Partnership Plan Revised STCs - January 2014

CENTERS FOR MEDICARE & MEDICAID SERVICES
WAIVER AUTHORITY

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 April 1, 2013 through December 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 permit the exclusion of some residents of some counties in New York from participation in Mandatory Mainstream Managed Care (MMMC) and Managed Long Term Care (MLTC) under this Demonstration.

2. Medicaid Eligibility and Quality Control         Section 1902(a)(4)(A)

  • To enable New York to apply a more liberal income standard for individuals who are deinstitutionalized and receive community–based long term care services through the managed long term care program than for other individuals receiving community–based long term care.

3. Income Comparability                                       Section 1902(a)(17)

  • To enable New York to apply a more liberal income standard for individuals who are deinstitutionalized and receive community–based long term care services through the managed long term care program than for other individuals receiving community–based long term care.

4. 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, to the extent of the services furnished through the MMMC and MLTC programs. Beneficiaries shall retain freedom of choice of family planning providers.



Demonstration Approval Period: August 1, 2011 through December 31, 2014
Amended August 2012