Partnership Plan Waiver Renewal July 2011


NUMBER:        11–W–00114/2

TITLE:              Partnership Plan Medicaid Section 1115 Demonstration

AWARDEE:      New York State Department of Health

All requirements of the Medicaid program expressed in law, regulation, and policy statement, not expressly waived in this list, shall apply to the Demonstration beginning August 1, 2011 through March 31, 2014.

The following waivers shall enable New York to implement the approved Special Terms and Conditions (STCs) for the New York Partnership Plan Medicaid Section 1115 Demonstration.

  1. Statewideness                                                                   Section 1902(a)(1)

    To enable the State to provide a more limited benefit package to Family Health Plus enrollees.
  2. Medicaid Eligibility and Quality Control                          Section 1902(a)(4)(A)

    To enable the New York to employ a Medicaid Eligibility and Quality Control System which varies from that required by law and regulation. New York is required to receive annual approval from CMS for its alternative MEQC program.
  3. Freedom of Choice                                                              Section 1902(a)(23)(A)

    To the extent necessary to enable New York to require beneficiaries to enroll in managed care plans.

Demonstration Approval Period: August 1, 2011 through December 31, 2014