Under the proposed 1115 waiver, the value-based payment framework described in the Roadmap will drive a substantial investment in the State's health system.

DOH announced a delay in the implementation of the MLTC nursing home benefit limit due to a systems issue. The transition of long-term nursing home residents from MLTC to FFS will not take place on March 1^st upstate, as previously planned. The expected duration of the delay and whether it will affect the NYC transition were not known at the time of the meeting. The meeting also included updates on quality measure reporting, provider network submissions, and Medicare-Medicaid managed care procedures.

DOH hosted a webinar on Dec. 11^th to share details with stakeholders on the recently submitted application to extend and renew the State's DSRIP Program waiver. The webinar highlighted the successes of the first phase of DSRIP and described how the second phase would expand and strengthen the VBP arrangements initiated in the first phase.

DOH had suspended its calculation of value-based payment measures as a result of the COVID-19 pandemic. It resumed calculation of the Potentially Avoidable Hospitalization measure in measurement year 2021 and will calculate all Category 1 measures for PACE and MAP plans for 2023.

The 2022 VBP Roadmap Update would make VBP arrangements optional for partially capitated MLTC plans and their network providers. PACE and MAP plans would continue to be subject to VBP arrangements.

The Work Group met on Dec. 11^th to discuss strategies for strengthening and expanding VBP arrangements under Medicaid managed care and MLTC.