Spreadsheet: 2011-10-01_mrt_project_mgmt_workplan
Sheet: Completed

Milestones: | Date | Schedule | Budget | Risk | Description | Savings Target ($millions)
MRT# 6 |  |  |  |  | Project Name: [NAME] Care and Family Health Plus Profit (from 3% to 1%) Division Lead: DMC Team Lead: [NAME] Add'l Staff:  [NAME] Description:  Reduce the profit component included in the plan rates from 3% to 1% for the Medicaid and Family Health Plus Managed Care Programs. | -94
 |  |  |  |  | Revise Part 98-1.11(b) & (e)
 | 2011-03-11 00:00:00 | P | P | P | Submitted  regulatory Concept Paper to Regulatory Affairs Unit (RAU)
 | 2011-03-16 00:00:00 | P | P | P | Present Concept Paper to Regulatory Affairs Committee
 | 2011-04-22 00:00:00 | P | P | P | Prepare Regulatory package and submits to RAU
 | 2011-04-29 00:00:00 | P | P | P | RAU Submits [NAME] to DLA for approval
 | 5/20/2011 6/8/11 6/22/11 | P | P | P | RAU  seeks Commissioner's approval and files rule with Dept of State
 | 5/31/2011 6/22/11 7/6/11 | P | P | P | Emergency Rule filed with the Department of State
 |  |  |  |  | Calculate Revised Premium Rates
 | 8/1/2011 8/15/2011 8/25/2011 9/1/2011 9/14/2011 | P | P | P | Implement all changes to rates effective 4/1/11 (marketing, trend reduction, surplus reduction, inpatient changes, etc) & add pharmacy to 10/1/11 rates
 | 8/15/2011 8/25/2011 9/1/2011 9/14/2011 9/15/2011 | P | P | P | Submit Rates to DOB for approval
 | 9/12/2011 9/15/2011 9/21/2011 | P | P | P | DOB Approval
 | 2011-09-19 00:00:00 | P | P | P | Mercer rate certification letter
 | 9/26/2011 9/14/2011 9/15/2011 | P | P | P | Submit to CMS for approval
 | 10/24/2011 9/20/2011 9/23/2011 | P | P | P | Mail/Post rates after CMS approval and all needed changes have been made to model contract and 1115 waiver (see MRT 1458)
MRT #11 |  |  |  |  | Project Name:  Bundle Pharmacy into Medicaid Managed Care Division Lead: DFPP Team Lead: [NAME] Staff: [NAME], [NAME]   Description:  Move the NYS Medicaid Pharmacy program under the management of Medicaid managed Care to leverage additional clinical and fiscal benefits | -50
 |  |  |  |  | ADMINISTRATIVE
 | 2011-04-01 00:00:00 | P | P | P | Obtain enabling legislation |  |  |  | Completed
 | 2011-03-10 00:00:00 | P | P | P | Determine Federal Public Notice needs |  |  |  | Not required per CMS
 | 2011-03-10 00:00:00 | P | P | P | Amend 1115 Waiver for MMC |  |  |  | CMS has informed us that an amendment to the 1115 waiver does not have to be made
 | 2011-03-10 00:00:00 | P | P | P | Amend 1115 Waiver for Family Health Plus |  |  |  | CMS has informed us that an amendment to the 1115 waiver does not have to be made
 |  |  |  |  | [NAME]
 | 2011-03-28 00:00:00 | P | P | P | Submit evolution project |  |  |  | System requirements: edit to direct claims to MMC/FHP plans, submission of pharmacy claim data to MMC/FHP plans, process for recipiet of MMC/FHP pharmacy encounter claims, ability to pay E-Prescribing incentive to prescribers/pharmacies, eligibility information.
 | 2011-06-15 00:00:00 | P | P | P | Coordinate pharmacy claim data exchange with MMC/FHP plans |  |  |  | *Claim data transfer to allow DUR, transisition  - plans receive weekly pharmacy data
 | 2011-08-19 00:00:00 | P | P | P | Establish process for pharmacy encounter data submission to fiscal agent |  |  |  | Contract changing to require weekly feeds
 | 2011-10-01 00:00:00 | P | P | P | Implement EP1605 Bundle Pharmacy into Medicaid Managed Care |  |  |  | FRD meeting held 4/12/11
 |  |  |  |  | ELIGIBILITY SYSTEM CHANGES
 | 2011-05-15 00:00:00 | P | P | P | Submit system change request to eliminate CBIC cards for FHP beneficiaries |  |  |  | Discontinue cards for case type 24 and use card code X
 | 2011-06-15 00:00:00 | P | P | P | Resolve all outstanding system issues
 | 2011-06-20 00:00:00 | P | P | P | Submit SA to inhibit card code generator for FHP enrollees
 | 2011-06-27 00:00:00 | P | P | P | Submit SA to convert existing FHP enrollees
 | 2011-08-01 00:00:00 | P | P | P | Coding and development complete
 | 2011-08-22 00:00:00 | P | P | P | Eligibility system testing completed
 | 10/1/2011 10/18/11 | P | P | P | CBIC cards no longer produced for existing FHP enrollees
 | 2011-10-01 00:00:00 | P | P | P | Complete FHP card code conversion for upstate
 | 10/22/2011 11/21/11 | 8 | 8 | 8 | Begin conversion of card code downstate
 | 12/3/2011 12/7/11 | 8 | 8 | 8 | Complete FHP card code conversion for downstate
 |  |  |  |  | PROGRAM DEVELOPMENT
 | 2011-04-20 00:00:00 | P | P | P | Begin ongoing MMC Operational Issues Conference Calls |  |  |  | Briefed health plans
 | 2011-05-02 00:00:00 | P | P | P | Determine scope of benefits for MMC |  |  |  | Discussion to include the following: family planning (concern with Catholic based plans), hearing aid batteries, enteral nutrition, over the counter products (including emergency contraception), prenatal vitamins, insulin and diabetic supplies, and clotting factor products
 | 2011-05-02 00:00:00 | P | P | P | Determine scope of benefits for FHP |  |  |  | Discussion to include the following: family planning (concern with Catholic based plans), hearing aid batteries, enteral nutrition, over the counter products (including emergency contraception), prenatal vitamins, insulin and diabetic supplies, and clotting factor products
 | 2011-05-13 00:00:00 | P | P | P | Identify transition issues |  |  |  | *Special populations,-hemophilia
 | 2011-05-20 00:00:00 | P | P | P | Establish transition policy and guidance |  |  |  | Comments due 4/27 for Draft document
 | 2011-05-27 00:00:00 | P | P | P | MMC/FHP transition procedures/policies and timeline issued to plans
 | 2011-06-01 00:00:00 | P | P | P | Notification to Medicaid Prescriber Education Program |  |  |  | PEP outreach to MC medical directors. Supplied with listing of plans & medical directors. Plan for outreach in development
 | 2011-07-01 00:00:00 | P | P | P | MMC/FHP ID card issuance |  |  |  | *Plans will determine need for cards.   Contract requires the use of CIN on all cards issued after 10/1/2004
 | 2011-07-06 00:00:00 | P | P | P | MMC/FHP evaluation of pharmacy data file by MMC/FHP plans to ensure transition |  |  |  | Plans should identify/propose solutions (target prescribers, patient outreach, etc)
 | 7/6/2011 7/10/11 7/25/11 9/6/2011 | P | P | P | Assess necessary cost report changes
 | 7/6/2011 7/10/11 7/25/11 | P | P | P | Require transition policy/identification of issues from MMC/FHP plans
 | 7/6/2011 7/10/11 7/25/11 | P | P | P | State to evaluate transition plan for coverage and access
 | 2011-08-12 00:00:00 | P | P | P | Evaluate plan contractual requirements |  |  |  | Mail order, third party liability, short cycle dispensing, medicare cross over billing, etc.
 | 7/27/2011 8/17/11 | P | P | P | State review/approval of transition plan completed
 | 2011-08-23 00:00:00 | P | P | P | CSC Call Center  staff training
 | 2011-09-02 00:00:00 | P | P | P | Develop process for handling issues post 10/1 implementation
 | 2011-09-02 00:00:00 | P | P | P | Develop Emergency process for at counter issues
 | 9/2/2011 9/15/11 | P | P | P | Provide pharmacy providers with MC/FHP billing information |  |  |  | *Guidance will include BIN and PCN#s for billing MC plans
 |  |  |  |  | CONTRACT
 | 6/10/2011 6/17/11 | P | P | P | Notification of contract changes to MMC plans
 | 6/10/2011 6/17/11 | P | P | P | Notification of contract changes to FHP plans
 | 2011-08-05 00:00:00 | P | P | P | Amend MMC contracts to include pharmacy benefit
 | 2011-08-05 00:00:00 | P | P | P | Amend FHP contracts to include pharmacy benefit
 | See MRT # 6 |  |  |  | Rate Implementation
 | 10/1/2011 11/1/2011 11/15/11 | P | P | P | Implement cost report changes
 |  |  |  |  | ELIGIBLITY
 | 2011-08-05 00:00:00 | P | P | P | Establish an eligiblity feed to MMC plans
 | 2011-08-05 00:00:00 | P | P | P | Establish an eligiblity feed to FHP plans
 | 2011-09-02 00:00:00 | P | P | P | Determine eligible MMC population (including guarantee MMC)
 | 2011-09-02 00:00:00 | P | P | P | Determine eligible FHP population (including guarantee FHP)
 |  |  |  |  | NOTIFICATIONS
 | 2011-04-08 00:00:00 | P | P | P | Determine if "reduction of benefits" letter is required to beneficiaries |  |  |  | REQUIRED
 | 2011-05-15 00:00:00 | P | P | P | Develop modifications for beneficiary coverage letter
 | 2011-06-06 00:00:00 | P | P | P | Participate in FE Conference Call
 | 2011-07-01 00:00:00 | P | P | P | Develop beneficiary notification
 | 2011-07-08 00:00:00 | P | P | P | [NAME] article to alert prescribers/pharmacies
 | 2011-07-08 00:00:00 | P | P | P | Develop poster/notification for MNY update
 | 2011-07-22 00:00:00 | P | P | P | Approved beneficiary notification translated
 | 8/2/2011 8/25/11 | P | P | P | Mail beneficary notification
 | 2011-08-12 00:00:00 | P | P | P | Provide Medicaid Helpline staff training information
 | 7/1/2011 8/2/11 8/24/11 | P | P | P | Participate in  MTAG conference call with LDSS
 | 2011-08-05 00:00:00 | P | P | P | Develop GIS for LDSS
 | 2011-08-05 00:00:00 | P | P | P | Notification to Facilitated enrollers
 | 2011-08-05 00:00:00 | P | P | P | Notify SUNY FE trainers of program changes
 | 2011-08-05 00:00:00 | P | P | P | Notification to other state programs
 | 2011-08-12 00:00:00 | P | P | P | Determine changes needed for MMC/FHP website
 | 2011-08-12 00:00:00 | P | P | P | Determine changes needed for eMedny website and provider manuals
 | 2011-08-12 00:00:00 | P | P | P | Determine changes needed for DOH/pharmacy website
 | 2011-08-12 00:00:00 | P | P | P | Determine changes for MMC brochures, materials, etc…
 | 2011-08-12 00:00:00 | P | P | P | Determine changes for FHP brochures, materials, etc…
 |  |  |  |  | REBATE COLLECTION
 | 2011-04-15 00:00:00 | P | P | P | Establish rebate workgroup to include DFPP, CSC, MC staff
 | 2011-08-05 00:00:00 | P | P | P | Guidance to plans regarding forumulary development and management
 | 2011-08-05 00:00:00 | P | P | P | Establish process for OBRA rebate program administration
 | 2011-08-05 00:00:00 | P | P | P | Determine process for rebate collection
 | 2011-08-05 00:00:00 | P | P | P | Identify MMC/FHP data encounter contacts needed for data issues
 | 2011-08-26 00:00:00 | P | P | P | Process for MMC/FHP plans to provide drug data
 | 2011-08-26 00:00:00 | P | P | P | Data extract process
 | 2011-09-09 00:00:00 | P | P | P | Process to create and mail invoices
 | 2011-09-09 00:00:00 | P | P | P | Process for dispute resolution
 | 2011-09-16 00:00:00 | P | P | P | Notification to drug manufacturers
MRT# 15A |  |  |  |  | Project Name:  Enhance NYS Leverage for Supplemental Rebates Division Lead: DFPP Team Lead: [NAME]:  Allow the Commissioner of Health more flexibility to add drugs/classes to the PDP and in negotiating with manufacturers. | -0.83
 | 2011-04-01 00:00:00 | P | P | P | Obtain statute modification to allow the Commissioner more flexibility when directly with drug manufacturers  (PHL Article 2-A) section 272 11 (b).
 | 2011-04-01 00:00:00 | P | P | P | Obtain enabling  legislation allowing Commissioner to add drugs/drug classes to the PDP as preferred until the P&TC may conduct a review.   Revised language allows for a class with one drug.
 | 2011-04-01 00:00:00 | P | P | P | Identify potential drugs/classes
 | 2011-04-01 00:00:00 | P | P | P | Determine staffing needs
 | 2011-04-01 00:00:00 | P | P | P | Determine system impact.
 | 2011-04-15 00:00:00 | P | P | P | When inititiating SDC process, notify direct contract manufacturers of legislative changes that allow DOH to non-prefer selected drugs of specific manufacturers in the absence of successful negotiations.
 | 2011-05-02 00:00:00 | P | P | P | Revise PDL and post  on PDP website.
 | 2011-05-02 00:00:00 | P | P | P | Implement
MRT# 15B |  |  |  |  | Project Name:  [NAME] the Early Refill Process Division Lead: DFPP Team Lead: [NAME]:  [NAME] up requirements for obtaining authorization to fill a prescription when it is denied because it has been “refilled too soon.” | -1.05
 | 2011-04-01 00:00:00 | P | P | P | [NAME] revised policy for early fill
 | 2011-04-01 00:00:00 | P | P | P | Obtain legal approval of proposed policy
 | 2011-04-01 00:00:00 | P | P | P | Develop prior authorization procedures for exceptions
 | 2011-04-01 00:00:00 | P | P | P | Determine system impact.
 | 2011-04-01 00:00:00 | P | P | P | Implement EP 1555
 | 2011-04-01 00:00:00 | P | P | P | Determine staffing needs
 | 2011-04-01 00:00:00 | P | P | P | Develop and send e-blasts and DUR letters to providers (DUR letters will be mailed 3/18, Medicaid Update article will be published in March, e-blasts will be sent 3/18)
 | 2011-04-01 00:00:00 | P | P | P | Develop Medicaid Update articles and publish
 | 2011-04-01 00:00:00 | P | P | P | Communicate with stakeholders (PSSNY,MSSNY, OMIG)
 | 2011-04-01 00:00:00 | P | P | P | Implement new process with soft edit
 | 2011-06-01 00:00:00 | P | P | P | Turn off "04" claims edit override for hard edit.
MRT# 15G |  |  |  |  | Project Name:  Eliminate Part D Drug Wrap in Medicaid Division Lead: DFPP Team Lead: [NAME]:  Eliminate Medicaid coverage and reimbursement of drugs that are available to Medicaid/Medicare dual eligible beneficiaries through their Medicare Part D plans. | -2.8
 | 2011-04-01 00:00:00 | P | P | P | Obtain enabling legislation.
 | 2011-04-01 00:00:00 | P | P | P | Determine system impact. Modification to Medicare edit to eliminate bypass.
 | 2011-04-01 00:00:00 | P | P | P | Identify staffing needs.
 | 2011-09-01 00:00:00 | P | P | P | Develop beneficiary "Reduction in Benefit Notice" and schedule mailing
 | 2011-09-01 00:00:00 | P | P | P | Notify stakeholders via Medicaid Update article, e-blasts, etc.
 | 2011-09-01 00:00:00 | P | P | P | Develop GIS for local districts
 | 2011-09-01 00:00:00 | P | P | P | Communicate with stakeholders (SOAF,HIICAP,MRC,PSSNY,MSSNY,OMRDD, OMH, GNYHA, etc)
 | 2011-09-01 00:00:00 | P | P | P | Develop and provide information materials for DOH provider and beneficiary call centers
 | 10/1/2011 | P | P | P | Implement system and program changes
MRT# 15E |  |  |  |  | Project Name:  Rebuild NY Preferred Drug List Division Lead: DFPP Team Lead: [NAME]:  Change the way the preferred drug list is developed, in order to increase savings. | -11.9
 | 2011-04-01 00:00:00 | P | P | P | Obtain enabling legislation. Language  permitting the Commissioner to designate a member of the department to act on his/her behalf intentionally omitted, as was language calling for the elimination of "prescriber prevails"
 | 2011-04-01 00:00:00 | P | P | P | Identify systems impact
 | 2011-04-01 00:00:00 | P | P | P | Identify staffing needs.
 | 2011-04-01 00:00:00 | P | P | P | Create workgroup to develop strategy to achieve estimated savings.
 | 2011-04-02 00:00:00 | P | P | P | Identify State staff designated to chair P&TC
 | 2011-04-15 00:00:00 | P | P | P | Develop process for making recommendations to P&TC
 | 2011-05-01 00:00:00 | P | P | P | Communicate new procedures to stakeholders
 | 2011-05-01 00:00:00 | P | P | P | Implement administrative changes
 | 2011-05-01 00:00:00 | P | P | P | Engage Magellan in discussion to increase State's involvement in NMPI bid process
 | 2011-05-01 00:00:00 | P | P | P | Implement administrative changes
 | 2011-05-01 00:00:00 | P | P | P | Engage Magellan in discussion to increase State's involvement in NMPI bid process
MRT# 15H |  |  |  |  | Project Name:  Prior Authorization for Exempt Drug Classes Division Lead: DFPP Team Lead: [NAME]:  Allow prior authorization under the Preferred Drug Program (PDP) for the following drug classes: anti-depressants, atypical anti-psychotics, anti-retrovirals and immunosuppressants. | -6.4
 | 2011-04-01 00:00:00 | P | P | P | Obtain enabling legislation.
 | 2011-04-01 00:00:00 | P | P | P | Determine system impact.
 | 2011-05-01 00:00:00 | P | P | P | Create workgroup to identify savings opportunities, strategy and P&TC timeline.
 | 2011-06-01 00:00:00 | P | P | P | Notify stakeholders via Medicaid Update article, e-blasts, etc.
 | 2011-07-01 00:00:00 | P | P | P | Develop operational procedures for prior authorization that will minimize impact.
 | 2011-08-15 00:00:00 | P | P | P | Revise PDL removing PA prohibition language from class and re-post.
 | 9/1/2011 8/25/11 | P | P | P | Implement system changes to allow grandfathering for patients stabalized on non-preferred and to lengthen the time a PA is valid for to 1 year.
MRT# 15I |  |  |  |  | Project Name:  Implement Preferred Drug Program prior authorization requirements based on effective date Division Lead: DFPP Team Lead: [NAME]:  Accelerate the collection of rebates through immediate enforcement of a drug's non-preferred status. | -0.39
 | 2011-04-01 00:00:00 | P | P | P | Identify sytems impact. Will require change to enforce PA requirements based on effective date of PA code rather than date written. Work with DOS.
 | 9/1/2011 7-25-11 | P | P | P | Notify stakeholders (prescribers,  pharmacies, manufacturers)   via Medicaid Update article, e-blasts, etc.
 | 10/1/2011 8-25-11 | P | P | P | Implement system changes to correctly enforce PA requirements based on effective date of PA code.
 | 10/1/2011 8-25-11 | P | P | P | Develop method to track savings.
MRT# 15K |  |  |  |  | Project Name:  Limit opioids to a four prescription fill limit every thirty days. Division Lead: DFPP Team Lead: [NAME]:  Limit opioid prescriptions to a four prescriptions fill limit every thirty days for Medicaid beneficiaries. | -0.2
 | 2011-04-01 00:00:00 | P | P | P | Obtain enabling legislation. |  |  |  | Executive language accepted.
 | 2011-04-01 00:00:00 | P | P | P | Identify systems impact. Consider up front clinical editing system.
 | 2011-04-01 00:00:00 | P | P | P | Identify staffing needs |  |  |  | Appeals pharmacist is in place under current PBM contract.  Additional State staff requirements under review.
 | 2011-06-01 00:00:00 | P | P | P | Develop  authorization procedures for exceptions
 | 2011-06-01 00:00:00 | P | P | P | Develop Fair Hearing process |  |  |  | Process set in statute
 | 2011-09-01 00:00:00 | P | P | P | Notify stakeholders (prescribers,  pharmacies, manufacturers)   via Medicaid Update article, e-blasts, etc.
 | 10/1/2011 12/1/11 | P | P | P | Implement
 | 2011-12-30 00:00:00 | 8 | 8 | 8 | Turn on system edit with 30 day lookback: deny opioid scripts >4
MRT# 17 |  |  |  |  | Project Name:  [NAME] fee-for-service dental payment on select procedures Division Lead: DFPP Team Lead: [NAME]: Fee-for-service dental payments should be reduced to match rates paid by managed care providers on high volume dental procedures. | -27.7
 | 2011-03-21 00:00:00 | P | P | P | Identify average Manage Care payment for dental procedures billed in NYS Medicaid in CY 2009
 | 2011-05-14 00:00:00 | P | P | P | Notify NYSDA, NYSADCs, and Oral Health Coalition of need for final comments by 5-16-11 - no additional comments were received.
 | 5/1/2011 5-16-11 | P | P | P | Finalize reduced dental fee schedule and provide to DPRUM and provider associations
 | 2011-05-18 00:00:00 | P | P | P | Load fees into eMedNY (retro to 5/15/11)
 | 5/1/11 5/19/11 | P | P | P | Implement effective 5/15/11
 | 5/15/2011 5/27/2011 | P | P | P | Notify providers via Medicaid Update and eMedNY Provider Communications
 | 2011-06-15 00:00:00 | 8 | 8 | 8 | Reprocess affected claims back to 5/1/11
MRT# 21 |  |  |  |  | Project Name: Streamline the Processing of Nursing Home Rate Appeals Division Lead: DHCF Team Lead: [NAME]: Streamline the processing of nursing home rate appeals by prioritizing and amending processing timeframes, authorizing negotiated settlements, and temporarily capping the annual dollar amount of appeals authorized to be processed | -40
 | Ongoing | P | P | P | Continue to update tracking mechanism to monitor appeal expenditures for compliance with $80M cap
 | Ongoing | P | P | P | Establish a list of "priority appeals" (budget to cost based appeals, remaining old 1983 rebasings, large capital projects etc.) that are not negotiated settlement candidates
 | Ongoing | P | P | P | Update criteria to identify financially challenged/unstable facilities (update for 2010 cost report when available - around October)
 | 2011-03-17 00:00:00 | P | P | P | Distribute draft appeals settlement agreement with OMIG. OMIG will review and respond on or before April 13, 2011 quarterly meeting.
 | 2011-05-01 00:00:00 | P | P | P | Identify next 25 homes to begin the negotiated settlement process with (Department is in the process of doing a pilot test settlement for two homes)
 | 5/15/11 6-1-11 | P | P | P | Finalize "negotiated settlement" document language with both DOH counsel and OMIG, Meet with DAL counsel on 5/3
 | 5/15/11 6-1-11 | P | P | P | Expand number of staff working on the "settlement team"
 | 2011-05-24 00:00:00 | P | P | P | Begin to contact the homes on the list of  25  to discuss negotiated settlement process, identify agreed to list of open appeals etc.
 | 2011-06-01 00:00:00 | P | P | P | Expand list to 50 homes
 | 6/8/2011 6-15-11 7/22/11 7-29-11 | P | P | P | Send a letter to homes seeking letter of interest, their list of outstanding appeals, and within 40 days estimates of the value of each outstanding appeal
 | 2011-08-31 00:00:00 | P | P | P | Hold Webinar for Nursing Homes that have submitted a Letter of Interest (week of Aug. 29)
 | 2012-03-01 00:00:00 | 8 | 8 | 8 | Draft Regulation to amend processing timeframes for appeals
MRT# 25 |  |  |  |  | Project Name: Remove Physician Component from Ambulatory Patient Group (APG) Base Rates Division Lead: DFPP Team Lead: [NAME]: Remove physician related reimbursement from hospital ambulatory patient groups (APGs) payment/rate structure. | -14.25
 | 2011-06-01 00:00:00 | 8 | 8 | 8 | CMS approval of additional APG investment
 | 2011-06-08 00:00:00 | 8 | 8 | 8 | Upon CMS approval of additional APG investment, identify and remove physician component from APG calculation and calculate new base rates
 | 2011-06-15 00:00:00 | 8 | 8 | 8 | Notify providers associations and providers of new base rates
 | 2011-06-15 00:00:00 | 8 | 8 | 8 | Submit package to DOB
 | 2011-07-06 00:00:00 | 8 | 8 | 8 | DOB approves rate package
 | 2011-08-15 00:00:00 | 8 | 8 | 8 | Implement (load rates into eMedNY-retroactive to 4/1/11) July-August 2011
 | 2011-06-15 00:00:00 | P | P | P | The additional $92M investment now pending approval at CMS is being placed on hold until SFY 12/13.  Since the $92M was to be reduced by $30M (to $62M) to accomplish this objective, this project has, in effect, been implemented.  The $30M does not need to be removed from the rates because the $92M was never added to the rates.  In fact the state share savings for SFY 11/12 is $31M higher than stated, although it is planned that the $62M (92 - 30) will be paid retroactively for SFY 11/12 in SFY 12/13.
MRT# 31 |  |  |  |  | Project Name:  Eliminate worker recruitment and retention Division Lead: DHCF Team Lead: [NAME]  Add'l Staff:   Description:  Eliminate worker recruitment and retention add-on from Medicaid rates of eligible Diagnostic and Treatment Centers (D&TCs) effective 4/1/11. | -6.5
 |  | P | P | P | Section 2807(17)(a)(x) under Article 28 of the Public Health Law ended WRR add-on on March 31, 2011.  If new periods are not added in the law, WRR add-on will be removed from applicable Medicaid rates effective 4/1/11. No FPN or SPA approval is required.
 | 2009-12-23 00:00:00 | P | P | P | Based on decision made by the Department, send a transmittal to remove WRR add-on effective 1/1/2010, while waiting for CMS approval that implements a new WRR allocation methodology for the period 7/1/07 - 3/31/11.
 | 2011-03-03 00:00:00 | P | P | P | Process a Budget package that adjusts WRR add-on retraoctively for the period 7/1/07-12/31/10 and add a new WRR add-on for the period 1/1/10 -3/31/11.  This budget package will reconcile WRR payments based on the new allocation method causing payouts and takebakcs among D&TCs.  The Package delivered to the Division of the Budget for their approval on 3/11/2011.
 | 2011-04-13 00:00:00 | P | P | P | Remove WRR add-on from the applicable Medicaid rates effective 4/1/11 when preparing a rate transmittal for the WRR Budget package.  Savings will be achieved going forward due to elimination of WRR add-on effective 4/1/11, not by the Budget package.
 | 2011-04-26 00:00:00 | P | P | P | Rates went to production on 4/26/11 and will be activated on 4/27/11 in cycle 1759.
MRT #37 |  |  |  |  | Project Name: Eliminate Case Mix Adj for AIDS Nursing Svcs in CHHA and [NAME] Division Lead: DHCF Team Lead: [NAME] with [NAME]  Description:  Eliminate separate rate adjustment for AIDS Nursing Services provided under the CHHA and [NAME] | -2.01
 | 2011-04-15 00:00:00 | P | P | P | Process annual 2011 "standard" (non-AIDS) Nursing per visit rates for LTHHCP's. Prepare  DOB package.
 | 2011-04-19 00:00:00 | P | P | P | Submit State Plan Amendment 11-53 to BHOFA for processing to CMS.
 | 2011-05-19 00:00:00 | P | P | P | Request BCSD project to modify CHHA/ LTHHCP rate development systems - MMIS transmittal changes to transmit "standard" nursing rates to eMEDNY on AIDS Nursing rate codes
 | 2011-06-01 00:00:00 | P | P | P | Process annual 2011 "standard" (non-AIDS) Nursing per visit rates forCHHA's.Prepare DOB package.
 | 2011-08-18 00:00:00 | P | P | P | CMS Approval of SPA
 | 11/1/2011 9/2/11 | P | P | P | After CMS approval received, [NAME] Rates for DOH and DOB approvals
 | 2011-10-16 00:00:00 | P | P | P | After DOB approval, Transmit "standard" 2011  nursing rates for LTTHCPs to eMedNY for loading to the AIDS nursing rate codes retro to statutory eff date of 4/1/11, and post rates and DAL letters to HPN
 | 2011-12-01 00:00:00 | P | P | P | After CMS approval received, Submit CHHA Rates for DOH and DOB approvals
 | 2011-12-15 00:00:00 | P | P | P | After DOB approval, Transmit "standard" 2011  nursing rates for CHHAs  to eMedNY for loading to the AIDS nursing rate codes retro to statutory eff date of 4/1/11, and post rates and DAL letters to HPN
 | 2012-03-01 00:00:00 | 8 | 8 | 8 | Request BCSD project to modify CHHA/ LTHHCP 2011 cost report software to consolidate AIDS and non- AIDS nursing cost for future rate development.
 | 2012-09-01 00:00:00 | 8 | 8 | 8 | Request DataMart extract from eMedNY system to track savings target
MRT# 54 |  |  |  |  | Project Name: Adjust 340B Drug  payment in 340B-eligible clinics via Ambulatory Patient Groups (APGs) Division Lead: DFPP Team Lead: [NAME]: Adjust payment downward under APGs for 340B Drugs in 340B-eligible clinics comparable to the savings inherent in the 340 B drug benefit program. | -0.25
 | 2011-04-12 00:00:00 | P | P | P | Notify Hospital Associations
 | 2011-04-19 00:00:00 | P | P | P | Notify providers via eMedNY Provider Communications
 | 2011-04-01 00:00:00 | P | P | P | Implement-all systems work already completed as of 3/15/11
MRT #61 |  |  |  |  | Project Name:  Home Care Worker Parity Division Lead: OLTC - DHCBS Team Lead: [NAME]Additional Staff: [NAME]:  [NAME] living wage for home care workers | 0
 | 2011-04-15 00:00:00 | P | P | P | DOH to review and modify if necessary CHHA and MLTC cost report to include wage information necessary to monitor compliance with parity requirement for applicable providers
 | 2011-04-15 00:00:00 | P | P | P | OLTC to review and modify if necessary LHCSA statistical report to include wage information necessary to monitor compliance with parity requirment for applicable providers
 | 2011-04-22 00:00:00 | P | P | P | Research initiated on local districts with [NAME] re: existing contracting and attestation process
 | 2011-05-02 00:00:00 | P | P | P | Convene internal meetings to determine content of guidance to implement parity requirement
 | 2011-05-15 00:00:00 | P | P | P | Consult with the Department of Labor on developing forms for providers to certify compliance with the parity requirement
 | 5/16/2011 6/6/11 | P | P | P | Prepare draft attestation form (internally) |  |  |  |  | Maintenance
 | 2011-06-17 00:00:00 | P | P | P | Share draft attestation form with internal workgroup (incl. DLA), solicit comments.
 | 6/1/2011 6/15/11 | P | P | P | Identify providers that employ home health aides in living wage areas as defined persuant to [NAME]
 | 2011-07-01 00:00:00 | P | P | P | Draft forms for provider certification, attestation and reporting related to the parity requirement
 | 2011-07-01 00:00:00 | 8 | 8 | 8 | DOH to develop mechanism to determine living wage in respective relevant areas
 | 8/1/2011 8/5/11 | P | P | P | Draft a DAL to be issued to impacted providers
 | 11/1/2011, 11/1/12, 11/1/13 | P | P | P | DOH to issue official notice of minimum rates of home care aid compensation for each applicable area on December November 1 of each year
 | annually | 8 | 8 | 8 | DOH to monitor provider compliance via submitted cost reports or other mechanisms
MRT # 55 |  |  |  |  | Project Name:  Increase coverage of tobacco cessation counseling Division Lead: [NAME] Team Lead: [NAME] staff:  [NAME], [NAME]:  Smoking cessation counseling services will be available to any Medicaid enrollee. | 0.31
 | 2011-01-11 00:00:00 | P | P | P | Draft Article 7 language
 | 2011-01-13 00:00:00 | P | P | P | Determine if SPA is needed
 | 2011-03-31 00:00:00 | P | P | P | Submit Federal Public Notice
 | 2011-03-11 00:00:00 | P | P | P | Determine if regulations are needed
 | 2011-03-18 00:00:00 | P | P | P | Determine any additional program  requirements
 | 2011-03-18 00:00:00 | P | P | P | Assess managed care impact
 | 2011-04-01 00:00:00 | P | P | P | Obtain legislative authority to provide  smoking cessation  counseling.
 | 2011-04-01 00:00:00 | P | P | P | Expansion implemented.
 | 2011-04-08 00:00:00 | P | P | P | Determine system requirements- edits and modifiers can be completed without an EP.
 | 2011-04-08 00:00:00 | P | P | P | Initiate payment discussion that will allow FQHCs to bill for SCC outside of their PPS rate.
 | 2011-04-21 00:00:00 | P | P | P | Draft policy/billing guidance for Medicaid Update- for May publication.
 | 2011-05-01 00:00:00 | P | P | P | Notify stakeholders (American Lung Assn and National Cancer Society) of program expansion
 | 2011-05-13 00:00:00 | P | P | P | Finalize payment policy and rates that will allow FQHCs to bill for SCC outside of their PPS rate.
 | 2011-05-15 00:00:00 | P | P | P | Notify FQHCs of policy and rate codes for  SCC.
 | 2011-06-01 00:00:00 | P | P | P | Implement payment policy and rates that will allow FQHCs to bill for SCC outside of their PPS rate.
MRT# 60 |  |  |  |  | Project Name: Delink Workers Compensation and No Fault (WCNF) Rates from Medicaid Division Lead: DOH / DHCF Team Lead: [NAME] Description:  WCNF rates can be delinked from the Medicaid Fee-for-Service inpatient rates and not receive the benefits of the Medicaid reimbursement cuts enacted in Medicaid.
 | 2011-03-03 00:00:00 | P | P | P | [NAME] of MRT Article VII.  Does not need Federal Public Notice or State Plan Amendment.
 | 2010-04-01 00:00:00 | P | P | P | Implement programming in Medicaid FFS rate sheet to separate WCNF -- Since the delink of the rates began 4/1/2010, this programming was implemented at that time.
 | 2011-04-20 00:00:00 | P | P | P | Publish Rates effective 4/1/2011 without Medicaid reductions:  letter to the Workers Compensation Board required to complete publication -- The January 1, 2011 WCNF rates have been calculated including the 2011 Trend Factor and without the reduction for Potentially Preventable Readmissions.  Since there are no changes to the rate method and the 1/1/2011 rates already reflect the 1% 2011 trend, the 4/1/2011 rates do not require any rate changes to the 1/1/2011 rate already calculated.
MRT # 83 |  |  |  |  | Project Name:  Expand SBIRT  Division Lead: [NAME] Team Lead: [NAME] Description:  Expand SBIRT (Screening, Brief Intervention and Treatment) for alcohol/drug use to allow services in additional settings (hospital ER, clinic and office settings) | -0.85
 | 2011-03-18 00:00:00 | P | P | P | Draft Article 7 language
 | 2011-04-01 00:00:00 | P | P | P | Obtain legislative approval
 | 2011-04-08 00:00:00 | P | P | P | Determine need for EP to add rate codes, set reimbursement amounts and program edits
 | 2011-04-11 00:00:00 | P | P | P | Initiate analysis of impact on MC capitation rates
 | 2011-05-03 00:00:00 | P | P | P | Hold meeting to discuss rates for payment in office settings (APGs already in place for ER/clinic settings)
 | 2011-05-14 00:00:00 | P | P | P | Submit draft provider qualifications, billing and and coverage guidance to OASAS/MMC
 | 2011-06-01 00:00:00 | P | P | P | Finalize provider qualifications, billing and coverage guidance
 | 2011-06-02 00:00:00 | P | P | P | Inititate updates to practioner fee schedules
 | 2011-06-15 00:00:00 | P | P | P | Finalize practioner fee schedules
 | 2011-08-08 00:00:00 | P | P | P | Publish Medicaid Update
 | 2011-08-24 00:00:00 | P | P | P | Submit updates for Provider Manuals
 | 2011-09-01 00:00:00 | P | P | P | Implement expansion
MRT # 116 |  |  |  |  | Project Name:  Accelerate IPRO Review of Medically Managed Detox  Division Lead: [NAME] Team Lead: [NAME] Description:  Refocus Island Peer Review Organization (IPRO) reviews of medically managed withdrawal cases from those based on DRG rates to those using the new rate codes | -1.1
 | 2011-03-25 00:00:00 | P | P | P | Discuss scope of project with OASAS staff
 | 2011-05-02 00:00:00 | P | P | P | Contact DOH IPRO coordinator to determine options for refocused review models, given scope of current contract
 | 2011-05-06 00:00:00 | P | P | P | Consult with OASAS staff to determine optimal model for refocused reviews
 | 2011-05-06 00:00:00 | P | P | P | Contact IPRO to discuss timeline for implementation of new review methodology
 | 2011-05-16 00:00:00 | P | P | P | Determine whether contract amendment is required
 | 2011-06-27 00:00:00 | P | P | P | Review (with OASAS and IPRO ) protocol and tools for refocused IPRO reviews
 | 6/27/2011 7/20/11 | P | P | P | Finalize (with OASAS and IPRO) protocol and tools for refocused IPRO reviews
 | 2011-10-01 00:00:00 | P | P | P | Effective implementation date
MRT#132 |  |  |  |  | Project Name:  Expand the Definition of Estate Division Lead: DCE Team Lead: [NAME] Description:  Expand definition of "estate" to include assets that bypass probate in order to recover more assets from the estate of a deceased Medicaid recipient.  Estate recoveries are pursued from the estate of deceased Medicaid recipients who were permanently institutionalized and from the estate of deceased Medicaid recipients over age 55.  Expand the definition of estate to allow recovery against non-probate assets (assets that fall outside of the estate, e.g. joint bank accounts, life estate interest) | -1.1
 |  |  |  |  | Policy and Procedure
 | 2011-04-15 00:00:00 | P | P | P | Complete review of policy issues
 | 5/16/2011 5-20-11 | P | P | P | Submit draft ADM for clearance
 | 6/1/2011 6/17/11 7-25-11 8-5-11 8-26-11 9/30/11 | P | P | P | Issue ADM
 |  |  |  |  | State Plan Amendment
 | 2011-04-22 00:00:00 | P | P | P | Submit draft SPA to DHCF for submission to CMS for informal review
 |  |  |  |  | Regulation Amendment
 | 6/1/2011 6/17/11 6/28/11 | P | P | P | Submit emergency regulation change (package in clearance)
 | 7/22/2011 8/5/11 8-26-11 9/8/11 | P | P | P | Adopt regulation
 |  |  |  |  | Estate Recovery Reporting
 | 2011-03-31 00:00:00 | P | P | P | Complete review of quarterly reports for estate recoveries
 | 5/30/2011 6/10/11 7/22/11 | P | P | P | Submit proposed changes to estate recovery reporting  - quarterly report identifies amounts recovered from non-probate assets in order to track savings.
MRT#137 |  |  |  |  | Project Name:  Disregard Retirement Assets Such as 401K Plans for MBI-WPD Division Lead: DCE Team Lead: [NAME] Description:  Raise the resource standard and disregard retirement accounts for the MBI-WPD program as an incentive to participation in the program. | 0.5
 |  |  |  |  | Policy and Procedure
 | 2011-04-30 00:00:00 | P | P | P | Complete review of policy issues
 | 7/1/2011 7/22/11 | P | P | P | Submit draft ADM for clearance
 | 9/1/2011 9/23/11 | P | P | P | Issue ADM
 |  |  |  |  | State Plan
 | 2011-05-13 00:00:00 | P | P | P | Submit draft SPA to DHCF for submission to CMS for informal review
 |  |  |  |  | Systems Updates
 | 2011-04-01 00:00:00 | P | P | P | Submit System Change Request
 | 2011-04-25 00:00:00 | P | P | P | Finalize system change requirements
 | 2011-05-01 00:00:00 | P | P | P | Finalize System Action Request
 |  |  |  |  | MBL
 | 2011-08-22 00:00:00 | P | P | P | Development/coding changes
 | 2011-10-07 00:00:00 | P | P | P | Unit testing
 | 2011-10-12 00:00:00 | P | P | P | User Acceptance
 |  |  |  |  | CEM/WMS
 | 2011-08-22 00:00:00 | P | P | P | Development/coding changes
 | 2011-10-07 00:00:00 | P | P | P | Unit testing
 | 2011-10-12 00:00:00 | P | P | P | User Acceptance
 |  |  |  |  | CNS
 | 2011-04-11 00:00:00 | P | P | P | Finalize and submit CNS notices
 | 2011-08-22 00:00:00 | P | P | P | Development/coding changes
 | 2011-10-07 00:00:00 | P | P | P | Unit testing
 | 2011-10-12 00:00:00 | P | P | P | User Acceptance
 | 2011-10-17 00:00:00 | P | P | P | Migrate system changes
 |  |  |  |  | Website
 | 2011-08-01 00:00:00 | P | P | P | Submit  revisions for MBI-WPD website, including Toolkit, for DOH clearance
 | 2011-09-30 00:00:00 | P | P | P | Post revisions to MBI-WPD website
 | 2011-10-22 00:00:00 | P | P | P | Implementation
MRT #147 (partial) |  |  |  |  | Project Name:  Eliminate or Modify Unnecessary Regulations Division Lead: OHSM Team Lead: [NAME]:  There are a number of suggested initiatives that require both statutory and regulatory actions to reduce burdens on hospitals and other health care facilities and expand access to capital. | 0
 |  |  |  |  | Implement a policy to allow approved nurse aide training program sponsors to provide training at nursing home sites which currently do not sponsor their own training
 | 2011-03-25 00:00:00 | P | P | P | 1.  Clarify scope of required changes
 | 2011-04-08 00:00:00 | P | P | P | 2.  [NAME] whether there are federal/state statutory/regulatory barriers to the changes
 | 2011-04-29 00:00:00 | P | P | P | 3.  Assuming no federal/state statutory/regulatory barriers, post advisory announcing the changes on HCS:
 | 2011-04-29 00:00:00 | P | P | P | 3.1 Develop application and application process.  Train staff.
 | 2011-04-29 00:00:00 | P | P | P | 3.2  [NAME] advisory (includes application)
 | 2011-05-13 00:00:00 | P | P | P | 3.3  Circulate for internal approval; modify as required; re-circulate for internal approval
 | 2011-05-27 00:00:00 | P | P | P | 3.4  Circulate for stakeholder approval; modify as required; recirculate for MRT approval
 | 2011-06-03 00:00:00 | P | P | P | 3.5  Post on HCS
 | 2011-06-03 00:00:00 | P | P | P | 3.6 Distribute to non-DOH stakeholders.
 |  |  |  |  | Develop a Uniform Incident Reporting System for Nursing Homes
 | 2011-03-01 00:00:00 | P | P | P | Create Project Proposal and Business Design Document
 | 2011-04-01 00:00:00 | P | P | P | Present Proposal to Internal Stakeholders
 | 2011-05-02 00:00:00 | P | P | P | Develop Prototype of Incident Form
 | 7/1/2011 9/1/11 | P | P | P | Design and Test Electronic Form via the Health Commerce System (HCS), and Receive Form Approval |  |  |  |  | Maintenance
 | 7/1/2011 9-15-11      9-23-11 10/4/11 | P | P | P | Develop, Receive Executive Clearance and Approvals, Send Dear Administrator Letter (DAL) to Nursing Home Administrators
 | 8/31/2011 9/23/11 10/4/11 | P | P | P | Post DAL; Reporting Manual; Online Form Tutorial; and PPT on DOH website and HCS.
 | 9/30/2011 10/4/11 | P | P | P | [NAME] to receive form data, and software interface to easily view incident.  Create features to copy and paste incident data into Federal Software System (ACTS).
 | 8/1/2011 10-1-11      10-5-11 | P | P | P | Develop Policies and Procedures to Receive Electronic Incident Form and Train Staff
 | 8/15/2011 10-15-11 | P | P | P | Implement Electronic Incident Form for Nursing Homes
MRT 153 |  |  |  |  | Project Name:  Develop Innovative Telemedicine Applications by Reducing Regulatory Barriers and Providing Payment Incentives Division Lead: DFPP Team Lead: [NAME]  Add'l Staff: [NAME]:  Promote and enhance coverage of telemedicine by providing payment incentives and reducing coverage barriers | -0.23
 | 2011-05-09 00:00:00 | P | P | P | Research Medicare's telemedicine policy including, but not limited to, credentialing arrangements, professional accountability/malpractice implications and coverage guidelines
 | 2011-05-01 00:00:00 | P | P | P | Research other State Medicaid programs' policy and coverage guidelines for telemedicine (including credentialing arrangements, etc.)
 | 2011-06-15 00:00:00 | P | P | P | Meet with key  stakeholders and organizations  to gather information and identify advantages and barriers to implementation of telemedicine, telehealth, teleradiology and telepsych.
 | 2011-06-15 00:00:00 | P | P | P | Determine,  with staff from the Office of Technology and Dept of Legal Affairs, security issues related to health information exchange, patient confidentiality, etc.
 | 2011-06-15 00:00:00 | P | P | P | Meet with OMH to explore telepsych coverage.
 | 2011-06-30 00:00:00 | P | P | P | Explore allowing certified diabetes and asthma educators (CDEs and CAEs) to provide telemedicine services
 | 2011-07-15 00:00:00 | P | P | P | Explore telemedicine models currently in operation (Univeristy of Rochester Health e Access Telemedicine Network model;   Fingerlakes Migrant Health Telemedicine Model, etc.)  Set up conference calls with key staff.
 | 2011-07-30 00:00:00 | P | P | P | Move ahead with expanding telemedicine coverage to D&TCs
 | 7/15/2011 07/30/11 | P | P | P | Establish payment criteria and develop reimbursement amounts
 | 8/15/2011 8/30/11 | P | P | P | Develop payment protocol and reimbursment methodology
 | 7/15/2011 07/30/11 8/15/11 8/30/11 9/15/11 9/22/11 | P | P | P | Facilitate coverage with Medicaid Managed Care plans
 | 2011-07-30 00:00:00 | 8 | 8 | 8 | Initiate regulatory process (concept paper, complete regulatory package, DLA review, publish proposed rule in the State Register, public comment period, respond to public comments, finalize regulation)
 | 9/1/2011 9/15/11 9/22/11 | P | P | P | Prepare a Medicaid Update article outlining telemedicine policy, coverage and billing guidelines
 | 9/15/2011 9/22/11 9/30/11 | P | P | P | Update provider manuals and guidance documents
 | 2011-09-30 00:00:00 | 8 | 8 | 8 | Regulation filed as final
 | 2011-09-30 00:00:00 | P | P | P | Educate Helpline and CSC staff to ensure that accurate policy information is communicated when responding to telemedicine inquiries
 | 2011-10-01 00:00:00 | P | P | P | Implement policy
MRT #1058 |  |  |  |  | Project Name:  Maximize Peer Services Division Lead: DFPP Team Lead: [NAME]:  Explore Medicaid Reimbursement for peer services such as care and recovery coaches | 0
 | 2011-03-31 00:00:00 | P | P | P | Submit FPN
 | 2011-04-20 00:00:00 | P | P | P | Begin research regarding use of peers in health programs including mental health and substance abuse programs, programs for people with developmental disabilities, and long term care programs.
 | 2011-05-03 00:00:00 | P | P | P | Meet with OMH, OPWDD, OASAS, OLTC regarding use of peers
 | 2011-05-20 00:00:00 | P | P | P | Meet with stakeholders to discuss ideas, suggestions, etc.
 | 2011-07-08 00:00:00 | P | P | P | Meet with stakeholders to share research findings and discuss recommendations
 | 2011-08-01 00:00:00 | P | P | P | Develop draft report and place in internal clearance
 | 8/8/2011 8/15/2011 8/25/2011 | P | P | P | Complete internal clearance and send to stakeholders for comments
 | 8/22/2011 9/1/2011 | P | P | P | Receive comments from stakeholders on draft report and revise report
 | 8/26/2011 9/6/2011 | P | P | P | Meet with stakeholders to discuss final edits
 | 9/9/2011 9/8/2011 | P | P | P | [NAME] report and place in final internal clearance for approval
 | 9/16/2011 9/9/2011 | P | P | P | Submit report to BHO Subcommittee
 | 2011-09-16 00:00:00 | 8 | 8 | 8 | Determine next steps based on report findings
 | 2011-10-03 00:00:00 | 8 | 8 | 8 | Announce report regarding the use of peers within Medicaid reimbursable programs
MRT# 1434 |  |  |  |  | Project Name: [NAME] a portion of Family Planning grants to Medicaid rate reimbursement Division Lead: DFFP Team Lead: [NAME]: [NAME] a portion of Family Planning grants to 90% federally funded Medicaid rates. | -7
 | 2011-03-14 00:00:00 | P | P | P | Begin drafting required SPA, Regulation changes, and Federal Public Notice
 | 2011-03-15 00:00:00 | P | P | P | Submit Public Notice
 | 2011-04-13 00:00:00 | P | P | P | Notify providers via Medicaid Update and eMedNY Provider Communications
 | 2011-03-25 00:00:00 | P | P | P | Submit SPA - SPA no longer required
 | 2011-05-01 00:00:00 | P | P | P | Submit regulation changes - Regulation no longer required |  |  |  |  | Maintenance
 | 5/23/2011 5/30/11 | P | P | P | Notify providers of the updated implementation methodology
 | 5/25/2011 5/30/11 6/22/11 | P | P | P | Receive schedule for contract updates from the Division of Family Health
 | 2011-06-22 00:00:00 | P | P | P | Emails sent to FP contractors informing them of their 2011 contract reductions (Bureau of Maternal Child Health)
 | 2011-07-01 00:00:00 | P | P | P | Implement Prospectively
 | 2011-10-15 00:00:00 | 8 | 8 | 8 | FP contract amendments complete (Bureau of Maternal Child Health) |  |  |  | Contract adjustments put off until next year when more data is available.
 | 2011-07-01 00:00:00 | 8 | 8 | 8 | Implement retroactive to 4/1/11 (pending SPA approval)
 | 2011-08-15 00:00:00 | 8 | 8 | 8 | Reprocess affected claims back to 4/1/11 - July-August 2011
MRT # 4155 |  |  |  |  | Project Name:  Eliminate Long Term Care Assessment Center Funding Division Lead:  Team Lead:  Add'l Staff:   Description:  Eliminate Long Term Care Assessment Center funding. | -6
 | 2011-04-01 00:00:00 | P | P | P | LTC Assessment Center Funding Removed from the Budget
MRT # 4655 |  |  |  |  | Project Name:  Expand Downstate FQHC Region Division Lead: DOH / DHCF Team Lead: [NAME] Add'l Staff:  [NAME], [NAME]:  Expand the downstate region to increase reimbursment to certain Federally Qualified Health Centers (FQHC) that serve residents of this region. | 2.4
 | 2011-04-27 00:00:00 | P | P | P | Submit FPN.
 | 2011-04-15 00:00:00 | P | P | P | Determine if regulations are needed.
 | 2011-04-18 00:00:00 | P | P | P | Work with BHOFA staff to prepare necessary State Plan Amendment materials.
 | 2011-04-20 00:00:00 | P | P | P | Submit State Plan Amendment 11-59.
 | 2011-04-29 00:00:00 | P | P | P | Calculate revised FQHC Rate Sheets
 | 2011-05-05 00:00:00 | P | P | P | Receive Medicaid Managed Care impact for Budget Package for wrap payment
 | 5/5/2011 5/20/2011 | P | P | P | Finalize Budget Package with revised FQHC/wrap Rates.  Submit for Executive approval.
 | 5/5/2011 5/20/11 | P | P | P | [NAME] package/rates to DoB for initial review
 | 5/26/2011 7/1/2011 7-20-11 | P | P | P | Receive Budget Package Executive approval
 | 7/20/2011 8/25/11 | P | P | P | Receive CMS Approval
 | 7/21/2011 8/26/11 | P | P | P | Submit Final Budget package/rates to DOB for approval
 | 7/28/2011 9/6/11 | P | P | P | Receive DOB Approval
 | 7/29/2011 9/8/11 | P | P | P | Transmit revised FQHC rates and other required data to eMedNY.