State Plan / MRT Crosswalk Page

The MRT/SPA Crosswalk is available as an Excel Spreadsheet (2pgs. 14KB)

This table below represents a crosswalk between SPAs and MRT Proposals that are being submitted to Centers for Medicaid and Medicare Services (CMS) as part of the MRT Implementation process.

SPA Number	MRT Proposal Number	Description	SPA Quarter Effective Date
11-24	67	Assist Preservation of Essential Safety Net(Inpatient rate increase due to hospital closure)	1st, 2012 2-13-12
11-25	67	Assist Preservation of Essential Safety Net(NH rate increase due to NH closure)	1st, 2012 2-13-12
11-26	67	Assist Preservation of Essential Safety Net(Surrender staffed beds/APG increase)	1st, 2012 2-13-12
11-28	26	Behavioral Health Utilization Controls	2nd, 2011 4-1-11
11-32	164	Align Medicare Part B Clinic Coinsurance with Medicaid coverage & rates	4th, 2011 10-1-11
11-36	30	Align Payment for Prescription Footwear with Medical Necessity	2nd, 2011 5-1-11
11-37	34	Establish Utilization Limtis for PT, OT & Speech	4th, 2011 10-1-11
11-39	13	Preschool/School Supportive Health Services Program (SSHSP) Cost Study	4th, 2011 10-1-11
11-40	4648	Family Planning Benefit Program as a State Plan Service	3rd, 2012 7-1-12
11-42	132	Expand the Definition of Estate	3rd, 2011 9-8-11
11-44	137	Disregard retirement assets such as 401K plans for MBI-WPD	4th, 2011 10-1-11
11-46	82	Reduce Reimbursement for Hospital Acquired Conditions (HACs)	3rd, 2011 7-1-11
11-47-B	103	Reduce Inappropriate Use of Certain Services	3rd, 2011 7-1-11
11-48	889	Redesign NYS bedhold policy for nursing homes.	1st, 2012 1-1-12
11-49	14	Restructure Reimbursement for Proprietary Nursing Homes	2nd, 2011 4-1-11
11-50	5	Control CHHA Utilization by Implementing Provider Specific Aggregate Annual Spending Caps	2nd, 2011 4-1-11
11-51	5	Episodic Pricing	2nd, 2012 4-1-12
11-53	37	Elimininate Separate Payment Rates for AIDS Nursing Svcs in CHHA Programs	2nd, 2011 4-1-11
11-56	89 1058 4647	Implement Health Home for High-Cost, High-Need Enrollees; Maximize Peer Services; and Expand the Managed Addiction Treatment (MATS) Program	1st, 2012 1-1-12
11-57	243	Accountable Care Organizations (ACOs)	TBD
11-59	4655	FQHC Downstate for APGs	2nd, 2011 5-1-11
11-61	15 C	Reduce Pharmacy Reimbursment & Dispensing Fees	2nd, 2011 4-1-11
11-70	4651-B	ATB Reduction (Inpatient)	2nd, 2011 4-1-11
11-72	4651-B	ATB Reduction (Non-Institutional)	2nd, 2011 4-1-11
11-76	70	New Models of Payment for Patient-Centered Medical Homes	2nd, 2011 4-1-11
11-82	82	PPCs/PPRs (PPNOs)	3rd, 2011 7-1-11