New York 1115 Medicaid Waiver Information Page
Please Note: We have updated our webpage index, just click on the plus (+) sign for each subject's content.
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
Email Listserv for Notifications Related to the MRT Plan
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
MRT Plan Current STCs - Effective January 9, 2024
- NY STCs Effective - (Web) - (PDF) - 1.9.24
- CMS STC Approval Letter - (Web) - (PDF) - received 1.9.24
MRT Plan STCs - Effective April 1, 2022
MRT Plan STCs - Effective October 5, 2021
- NY STCs Effective (Web) - (PDF) - 10.5.21
- CMS STC Letter - 10.5.21
MRT Plan STCs - Effective August 10, 2020
- NY STCs Effective (Web) - (PDF) - 8.10.20
- CMS STC Letter - 8.10.20
MRT Plan STCs - Effective April 16, 2020
- NY STCs Effective (Web) - (PDF) - 4.16.20
- CMS STC Letter - 4.16.20
MRT Plan STCs - Effective December 19, 2019
- NY STCs Effective (Web) - (PDF) - 12.19.19
- CMS STC Letter - 12.19.19
MRT Plan STCs - Effective August 2, 2019
- NY STCs Effective (Web) - (PDF) - 08.02.19
- CMS STC Letter - 09.03.19
MRT Plan STCs - Effective April 19, 2019
MRT Plan STCs - Effective December 7, 2016
- CMS Letter: Attachment J Protocol - 01.18.18
- Attachment J Revised - 01.18.18
- Attachment I - Revised: 07.20.17
- NY 1115 renewal letter - 01.19.17
- NY 1115 renewal STCs - 01.19.17
- NY 1115 renewal letter - 12.7.16
MRT 1115 Waiver Extension Request
MRT 1115 Waiver Amendments
Medicaid Buy-In for Working People with Disabilities (MBI-WPD)
Demonstration Program and Career Pathways Training (CPT) Program AmendmentContinuous Medicaid and Child Health Plus Eligibility for
Children up to Age Six
- 1115 Waiver Amendment Approval- November 14, 2024
- Completeness Letter-Received from CMS June 26, 2024
- Final Amendment Request - submitted to CMS June 10, 2024
- Public Hearings
- Draft Amendment Request
- Draft Amendment Request - (Web) - (PDF)
- Full Public Notice - published in the NYS Register (PDF) - January 17, 2024
- Abbreviated Public Notice - published in the NYS Register (PDF) January 17, 2024
- Tribal Consultation - (Web) - (PDF)
IMD Transformation Demonstration Program
- SUD Implementation Plan - Approved January 9, 2024
- 1115 Waiver Amendment Approval - January 9, 2024
- CMS approval letter (PDF)
- Completeness Letter - received from CMS January 4, 2023
- Final Amendment Request - submitted to CMS December 21, 2022
- Public Hearings
- October 31, 2022
- Slides (PDF)
- Recording (YouTube)
- Complete Transcript (PDF)
- Summarized Transcript
- October 26, 2022
- Slides (PDF)
- Recording (YouTube)
- Complete Transcript (PDF)
- Summarized Transcript
- Draft Amendment Request
- Draft Amendment Request (PDF)
- Full Public Notice (PDF) - published in the NYS Register October 5, 2022
- Abbreviated Public Notice (PDF) - published in the NYS Register October 5, 2022
- Tribal Consultation (PDF)
- Mental Health Services Availability Assessment Template (PDF)
- Substance Use Disorder (SUD) Implementation Plan (PDF)
- Serious Mental Illness (SMI) Implementation Plan (PDF)
New York Health Equity Reform (NYHER): Making Targeted, Evidence-Based Investments
to Address the Health Disparities Exacerbated by the COVID-19 Pandemic
- 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.
- States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model
- Project Narrative - (PDF)
- List of Hospitals that have submitted a Letter of Interest (LOI) for participation in AHEAD - (PDF) as of 10/31/2024
- Press Release - New York State Department of Health Announces AHEAD Model to Transform more than $5 Billion in Healthcare Payments to More Equitable and Sustainable Delivery Systems - 10-29-2024
- NYHER 1115 Waiver Amendment Overview - February 21, 2024
- NYHER 1115 Waiver Amendment Approval - January 9, 2024
- CMS approval letter - (PDF)
- NYHER 1115 Waiver Amendment Application FAQ - October 3, 2022
- Completeness Letter - received from CMS September 15, 2022
- Final Amendment Request- submitted to CMS September 2, 2022
- Draft Amendment Request
- Public Hearings
- Concept Paper
- MRT II Waiver Amendment Proposals
Reasonable Opportunity Period (ROP) Extension COVID-19 Public Health Emergency (PHE) Amendment
Managed Care Risk Mitigation COVID-19 Public Health Emergency (PHE) Amendment
MRT II Waiver Amendments
MRT 1115 Demonstration Annual Reports
MRT Public Comment Days and Written Submissions
Latest News
- Acceptance Letter - 7.20.2017
- Attachment I - Revised 07.20.2017
Partnership Plan Revised STCs - As of October 01, 2015
Partnership Plan Revised STCs - As amended April 14, 2014
Partnership Plan Revised STCs - January 2014
F-SHRP Evaluation Report
- F-SHRP Final Report Acceptance Letter - 5.24.16
- F-SHRP Demonstration Final Report - 9.16.15 (PDF, 4MB)
MRT Evaluation Report
- Hospital-Medical Home Final Report Acceptance Letter - 10.28.15
- Hospital Medical Home Demonstration Final Report - October 2015
MRT Amendments
- OPWDD 1115 IDD Draft Amendment Proposal CMS Letter of Completeness - September 12, 2017
- New York 1115 Medicaid Redesign Team (MRT) Waiver Amendment - August 31, 2017
- Summary of New York 1115 Medicaid Redesign Team (MRT) Waiver Amendment - August 31, 2017
- Behavioral Health - HARPs Amendment - July 29, 2015
- Delivery System Reform Incentive Payments (DSRIP)
- Children's System Transformation CMS Letter of Completeness
- Summary of New York 1115 Medicaid Redesign Team (MRT) Waiver Amendment for Children- May 08, 2017
- Section 1115 New York Medicaid Redesign Team Waiver Children's Amendment- May 09, 2017
Technical Amendment Request for MLTCPs to coordinate services for individuals with Intellectual or Developmental Disabilities (I/DD) - March 2013
Additional Information
Draft Evaluation Plan for the 1115 Demonstration - Public Comment sought by January 10, 2017
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 12210or by Email: 1115waivers@health.ny.gov
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