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Questionnaire NameNew York Partnership Plan - Amendment to serve Incarcerated Individuals
DescriptionNew York submitted a request to amend its 1115 demonstration to provide limited transitional coverage for services to incarcerated individuals who are enrolled in Medicaid for the 30 days prior to release from jail or prison. The state's goal is to decrease emergency department visits, hospitalizations, overdoses, and recidivism for recently released offenders who have two or more chronic diseases, HIV/AIDS, or a serious mental illness. The federal comment period will be open from October 21, 2016 through November 20, 2016.
Response FromID: #225805 on Nov 9th 2016 10:00 am
New York Partnership Plan - Amendment to serve Incarcerated Individuals

New York Partnership Plan - Amendment to serve Incarcerated Individuals

We encourage the public to submit their comments on as they relate to demonstrations open for public comments. In support of transparency and open government, all public comments received are immediately posted and are in the public domain. Center for Medicaid and CHIP Services staff will review all public comments posted and we reserve the discretion to delete comments that are generally understood as any of the following: obscene, profane, threatening, or otherwise inappropriate.

Refer to the Application

Open for Public Comment – 10/21/16 – 11/20/16

Please provide your comments here and/or attach below:

Dear Mr. Fishman:
To the terms of New York State’s Medicaid Section 1115 Demonstration Partnership Plan (11-W-00114/2), the State is required to seek Federal approval of any amendments. In accordance with this requirement New York State Department of Health (NYSDOH) is submitting this request to the federal Centers for Medicare & Medicaid Services (CMS) to amend the 1115 Waiver, seeking the following changes: NYSDOH is requesting an authorization of federal Medicaid matching funds for limited and targeted Medicaid services to be provided in the 30-day period immediately prior to release to incarcerated individuals who are eligible for and enrolled in Medicaid, and are eligible for New York’s Health Home program (i.e., they have two or more chronic physical/behavioral conditions, serious mental illness (SMI) or HIV/AIDS). The goals are to establish linkages to health care prior to release to help ensure individuals can remain healthy and stable in the community. The Amendment will also facilitate the goals of Delivery System Reform Incentive Payment (DSRIP) program to reduce avoidable hospitalizations and health care costs, as well as improve health outcomes.

Communities Together for Health Equity is strongly seeking an amendment to implement the Innovation Funding Proposal it is the only way Community Based Organizations will have routine funding to implement important projects that contribute to the goals of DSRIP. Even with incarceration the innovation fund will contribute to important Community Based Services for the re-entry population.

The DSRIP Innovation Fund provides a groundbreaking means for local community groups to bring their best ideas, best practices, and deep experience to meeting the overall DSRIP goals by joining with their local PPS’s to implement community projects that have enormous potential for improving well-being and reducing hospital and emergency room use. At this time, the state proscribed DSRIP projects allow little practical potential for community groups to participate; nor did the “top down” planning of DSRIP allow local communities to bring forward their best ideas and practices.

Communities Together for Health Equity presented this Proposal at the last CMS Public Advocate and Managed care meeting. A copy was sent to the New York State Department of Health Medicaid Director who has not responded.
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