mental Health Consultations | 8.022 | 19.312 | 3.742 | 4.129 | 3.516 | 3.968 | 3.957 |
| 2 | Proposal 10 – Statewide Home Visiting | 6.054 | 18.323 | 1.774 | 3.957 | 3.677 | 4.516 | 4.398 |
| 3 | Proposal 1 – Create a Preventive Pediatric Clinical Advisory Group | 8.793 | 19.138 | 4.755 | 3.777 | 4.000 | 3.000 | 3.606 |
| 4 | Proposal 4 – Expand Centering Pregnancy | 8.022 | 18.245 | 3.532 | 2.617 | 3.723 | 4.277 | 4.096 |
| 5 | Proposal 2 – Promote Early Literacy through Local Strategies | 9.783 | 18.553 | 3.883 | 3.340 | 3.766 | 3.883 | 3.681 |
| 6 | Proposal 14 – Require Managed Care Plans to have a Kids Quality Agenda | 11.815 | 17.763 | 4.484 | 3.495 | 3.624 | 2.796 | 3.366 |
| 7 | Proposal 5 – New York State Developmental Inventory Upon Kindergarten Entry | 11.457 | 17.634 | 4.237 | 3.548 | 3.204 | 3.226 | 3.419 |
| 8 | Proposal 20 – Pilot and Evaluate Peer Family Navigators in Multiple Settings | 9.022 | 16.613 | 2.258 | 4.054 | 3.613 | 3.054 | 3.634 |
| 9 | Proposal 18 – Parent/Caregiver Diagnosis as Eligibility Criteria for Dyadic Therapy | 9.054 | 16.548 | 2.161 | 2.527 | 3.742 | 4.097 | 4.022 |
| 10 | Proposal 16 – Data System Development for Cross–Sector Referrals | 12.989 | 17.022 | 3.839 | 3.871 | 2.935 | 2.957 | 3.419 |
| 11 | Proposal 8 – Children's Regulatory Modernization Workgroup | 12.043 | 16.806 | 4.419 | 3.097 | 3.634 | 2.462 | 3.194 |
| 12 | Proposal 15 – Insure All Kids Task Force | 13.098 | 17.548 | 4.355 | 3.656 | 3.409 | 2.806 | 3.323 |
| 13 | Proposal 22 – Evaluate Healthy Steps Outcomes with Goal Towards Value–Based Payment | 11.707 | 16.505 | 3.989 | 2.430 | 3.366 | 3.387 | 3.333 |
| 14 | Proposal 3 – Task Force on Perinatal Care | 13.457 | 17.149 | 4.628 | 3.298 | 3.585 | 2.660 | 2.979 |
| 15 | Proposal 11 – Developmental Screening Registry Demonstration Project | 11.815 | 16.290 | 3.946 | 3.796 | 2.656 | 2.645 | 3.247 |
| 16 | Proposal 13 – Expand Value–Based Payment to Child Health Plus | 12.989 | 16.473 | 4.473 | 3.140 | 3.183 | 2.376 | 3.301 |
| 17 | Proposal 6 – Expansion of "Connections: A Value–Driven Project to Build Strong Brains" Project | 12.424 | 15.452 | 1.634 | 4.118 | 3.151 | 3.000 | 3.548 |
| 18 | Proposal 7 – Incentivize Use of Infant Mental Health–Endorsement Credential | 13.011 | 15.312 | 2.806 | 3.258 | 2.860 | 3.011 | 3.376 |
| 19 | Proposal 21 – Use of Neurosequential Model of Therapeutics for Traumatic Stress | 15.391 | 16.022 | 3.505 | 3.215 | 2.871 | 3.237 | 3.194 |
| 20 | Proposal 9 – Common Home Visiting Training | 14.946 | 15.140 | 3.914 | 3.258 | 2.903 | 2.237 | 2.828 |
| 21 | Proposal 19 – Increasing In–Office Detection of Elevated Blood Lead Levels | 15.435 | 15.118 | 3.699 | 1.860 | 3.172 | 3.226 | 3.161 |
| 22 | Proposal 23 – Telemedicine Pilots | 16.272 | 14.495 | 3.000 | 2.882 | 3.000 | 2.613 | 3.000 |
| 23 | Proposal 12 – Carve–In Fee–For–Service Early Intervention Payments into Medicaid Managed Care | 20.217 | 11.129 | 3.581 | 2.473 | 1.774 | 1.538 | 1.763 |
Braided funding for Early Childhood Mental Health Consultations (Proposal #17)
This is a proposal for OHIP to convene a design committee with colleagues in the Office of Mental Health, Office of Child and Family Services, and potentially the State Education Department (Adult Career and Continuing Education Services) to explore a braided funding approach for paying for mental health consultation services to early childhood professionals in early care and education settings.
- Implementation Complexity: High
- Implementation Timeline: Long Term
- Required Approvals/Systems Changes: Administrative Action, NYS Budget Request
- Cross–sector Collaboration Component: Yes
- Net Cost to State: Design Committee costs: Negligible Pilot costs depend on braided funding recommendations
Statewide Home Visiting (Proposal #10)
This proposal is for New York Medicaid to take several significant steps to ensure the sustainability of home visiting in New York including a workgroup to identify opportunities for increased Medicaid payment, exploring scope of practice changes with SED, launch a pilot project in 3 high perinatal risk communities to scale up evidence–based home visiting programs using a risk stratification approach.
- Implementation Complexity: High
- Implementation Timeline: Long Term
- Required Approvals/Systems Changes: Administrative Action, NYS Budget Request, Possibly State Plan Amendment, Possibly Federal Waiver
- Cross–sector Collaboration Component: Yes
- Net Cost to State: $2,016,200
Create a Preventive Pediatric Care Clinical Advisory Group (Proposal #1)
This proposal is for Medicaid to convene a Preventive Pediatric Care clinical advisory group charged with developing a framework model for how best to organize well–child visits/pediatric care in order to implement the Bright Futures Guidelines.
- Implementation Complexity: Low
- Implementation Timeline: Short Term
- Required Approvals/Systems Changes: Administrative Action
- Cross–sector Collaboration Component: No
- Net Cost to State: Negligible – staff time for convening and managing group
Expand Centering Pregnancy and Parenting (Proposal #4)
This proposal is that Medicaid support a two–year pilot project in neighborhoods of poorest birth outcomes to encourage obstetrical providers serving Medicaid patients to adopt the Centering Pregnancy group–based model of prenatal care which has shown dramatic improvements in birth–related outcomes and reductions in associated disparities. Additionally, NY Medicaid should consider extending this approach to testing the Centering Parenting model – a group model of well–child care that grew out of the popularity of Centering Pregnancy.
- Implementation Complexity: High
- Implementation Timeline: Long Term
- Required Approvals/Systems Changes: Administrative Action, NYS budget request
- Cross–sector Collaboration Component: No
- Net Cost to State: $388,125
Promote Early Literacy through Local Strategies (#2)
This proposal is for Medicaid to launch one or more three–year pilots to expand the use of Reach Out and Read in pediatric primary care and foster local cross–sector collaboration focused on improving early language development skills in children ages zero to three.
- Implementation Complexity: High
- Implementation Timeline: Long Term
- Required Approvals/Systems Changes: Administrative Action, NYS budget request
- Cross–sector Collaboration Component: Yes
- Net Cost to State: $193,556
Require Managed Care Plans to have a Kids Quality Agenda (#14)
DOH, working with its External Quality Review Organization, would develop a two–year common Performance Improvement Project (PIP) for all Medicaid managed care plans called the "Kid´s Quality Agenda." The focus of the common PIP could be threefold: 1) to increase performance on young child related QARR measures (well–child visits, lead screening, child immunization combo); 2) to enhance rates of developmental and maternal depression screening; or 3) to improve select performance on existing Quality Assurance Reporting Requirements (QARR) women´s health measures related to perinatal health.
- Implementation Complexity: Medium
- Implementation Timeline: Short Term
- Required Approvals/Systems Changes: Administrative Action
- Cross–sector Collaboration Component: Yes
- Net Cost to State: N/A – There is no state costs associated with this proposal
New York State Kindergarten Skills Inventory (#5)
Given significant investments–including a recent $800 million investment into expanding pre–k access for children-there is a need for the state to better understand where the development of each child stands when they enter kindergarten. This proposal suggests that New York State, in collaboration with its partners– State Education Department, State University, Medicaid program, experts in the field of early childhood development, and others as necessary– agree upon a tool to be implemented state–wide to drive results for children.
- Implementation Complexity: Medium
- Implementation Timeline: Short Term
- Required Approvals/Systems Changes: Administrative Action
- Cross–sector Collaboration Component: Yes
- Net Cost to State: N/A – the recommendation herein includes the selection/creation of a tool
Pilot and Evaluate Peer Family Navigators in Multiple Settings (#20)
This proposal would develop, implement and evaluate a number of pilots that would provide peer family navigator services in community and primary care settings. DOH would develop an RFP and make grant funds available to support a total of 9 pilots across the state at community sites (e.g. family homeless shelters, supportive housing, community mental health clinics, drug treatment programs, WIC offices, and existing Help Me Grow sites) and within primary care.
- Implementation Complexity: High
- Implementation Timeline: Long Term
- Required Approvals/Systems Changes: Administrative Action, NYS budget request
- Cross–sector Collaboration Component: Yes
- Net Cost to State: $1,140,000
Parent Diagnosis as Eligibility Criteria for Parent– Child Therapy (#18)
This proposal is for Medicaid to allow providers to bill for the provision of evidence–based parent–child therapy (also called dyadic therapy) based solely on the parent/caregiver being diagnosed with a mood, anxiety, or substance abuse disorder. Medicaid would also explore paying for evidence-based early childhood mental health–focused group parenting programs such as Triple–P.
- Implementation Complexity: Low
- Implementation Timeline: Short Term
- Required Approvals/Systems Changes: Administrative Action
- Cross–sector Collaboration Component: No
- Net Cost to State: $1,878,940
Data system development for cross–sector referrals (#16)
Under this proposal, New York Medicaid would direct competitive grant funds to purchase a Medicaid–determined hub–and–spoke data system that enables screening and referrals across clinical and community settings for up to 3 communities.
- Implementation Complexity: High
- Implementation Timeline: Long Term
- Required Approvals/Systems Changes: Administrative Action; IT/Data Infrastructure, NYS Budget Request
- Cross–sector Collaboration Component: Yes
- Net Cost to State: $250,000
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