MRT Phase 1 Project Status

As of August 24, 2016, MRT Phase 1 is closed. All projects in this phase are either complete, merged or cancelled.

MRT Project # Project/Task Description Status
5 Reduce and Control Utilization of Certified Home Health Agency Services Completed
6 Reduce Medicaid Managed Care and Family Health Plus Profit (from 3% to 1%) Completed
10 Eliminate Direct Marketing of Medicaid Recipients by Medicaid Managed Care Plans Completed
11 Bundle Pharmacy into MMC Completed
13 Preschool/School Supportive Health Services Program (SSHSP) Cost Study Completed
14 Restructure Reimbursement for Proprietary Nursing Homes Completed
15 Comprehensive fee-for-service pharmacy reform Completed
1 Reduce fee-for-service dental payment on select procedures Completed
21 Streamline the Processing of Nursing Home Rate Appeals Completed
24 Payment for Enteral Formula with Medical Necessity Criteria Completed
25 Remove Physician Component from Ambulatory Patient Group (APG) Base Rates Completed
26 Utilization Controls on Behavioral Health Clinics Completed
29 Reduce Transportation Costs through Regional Management Recommended Targeted Fee Actions Completed
30 align Payment for Prescription Footwear with Medical Necessity Completed
31 Eliminate worker recruitment and retention Completed
34 Establish Utilization Limits for PT, OT, and Speech Therapy/Pathology Completed
37 Eliminate Case Mix Adj for AIDS Nursing Svcs in CHHA and LTHHCP Programs Completed
42 Limit MA coverage for compression stockings to the MC criteria, include coverage during pregnancy. Completed
49 Reimburse Art 28 clinics for HIV counseling/testing using APGs Completed
54 Adjust 340B Drug payment in 340B-eligible clinics via Ambulatory Patient Groups (APGs) Completed
55 Increase coverage of tobacco cessation counseling Completed
60 Delink Workers Compensation and No Fault Rates from Medicaid Completed
61 Home Care Worker Parity - CHHA / LTHHCP / MLTC Completed
67 Assist Preservation of Essential Safety-Net Hospitals, Nursing Homes and D&TCs Completed
68 Repatriate Individuals in out of state placements Completed
69 Uniform Assessment Tool (UAT) for LTC Completed
70 Expand current statewide Patient-Centered Medical Homes (PCMH) Completed
82 Reduce Reimbursement for Hospital Acquired Conditions and Potentially Preventable Conditions Completed
83 Expand SBIRT for alcohol/drug to hospital clinic, DTC and office settings. Completed
89 Implement Health Home for High-Cost, High-Need Enrollees Completed
90 Mandatory Enrollment in MLTC Plans/Health Home Conversion Completed
93 Establish behavioral health organizations to manage carved-out behavioral health services Completed
101 Develop Initiatives to Integrate and Manage Care for Dual Eligibles Merged #90
102 Centralize Responsibility for Medicaid Estate Recovery Process Completed
103 Reduce Inappropriate Use of Certain Services Completed
109 Require Hospitals and Nursing Homes to provide Patient Centered Palliative Care Completed
116 Accelerate IPRO Review of Medically Managed Detox (Hosp) Completed
129 State Authority to Supervise Integration of Health Services and Providers to Minimize Anti-Trust Exposure Completed
131 Reform Medical Malpractice and Patient Safety Completed
132 Expand the Definition of Estate Completed
133 Administrative Renewal for Aged and Permanently Disabled Completed
134 Audit Cost Reports (rather than certification) Completed
137 Disregard retirement assets such as 401K plans for MBI-WPD Completed
139 Implement the new waiver for LTHHCP Completed
141 Accelerate State Assumption of Medicaid Program Authorization Completed
144 Eliminate Duplicative Behavioral Health Hosp Surveys Completed
147 Eliminate or modify unnecessary regulations and improvements for capital access Completed
150 Develop an Automated Exchange/Medicaid Eligibility System Completed
153 Develop innovative telemedicine applications by reducing regul. barriers and providing $ incentives Completed
154 Enhance and improve the State's Medicaid program integrity efforts. Completed
164 align Medicare Part B clinic coinsurance with Medicaid coverage and rates Completed
191 Decrease the Incidence and Improve Treatment of Pressure Ulcers Completed
196 Supportive Housing Initiative Completed
200 Change in scope of practice for mid-level providers to promote efficiency and lower Medicaid costs. Completed
209 Expand Hospice Completed
217 Create an office for development of patient-centered primary care initiatives Completed
243 Accountable Care Organizations (ACOs) Completed
889 Redesign NYS bed hold policy for nursing homes. Completed
990 Adjust Reimbursement Rates to Support Efforts to Address Health Disparities Completed
1021 Facilitating Co-Located physical health/behavioral health/developmental disability services Merged #89
1029 Enrollment and Retention Simplification Merged #133
1032 Establish a Housing Disregard as Incentive to Join MLTC Completed
1058 Maximize Peer Services Completed
1116 Apply 60 Month Look Back Period to Non-Institutional LTC Completed
1172 Nursing Home Sprinkler Loan Pool Completed
1427 Allow consumer direction in MLTC; provide regulatory framework for CDPAP Merged #90
1434 Convert a portion of Family Planning grants to Medicaid rate reimbursement Completed
1451 Establish various MRT workgroups Completed
1458 Managed Care Population and Benefit Expansion, Access to Services, and Consumer Rights Merged #8401
1462 LTC insurance proposals Completed
4153 Expanded Pharmacy Reimbursement Controls Completed
4155 Eliminate Long Term Care Assessment Center Funding Completed
4156 Mitigate Negative Provider Impacts from Implementing Nursing Home Rebasing Completed
4647 Expand Managed Addiction Treatment Program (MATS) Merged #89
4648 Family Planning Benefit Program as a State Plan Service Completed
4651 Global Spending Cap on Medicaid Expenditures Completed
4652 Reform Personal Care Services Program in NYC Completed
4655 Expand Downstate FQHC Region Completed

Phase 1  
Cancelled 1
Completed 71
Merged 6
Included in MRT Waiver 0
Substantively complete 0
Suspended 0
In Progress 0
Total 78*

* 0.00% Remain open