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 |