Key MRT Initiatives

  • Managed Long Term Care Workforce Investment Program - 4.27.18
  • On September 29, 2015, the Office of Health Insurance Programs (OHIP) and the Centers for Medicare & Medicaid Services (CMS) held a forum on the future of Managed Long Term Care (MLTC) and Fully Integrated Dual Advantage (FIDA). As part of the forum, the state released a white paper with draft ideas for modifications. At the meeting there was a lively discussion and many opinions were shared. Public comment was accepted through October 9, 2015.
  • Fully Integrated Duals Advantage (FIDA) Demonstration
    CMS and the State of New York will work together in a partnership to improve health care for about 170,000 Medicare-Medicaid members.
  • Behavioral Health Transition to Managed Care
    The NYS Behavioral Health (BH) Transition Team for Medicaid, comprised of leads from the Office of Alcoholism and Substance Abuse Services (OASAS), the Office of Mental Health (OMH), and the Department of Health (DOH), is updating the target dates for implementing the transition of BH services. - 2015-16
  • Basic Health Program Workgroup
    A Basic Health Program (BHP) Workgroup has been created in order to provide input on whether NYS should adopt the BHP option for individuals who are not eligible for medical assistance under Title 11, Article 5 of the Social Services Law. This workgroup will: evaluate federal guidance related to the basic health program; discuss fiscal, consumer, and health care impacts of a BHP; and consider benefit package, premium and cost-sharing options for a BHP. - 1.25.18
  • Basic Benefit: Evidence Based-Dossier Submission Process
    New York State is committed to structuring Medicaid benefits to ensure that all members have access to the clinically effective, efficiently delivered services they require. To that end, the New York State Department of Health established a systematic process for making decisions about Medicaid benefits using the best available research evidence. The Dossier Process is designed to support transparent and consistent coverage. Payment decisions align with the Centers for Medicare and Medicaid Services´ Triple Aim vision for health care of improving care, improving health, and reducing costs. - 7.18.18
  • Supportive Housing Initiatives
    The MRT Supportive Housing Initiative seeks to ensure that Medicaid members have proper housing, which promotes a healthy environment and lifestyle. - 11.22.19
  • NYS Balancing Incentive Program
    The NYS Balance Incentive Program (BIP) has been authorized under the Affordable Care Act. BIP provides states additional federal funding to implement structural changes that best facilitate rebalancing the percentage of individuals in need of long term supports and services in home and community based settings as opposed to institutional settings. - 11.14.18
  • NYS Money Follows the Person Demonstration
    Authorized under the Deficit Reduction Act of 2006, and extended through the Accountable Care Act, the Money Follows the Person (MFP) Federal Rebalancing Demonstration Program involves transitioning eligible individuals from facilities into qualified community based settings. - 2.8.21
  • Quality Strategy of the Medicaid Managed Care Program
    As part of the Special Terms and Conditions (STCs) for the New York´s Federal-State Health Reform Partnership (FSHRP) and Partnership Plan section 1115(a) Demonstrations, the state is required to maintain a Quality Strategy for all Medicaid Managed Care Programs. Any updates, amendments, or waivers to the FSHRP or Partnership Plan require revision of the Quality Strategy to incorporate changes. The Quality Strategy is also assessed every three years using assurance reports, surveys, and findings. Changes in the Quality Strategy are made available for public and stakeholder comment. - 10.12.21
  • Care Management For All - Transition Summary
    Care Management for All, started in November 2012, is one of the most important Medicaid Redesign Team initiatives currently underway. This effort involves the transition of as many patient populations and services as possible to care management. - 11.20.19