NYS will receive $12 million in federal funding over six years for implementation of the CMS all-payer AHEAD Model, a global budget model that seeks to transform and stabilize certain hospitals.

Last week, the DOH selected 9 organizations to lead regional Social Care Networks aimed at integrating health care and social care under the State's Medicaid 1115 Waiver.

The association's comments noted that, although older adults are the state's fastest-growing demographic group, the waiver does little to address the unique needs of older adults, especially those who need long-term care services.

As of Jan. 1, 2024, undocumented non-citizen residents of NYS are eligible for Medicaid through a mainstream managed care plan.

The amended waiver will invest $7.5 billion in health and social care over three years, focusing on health equity, safety net hospitals, and workforce shortages.

In a letter to DOH, the associations and consumer advocates requested suspension of independent clinical assessments and a delay in the launch of independent 'immediate need' and 'expedited' initial assessments and independent reassessments, in light of scheduling, customer service, and accuracy concerns.

The association's comments to CMS on the State's proposed $13.5 billion waiver emphasized the need for funding mechanisms designed for dual eligibles and the long term care and aging services providers that serve them.

In case you missed the MRT Waiver public forum on Sept. 28^th, the DOH presentation slides, a recording of the presentation and public comments, and a transcript have been posted here.