Supplemental Information on Specific MRT Proposals
- Amendment to Implement Medicaid Redesign Team Changes to the 1115 Waivers
- MRT 5 - Reduce and Control Utilization of Certified Home Health Agency Services
- Pharmacy Related Proposals - MRT 11 & MRT 15
- List of Drugs Medicaid Will Continue to Cover for Medicare/Medicaid Eligible Beneficiaries After the Medicaid Part D Wrap is Eliminated (PDF, 251KB, 1pg.)
- MRT 11 and 15 Key Points and FAQs (PDF, 368KB, 11pg.)
- MRT 11 Transition Plan with Requirements
- MRT 11 Timeline (PDF, 128KB, 2pg.)
- Managed Care Plan Pharmacy Benefit Manager and Formulary Information (PDF, 92KB, 4pg.)
- Presentation: NYS Medicaid Pharmacy Program (PDF, 1.26MB, 17pg.)
- This is a reference document for the Medicaid Managed Care Plans regarding the Medicaid Pharmacy Fee-For-Service Program and does not represent how the pharmacy benefit will be administered when it is bundled into managed care.
- Managed Care Plans - Coverage for Supplies Summary (PDF, 373KB, 19pg.)
- Managed Care Plans - Coverage for Emergency Contraception Summary (PDF, 173KB, 1pg.)
- MRT 61: Home Care Worker Wage Parity
- MRT 69: Uniform Assessment System for Long Term Care in NYS
- MRT 89: Health Homes
- MRT 90: Mandatory Enrollment Managed Long Term Care:
- Meeting Materials for MLTC Implementation Advisory Group (PPT, KB, slides)
- MRT 90: Mandatory Managed Long Term Care Enrollment Plan (PDF, 461KB, 11pg.)
- Dual Eligible Initiative - 2.16.12 (PDF, 450KB, 6pg.)
- Press Release
- More information, including MLTCP Applications
- MLTC Enrollment Application Tracking (XLS, 53KB)
- Long Term Home Health Program (LTHHCP) Clarification (2.7.12) (PDF, 39KB, 4pg.)
- Request for Comment on Draft Consumer Documents in Mandatory Rollout of MLTC
- Solicitation for Public Comment: NYSDOH Demonstration Proposal to Integrate Care for Dual Eligible Individuals
- Overview of New York's Demonstration to Integrate and Manage Care for Individuals Eligible for Medicaid and Medicare
- NEW Model Contracts
- This is the Model Contract that has been approved by Centers for Medicare and Medicaid Services (CMS) for a Managed Long Term Care (MLTC) Partial Capitation plan. The Model covers the period 1/1/12 to 12/31/14, with opportunity for one additional two year period or two additional one year periods.
Partial Capitation Contract (PDF, 494KB, 122pg.)
- This is the Model Contract that has been approved by the Centers for Medicare and Medicaid Services (CMS) for a Medicaid Advantage Plus (MAP) plan. The Model covers the period 1/1/12 to 12/31/14, with opportunity for one additional two year period or two additional one year periods.
Medicaid Advantage Plus (MAP) Model Contract (PDF, 683KB, 213pg.)
- This is the Model Contract for the Program of All-Inclusive Care for the Elderly (PACE) plan. The Model covers the period 1/1/12 to 12/31/14, with an opportunity for one additional two year period or two additional one year periods.
PACE Model Contract (PDF, 499KB, 79pg.)
- This is the Model Contract that has been approved by the Centers for Medicare and Medicaid Services (CMS) for the Medicaid Advantage plan. The Model covers the period 1/1/2011 to 12/31/13, with an opportunity for one additional two year period or two additional one year periods.
Medicaid Advantage Model Contract (PDF, 885KB, 226pg.)
- MRT 101: Develop initiatives to integrate and manage care for eligible duals
- MRT 103: Reduce the Use of Certain Services - Revision
- MRT 131: Reform Medical Malpractice and Patient Safety
- MRT 134: Audit of Institutional Cost Reports - Fee Schedule
- MRT 1458: New Populations and Benefits Transitioning to Mainstream MMC (PDF, 353KB, 28pg.)
- MRT 1462: Changes to the Partnership for Long Term Care (PLTC) Insurance Program
