MRT Waiver Amendment Information

On August 6, 2012, New York submitted an application for a waiver from the federal government that would allow the state to invest up to $10 billion in savings generated by the Medicaid Redesign Team (MRT) reforms to implement an action plan to transform the state’s health care system.  The waiver was ultimately approved for $8 billion.  Details about the waiver plan and New York’s submissions is available on the DOH Medicaid Redesign Web site.

In December 2016, the waiver was reauthorized until March 2021.

Prior to the initial submission, the NYS Council submitted comments to the State for inclusion in the waiver applications.
Comments re: NYS 1115 waiver submission – July 2012


Delivery System Reform Incentive Payment (DSRIP)

The Delivery System Reform Incentive Payment (DSRIP) program is one component of New York’s proposed Medicaid Waiver Amendment submitted to the Centers for Medicare & Medicaid Services (CMS). The DSRIP program is designed to stabilize the state’s health care safety-net system, re-align the state’s delivery system as well as reduce avoidable hospitalizations and emergency department use by 25% over the next 5 years. To accomplish this goal, the state’s DSRIP plan will encompass a variety of programs and engage an array of providers.



March 19, 2018:  DOH has released another video in the DSRIP Whiteboard series.   In the video titled, “DSRIP Year 4: Start a Movement,” New York State Medicaid Director, Jason Helgerson, gives an overview of the DSRIP year 4 theme and goals including the focus on performance, the move to Value Based Payment, and planning for the future.  To view the video, click here: https://www.youtube.com/watch?v=_GEzMUc1_CU.

May 3, 2017:  DOH has released a new DSRIP whiteboard video. In the video titled, “DSRIP Year 3: A Look at the Year Ahead,” New York State Medicaid Director, Jason Helgerson, discusses the DSRIP year 3 theme and goals. He also describes how the program’s shift to performance is this year’s main focus.   To view the “DSRIP Year 3: A Look at the Year Ahead” video, click here: https://youtu.be/p9ZyCvLIMu4

February 14, 2017: On January 31, the Department hosted a public comment day on the Delivery System Reform Incentive Payment (DSRIP) Program. A summary of all testimony from that day, as well as written public comment that was submitted to the Department, has been posted to our website here:https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/project_approval_oversight_panel.htm.

From February 1-February 3, the Department convened the DSRIP Project Approval and Oversight Panel (PAOP) to review the DSRIP mid-point assessment reports and recommendations. During this time, all 25 Performing Provider Systems (PPS) presented to the PAOP their progress to date on meeting the goals of the DSRIP Program. We have updated our website to reflect all 25 PPS presentations, a summary of the meeting proceedings, and PPS recommendations as voted on by the PAOP. All of these materials can be found on our website here:http://www.health.ny.gov/health_care/medicaid/redesign/dsrip/project_approval_oversight_panel.htm.

The archived webcast of all four days can be found on our website here:http://www.health.ny.gov/events/webcasts/archive/.

January 27, 2017: DOH released two new installments in its’ NYS Delivery System Reform Incentive Payment (DSRIP) Program whiteboard video series. In the first video, “DSRIP: Looking Ahead to 2017,” NYS Medicaid Director, Jason Helgerson, talks about what is ahead for the Delivery System Reform Incentive Payment (DSRIP) Program in 2017, including the importance of the mid-point assessment. He also describes how Value Based Payment (VBP) will fit into and align with DSRIP and how it effects Medicaid in 2017.

In the second whiteboard video, “Myths and Facts of Value Based Payment,” Jason Helgerson discusses common myths and facts about the VBP initiative. He debunks misunderstandings about the program and promotes the facts of what VBP actually means to those who are and will be participating in it.

August 11, 2016: The July 14 Integrated Services webinar recording and transcription has been posted to the DSRIP website. The presentation can be found on the “Webinar and Presentations” page under the “Integrated Services” heading at http://www.health.ny.gov/health_care/medicaid/redesign/dsrip/webinars_presentations.htm

May 4, 2016: DOH has released the latest in the NYS Delivery System Reform Incentive Payment (DSRIP) Program White Board Video Series – DSRIP Year 2 Theme: Proceed with Fact-Based Optimism.  During this presentation, New York State’s Medicaid Director, Jason Helgerson, discusses DSRIP as an exciting and challenging opportunity for improving outcomes in healthcare in NYS and why optimism is essential going forward as PPS face challenges in implementing their project plans.

March 29, 2016: The Integrated Services Webinar, the updated Integrated Services Frequently Asked Questions (FAQ) and Billing Matrix, previously distributed on March 18, 2016, are now available on the DSRIP website. They can be found under the Integrated Services section from this link.  http://www.health.ny.gov/health_care/medicaid/redesign/dsrip/webinars_presentations.htm

October 14, 2015:  All Performing Provider Systems (PPS) Implementation Plans and First Quarterly reports are now posted to the DSRIP website and can be accessed through this link: http://www.health.ny.gov/health_care/medicaid/redesign/dsrip/first_quarterly_report.htm

September 28, 2015: The NYS Department of Health announced the latest NYS Delivery System Reform Incentive Payment (DSRIP) Program White Board Video Series – a DSRIP Update. NYS’s Medicaid Director, Jason Helgerson, discusses key DSRIP updates highlighting the Performing Provider Systems (PPS) shift from planning to implementation, Value Based Payment pilot opportunities, PPS network additions and the DSRIP midpoint assessment.  The video can be viewed at: https://youtu.be/Ngt30esw_z8

September 25, 2015: Learning Symposium Presentations Available on the DSRIP Website
The First Annual PPS Learning Symposium was a tremendous success with special thanks to all our peer moderators, presenters and panelists.  We have posted all of the presentations from each session to the DSRIP Website.  The resources can be found here under the PPS Workshops section: http://www.health.ny.gov/health_care/medicaid/redesign/dsrip/providers_professionals.htm

April 6, 2015:  The DSRIP Measure Specification Manual has been submitted to CMS on April 3, 2015 for their review and approval.  This version of the manual is now posted on the DSRIP website and is available for public use.  A draft manual was originally released in October 2014 for public comment.  Many of the comments and suggestions have been included in the revised version.  Please find the revised manual at http://www.health.ny.gov/health_care/medicaid/redesign/dsrip/cms_official_docs.htm.

March 27, 2015:  As supported in the DSRIP Partnership Plan Special Terms and Conditions (STCs), New York State awarded $69M of planning payments to providers from a designated Design Grant Fund. These grants enabled providers to develop specific and comprehensive DSRIP Project Plans.

The final DSRIP Project Design Grant planning payments were made in February 2015. The payment summary is now available on our website at: http://www.health.ny.gov/health_care/medicaid/redesign/dsrip/design_grant_appl.htm

March 25, 2015:  The NYS Legislature is working through the Budget process, and the implications of their decisions could impact valuation as additional funds are proposed in the Executive Budget. Moreover, we are awaiting final approval from CMS for the proposed valuation. As such, we will be postponing the release of final valuation from March 27 to after the budget in order to ensure the most accurate financing information is included in those calculations. Once we have those final valuation elements from the budget process and CMS, we will produce and share finalized DSRIP valuation.

Because of this delay in valuation, the NYS Department of Health is extending the deadline for submitting Implementation Plans to May 1st. This will allow each PPS to incorporate the valuation results as necessary. Please contact DSRIP@health.ny.gov with any questions or concerns you may have.

March 10, 2015: On Friday, March 6, the DOH and the NYC DOHMH convened to discuss PPS collaboration for the various DSRIP projects. Attached are the slide-decks from this meeting.  Also attached are additional slides put forth by the AIDS Institute. These slides were not covered in the meeting, but are relevant to the discussion.

February 3, 2015: The Department of Health is pleased to present the Independent Assessor PPS Project Scores without 2.d.i Bonus for each project.  The Independent Assessor noted that most Project Plan Applications submitted were of extremely high quality. These scores represent the final assessment by the DSRIP Independent Assessor on the project applications.  Bonus points for 2.d.i are not included in these scores. These scores are also viewable on the DSRIP website at, https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/docs/independent_assessor_pps_project_scores_without_2.d.iBonus.pdf

The Independent Assessor will be finalizing an Executive Summary for each PPS application that covers the overall scoring, reviewer comments, and a project by project summary. Please look for a notice in the coming days.

January 16, 2015:  The PPS applications under DSRIP were posted by the NYSDOH Web site.  In addition, we have attached a slide deck from today’s DSRIP implementation plan workshop in Albany.