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March 2015

2015-2016 Health/Medicaid Budget

A Consumer Checklist

It is time once again for MMNY’s Annual Budget Checklist!

We urge the Legislature to use this tool as a guide to support and protect the interests of people covered by Medicaid, as a final budget agreement is negotiated.

Fund the delivery system New York needs and deserves.  The Governor’s budget includes over $1 billion in capital funding for hospitals.  State funding should match the goals inherent in delivery system reform.  Invest funding for community-based and safety net providers.

 

 

Enhance community engagement in the Delivery System Reform Incentive Payment (DSRIP) program.  Require Performing Providers Systems (PPS) to have community service plans and community advisory boards to encourage involvement of consumers and community representatives served by each PPS.

 

Support implementation of the Basic Health Program.  Authorize and provide administrative support to ensure low-income adults have access to more affordable quality coverage.

 

Allow implementation of the Community First Choice Option.  Create the practice of Advanced Home Health Aides to enhance the workforce of people who serve people in their homes, and to garner Federal approval for the CFC Option.  Invest savings associated with the CFC Option into the state’s Olmstead plan.

 

 

Fund the Independent Consumer Advocacy Network.  Continue funding to support this program that provides individual, independent assistance and advocacy for people in long term care trying to navigate managed care.  Ensure this program will be equipped to serve more people who will soon transition to Medicaid Managed Care.

 

Fund Community Health Advocates.  Provide $5 million to sustain this vital program that provides post-enrollment consumer assistance services across the state.

 

 

Preserve temporary immediate need Medicaid and presumptive eligibility for personal care services.  When someone who is uninsured but appears to potentially be eligible for Medicaid needs services on an immediate basis, Medicaid should cover what they need.  Access to personal care services in a timely way is cost-effective and allows people to return home more quickly after a hospitalization.

 

Deny new co-pays in Medicaid Managed Care.   Studies have shown that even nominal co-pays for health services are a barrier to care.

 

This information is based on one-house budget positions.  Things may change as budget negotiations continue.

 

Remember the everyday New Yorkers who rely on the Medicaid program and the health care safety net as you deliberate the final Health/Medicaid budget!


November 2014

The State of New York's Medicaid Program:  What's on the horizon?

With so many changes still on the horizon in the Medicaid program, MMNY has put together a handy chart that lines out what's coming next.

Click here to access this quick-reference tool, and contact us with any questions you may have!

Please note, this document was revised January 2015 to reflect timeline changes announced by NYS DOH.

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August 2014

MMNY Statewide Webinar on DSRIP

Community Engagement in the Delivery System Reform Incentive Payment Program

featuring NYS Medicaid Director Jason Helgerson and Greg Allen, Office of Health Insurance Programs Director of Policy

Click here for a recording of this informative session on how the consumer advocacy community can be involved in the DSRIP planning process.

Slides from the webinar are available here.

Thank you to the Schuyler Center for Analysis and Advocacy for hosting the webinar!


May 2014

Comments on the Delivery System Reform Incentive Payment Program

As New York State begins to transform the entire delivery system through Medicaid Redesign, Medicaid Matters New York (MMNY) looks at the Delivery System Reform Incentive Payment (DSRIP) program in terms of how real people will interface with a newly-transformed system, how the providers and community-based organizations that serve them will continue to do their work, and how the Medicaid program will continue to meet the needs of everyone it is intended to serve.

MMNY submitted comments regarding key areas of interest and concern to Attachments I and J, as they are intended to govern the implementation of Performing Provider Systems (PPS) and the DSRIP projects, along with the Special Terms and Conditions agreed upon by the Department of Health and the Centers for Medicare and Medicaid Services (CMS)

The comments are available here.

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                                               contact: Lara Kassel, Coordinator, 518-463-1896, x124 or lkassel@medicaidmattersny.org