New York 1115 Medicaid Waiver Information Page

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1115 Annual Public Forum Alert

1115 MRT Waiver Annual Public Forum scheduled for Wednesday, March 26, 2025, from 9am-12pm. Please see full announcement here: New York 1115 Medicaid Waiver Information Page, MRT Public Comment Days and Written Submissions

New York State's Medicaid Section 1115 Medicaid Redesign Team (MRT) Waiver (formerly known as the Partnership Plan) has achieved significant results in meeting its major goals of improving access, quality, and cost effectiveness of health services for the poorest and most at risk residents. The waiver, which has operated since 1997, has allowed the State to implement a managed care program which provides comprehensive and coordinated health care to Medicaid recipients, thereby improving their overall health coverage. This webpage provides resources to those who are interested in the waiver and would like to contribute to the effort.

Please email questions, comments, or concerns to: 1115waivers@health.state.ny.us

New York State is well-positioned to lead the nation in Medicaid reform. The Medicaid Redesign Team (MRT) has developed a multi-year action plan (A Plan to Transform the Empire State's Medicaid Program) that, when fully implemented, will not only improve health outcomes for more than five million New Yorkers but also bend the state's Medicaid cost curve. Significant federal savings have already been realized through New York's MRT process and substantial savings will also accrue as part of this action plan.

Additional information can be found on the MRT website

NYS DOH has created a Listserv for interested stakeholders, advocates, consumers, counties, providers, and state associations to register to receive relevant updates on department program initiatives or new projects where stakeholder input is desired. Sign up today and be notified of updates to this website, new information related to the MRT Waiver and opportunities to participate in the public engagement process.

To subscribe send an email addressed to listserv@list.ny.gov and include the following information in the body of the message:

  • SUBSCRIBE MRT-L YourFirstName YourLastName
  • Attachment R* (Continuous Eligibility Overlay Approval) - (Web) - (PDF) - received 11.14.24
  • CMS STC Approval Letter Continuous Eligibility - (Web) - (PDF) - received 11.14.24
  • NY STCs Effective - (Web) - (PDF) - 1.9.24

*Effective 11.14.24 to be appended as Attachment R to the current 1.9.24 STCs in the future.

  • NY STCs Effective - (Web) - (PDF) - 1.9.24
  • CMS STC Approval Letter - (Web) - (PDF) - received 1.9.24
  • NY STCs Effective - (Web) - (PDF) - 4.1.22
  • CMS STC Approval Letter - (Web) - (PDF) - received 3.23.22
  • CMS STC Technical Correction Letter - (Web) - (PDF) - 4.29.22
  • Public Hearings
  • Draft Amendment Request
    • Draft Amendment Request - (PDF)
    • Full Public Notice - (Web) - (PDF) - published in the NYS Register November 6, 2024
    • Abbreviated Public Notice - (Web) - (PDF) - published in the NYS Register November 6, 2024
    • Tribal Consultation - (Web) - (PDF)
  • Health Related Social Needs (HRSN) Services
    • HRSN Protocol - (PDF)
    • HRSN Protocol approval letter - (PDF)
    • HRSN Implementation Plan - (PDF)
    • HRSN Implementation Plan approval letter - (PDF)
  • Designated State Health Programs (DSHP)
    • DSHP Claiming Protocol - (PDF)
    • Approved DSHP List - Attachment N - (PDF)
  • Health Equity Regional Organization (HERO) Initiative
    • The creation of a Health Equity Regional Organization or a "HERO", is a core initiative under New York's NYHER 1115 waiver amendment, approved by the Centers for Medicare & Medicaid Services (CMS) in 2024. Establishing a HERO is part of the waiver amendment's multi-pronged approach to strengthen the integration of social services and health care delivery. United Hospital Fund (UHF) will coordinate HERO strategies with the goal to functionally bridge public health, social services and health care delivery. UHF will collaborate with the New York State Medicaid Program, healthcare providers, community stakeholders, and academic partners to understand effective regionally focused approaches to addressing the social needs of Medicaid beneficiaries, such as food insecurity, housing instability, and lack of transportation.
  • Career Pathways Training (CPT) Program
    • The Career Pathways Training (CPT) Program is an education and training program that was authorized under New York's 1115 Demonstration Waiver, and is designed to create a reliable workforce pipeline to address workforce shortages by funding education and training for health, behavioral health and social care workers throughout New York State.
    • Please see the Career Pathways Training(CPT) Program webpage for more information.
  • Amendment Request - submitted to CMS June 8, 2022 - (PDF)
  • Amendment Approval Letter - received from CMS October 28, 2022 - (Web) - (PDF)
  • Evaluation Design - approved by CMS October 25, 2023 - (Web) - (PDF)
  • Amendment Request - submitted to CMS December 7, 2021 - (PDF)
  • Amendment Approval Letter - received from CMS January 18, 2022 - (Web) - (PDF)
  • Evaluation Design - approved by CMS January 10, 2023 - (PDF)
  • NY 1115 Demo Draft Eval Plan (Web) - (PDF) - 12.20.16 (PDF)

Public comments may be sent to:

Department of Health
Office of Health Insurance Programs
Attention Waiver Management Unit
99 Washington Avenue, 12th Flr., Suite 1208
Albany, NY 12210

or by Email: 1115waivers@health.ny.gov