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Governor Seeks $10 Billion Federal Medicaid Waiver

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Governor Andrew Cuomo announced yesterday that the state will seek an 1115 Medicaid waiver from the federal government and will ask for $10 billion over five years to implement the Medicaid Redesign Team (MRT) action plan to transform the state’s health care system.  The $10 billion represents a share of the estimated $17.1 billion in federal savings generated by MRT reform.   

The state also issued a document that summarizes the rationale for seeking a waiver and outlining its proposed draft set of ideas for how the waiver funds would be utilized:  Medicaid Waiver: Tool to Fully Implement the MRT Action Plan. The state notes that stakeholder input will be used to consider modifications of the ideas.

A New York 1115 Medicaid waiver presents an important opportunity to help HANYS’ membership statewide continue restructuring and delivery system reform.  Specifically, a waiver presents an important opportunity to:

  • fund a variety of initiatives across the continuum to improve quality, access to care, and efficiency, including implementing MRT recommendations;
  • maximize infrastructure investment and operational support for HANYS’ members to increase their ability to implement health care reform;
  • reduce burdensome regulation; and
  • ensure support for uncompensated care, statewide sustainability of all types of safety net and essential community providers, and preservation of access to essential care at public hospitals.

As part of the waiver request, the state will solicit comments and recommendations in a series of public forums and through other means.  A series of four public forums are scheduled to take place in June.  As demonstrated during the previous MRT process, providing member input and recommendations is extremely important.  HANYS encourages members to participate in these forums. Details on providing input into this process are available on the Governor’s MRT Waiver Web site

In preparation for this 1115 Medicaid waiver application process, HANYS engaged in extensive dialogue with its members to develop specific recommendations for ways to re-invest these funds in New York’s health care system.  Contact: Nicholas Henley

Published June 5, 2012