Spreadsheet: 2011-10-01_mrt_project_mgmt_workplan
Sheet: MRT Proposals Project Workplan

 |  |  |  |  | MRT Proposals Project Management Plan
Short Title: | Rate Reform
Long Title: | Provider Rate Reform
Organization: | DHCAA
Lead: | [NAME]
Strategic Alignment:
Description: | Reform Provider Rates to achieve DHCAA goals. Provider value-driven health care within the framework of addressing the Medicaid budget challenge. Reduce utilization of discretionary, low-value health care services and increase access to necessary, high-value health care.
Outcome Measures: | >Budget savings (approx. $600 million AF).  >Provide more efficient health care.  >Improve member health care outcomes.
Assumptions & Notes: | 1) Design, Development and Testing Processes Can Begin Immediately Following HP Receipt of Detailed Requirements from the State. 2) For items where requirements are not completed and HP has not yet estimated Design, Development, and Implementation, UAT is estimated for approximately 4 weeks prior to implementation date. All UAT Dates indicate the estimated earliest "start" date for UAT. 3) Implementation dates are targeted dates to achieve the savings target amount; if implementation date changes, savings target will likely need to be revised.
Milestones: | Date | Schedule | Budget | Risk | Description | State Savings 2011-12 ($millions) | Change Indicator | Change Description | Information for Team Leads | Information for Team Leads | Information for Team Leads
Key: |  |  |  |  | P = Completed   8 = On Track    ▲ = Caution    T = Alert    _ = Unknown
MRT# 5 |  |  |  |  | Project Name:  [NAME] and Control Utilization of Certified Home Health Agency Services Division Lead: DHCF Team Lead: [NAME]  Add'l Staff:  [NAME]:  To control utilization and reduce costs, the proposal will transition long-term CHHA patients to Managed Long Term Care. | -100
 |  |  |  |  | PER-PATIENT SPENDING LIMITS:
 | 2011-03-15 00:00:00 | P | P | P | Request updated CHHA paid claims data for base year (CY 2009)
 | 2011-03-22 00:00:00 | P | P | P | Determine if preliminary caps will be implemented by adjusting provider rates or provider payments.
 | 2011-03-30 00:00:00 | P | P | P | Calculate Provider Caps and interim rate/payment adjustments.
 | 2011-04-01 00:00:00 | P | P | P | Work with BHOFA staff to prepare necessary State Plan Amendment materials.
 | 2011-04-01 00:00:00 | P | P | P | Determine if regulations are needed for Provider Caps - if so, work with legal staff to prepare regs. and determine public notice requirements.
 | 2011-04-11 00:00:00 | P | P | P | 10 days after legislation approved:  Send Dear Administrator Letter to providers regarding caps (if/when budget approved).
 | 2011-04-15 00:00:00 | P | P | P | Work with DOH Division of Systems and eMedNY staff to determine systems requirements.
 | 2011-04-19 00:00:00 | P | P | P | Submit State Plan Amendment 11-50 to BHOFA for processing to CMS.
 | 2011-04-29 00:00:00 | P | P | P | Contact DOH Managed Care staff to discuss potential issues involving accelerated movement of LT patients from CHHAs to MLTC.
 | 2011-05-15 00:00:00 | P | P | P | Distribute additional data used in calculation of caps to providers via HCS website.
 | 2011-05-25 00:00:00 | P | P | P | Meet with Division of Systems and Medicaid Financial Management to discusss recoupment issues/strategy.
 | 2011-06-23 00:00:00 | P | P | P | Home Care Webinar (Briefing on 2011-12 Enacted Budget Actions)
 | 2011-08-26 00:00:00 | P | P | P | Review claims data for April 2011 through July 2011 to determine if per-patient spending has decreased for specific providers.  Inform providers of resulting adjustments to claims payment reduction percentages.
 | 2011-08-30 00:00:00 | P | P | P | CMS approval of SPA
 | 2011-09-07 00:00:00 | P | P | P | On or before 9/7/11 providers have the opportunity to discuss with the Department the information provided on 8/26/11 to evaluate the progress they have made in per-patient spending.
 | 7/15/11 8/1/11 9/22/11 | P | P | P | Send Dear Administrator Letter to all providers, notifying them of CMS approval and schedule for implementing payment reductions on eMedNY.
 | 10/1/11 10/20/11 10/28/11 | P | P | P | . Provide all CHHAs with preliminary updates on provider progress toward reducing utilization; re-evaluate payment reduction percentages for affected CHHAs based on latest available data.
 | 2011-11-20 00:00:00 | 8 | 8 | 8 | Re-evaluate payment reduction percentages for affected CHHAs based on latest available data.
 | 9/15/11 10/31/11 12/1/11 | 8 | 8 | 8 | Analyze possible adjustments to MLTC rates due to increase in long-term patients transitioning from CHHAs.
 | 2011-12-20 00:00:00 | 8 | 8 | 8 | Re-evaluate payment reduction percentages for affected CHHAs based on latest available data.
 | 1/1/12 1/20/12 | 8 | 8 | 8 | Provide all CHHAs with updates on provider progress toward reducing utilization; re-evaluate payment reduction percentages for affected CHHAs based on latest available data.
 | 2012-02-20 00:00:00 | 8 | 8 | 8 | Re-evaluate payment reduction percentages for affected CHHAs based on latest available data.
 | 2012-03-20 00:00:00 | 8 | 8 | 8 | Re-evaluate payment reduction percentages for affected CHHAs based on latest available data.
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | Provide all CHHAs with updates on provider progress toward reducing utilization.
 | 2012-07-01 00:00:00 | 8 | 8 | 8 | Provide all CHHAs with preliminary data on utilization during FY 2011-12.
 | 2012-10-01 00:00:00 | 8 | 8 | 8 | Final reconciliation for 4/1/11-3/31/12 - calculate actual savings vs. target.
 |  |  |  |  | EPISODIC PAYMENT SYSTEM:
 | 2011-05-15 00:00:00 | P | P | P | Work with BHOFA staff to prepare necessary State Plan Amendment materials.
 | 2011-06-01 00:00:00 | P | P | P | Determine if regulations are needed for Provider Caps - if so, work with legal staff to prepare regs. and determine public notice requirements.
 | 2011-07-01 00:00:00 | P | P | P | Determine systems requirements.
 | 7/1/11 7/26/11 | P | P | P | Meet with industry representatives to plan for testing and provider software requirements.
 | 8/9/11 8-16-11 | P | P | P | Followup meeting with industry representatives
 | 2011-08-25 00:00:00 | P | P | P | Followup meeting with industry representatives
 | 2011-09-19 00:00:00 | P | P | P | Followup meeting with industry representatives
 | 6/1/11 6/10/11 8-1-11 10-1-11 | P | P | P | Formally Submit State Plan Amendment in Draft Form.
 | 10/1/11  10/15/11 | P | P | P | Finalize base price, CMI etc. from base year data (2009).
 | 10/17/11 11/10/11 | P | P | P | On 11/10/11 conduct a webinar for CHHA providers and vendors to provide implementation briefing.
 | 2011-12-01 00:00:00 | 8 | 8 | 8 | Submit final SPA and reg
 | 2011-12-31 00:00:00 | 8 | 8 | 8 | Provide detailed billing instructions to agencies
 | 2011-12-31 00:00:00 | 8 | 8 | 8 | Complete system design and begin testing
 | 2012-03-01 00:00:00 | 8 | 8 | 8 | Transmit episodic rates and other required data to eMedNY.
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | Implement episodic system.
 | 2013-01-01 00:00:00 | 8 | 8 | 8 | Evaluate data from first six months of episodic system - estimate savings.
 | 2013-07-01 00:00:00 | 8 | 8 | 8 | Evaluate date from full year of new system - compare savings to target.
MRT# 10 |  |  |  |  | Project Name: Eliminate Marketing Costs From Medicaid Managed Care and Family Health Plus Premiums Division Lead: DMC Team Lead:  [NAME] Staff:  [NAME] Description:  Eliminate the marketing  component from the Medicaid and Family Health Plus Rates | -22.5
 |  |  |  |  | Calculate Revised Premium Rates (note completion of  premium rate changes will  reflect impact of multiple MRTs)
 | 2011-03-16 00:00:00 | P | P | P | meet with trade associations todiscuss marketing carve-out
 | 2011-04-01 00:00:00 | P | P | P | calculate marketing carve-out component  from rate
 | See MRT # 6 |  |  |  | Rate Implementation
 |  |  |  |  | [NAME]
 | 4/1/2011 6-1-11 6/24/11 | P | P | P | Send marketing notice to plans and counties
 | 4/1/2011 6-1-11 6-22-11 | P | P | P | Contract changes drafted
 | 6/1/2011 7/1/2011 8/1/2011 9/10/2011 11/1/2011 1/31/2012 | 8 | 8 | 8 | Section 11 and Appendix D revisions of  model contract approved by by OSC
MRT #13 |  |  |  |  | Project Name:  Preschool/School Supportive Health Services (SSHSP) Cost Study Division Lead: DFPP Team Lead: Constance Donohue Description:  Increase federal Medicaid funding by determining actual costs incurred by school districts and counties in providing SSHSP services including transportation | -50 | Constance Donohue (cld03) 6-9512
 | 2011-01-11 00:00:00 | P | P | P | Draft Article VII language
 | 2011-02-28 00:00:00 | P | P | P | Transmit final Article VII language to DOB
 | 2011-03-15 00:00:00 | P | P | P | Begin drafting solicitation documents
 | 2011-03-30 00:00:00 | P | P | P | Public Notice date
 | 2011-04-01 00:00:00 | P | P | P | Authorizing legislation passed
 | 2011-05-10 00:00:00 | P | P | P | [NAME]
 | 2011-05-16 00:00:00 | P | P | P | Initiate clearance process
 | 5/6/2011 5-20-11 6-7-11 6-13-11 7-26-11 | P | P | P | Post solicitation documents on DOH website |  | Time line would be affected if competitive bid is required
 | 5/13/2011 5/27/11 6-14-11 6-20-11 8-2-11 | P | P | P | Bidders' questions due
 | 5/20/2011 6-3-11 6-21-11 8-16-11 8-23-11 | P | P | P | DOH responds to bidders' questions
 | 6/6/2011 6-20-11 7-8-11 7-13-11 8-30-11 9-7-11 | P | P | P | Proposals due (30 days)
 | 6/27/2011 7-15-11 9-9-11 9/14/11 9-27-11 | P | P | P | DOH completes review/evaluation of proposals
 | 7/1/2011 7-22-11 7-29-11 9-8-11 9/21/11 10/8/11 10/29/11 11/14/11 | P | P | P | DOH internal approval/contractor; sign contract
 | 5/13/2011 6-1-11 6-10-11 6-14-11 7/21/11 7/29/11 8-31-11 9-7-11 9/15/11 9-30-11 10-29-11 11-18-11 | 8 | 8 | 8 | Targeted SPA submission date
 | 7/2/2011 7-25-11 7-29-11 9-15-11 9/22/11 10/3/11 10/8/11 10/29/11 12/1/11 | 8 | 8 | 8 | Meet with contractor/contractor work begins
 | 7/8/2011 8-1-11 9-30-11 10-29-11 11/15/11 12/15/11 | 8 | 8 | 8 | Submit (transportation) study design to CMS for review per SPA #09-61
 | 7/15/2011 8-1-11 8-15-11 9-29-11 11/10/11 11/30/11 12/30/11 | 8 | 8 | 8 | Conduct cost study (contractor; coordinate with State Education Department)
 | 9/30/2011 12-31-11 | 8 | 8 | 8 | SPA approved
 | 8/22/2011 8-29-11 10-13-11 1/29/12 | 8 | 8 | 8 | Evaluate findings, develop updated SSHSP rates as appropriate
 | 9/1/2011 9-10-11 10-23-11 1-31-12 2/15/12 | 8 | 8 | 8 | Submit updated proposed rates to CMS
 | 9/15/2011 10-28-11 1-31-12 2/28/12 | 8 | 8 | 8 | Update rates in eMedNY
 | 9/15/2011 10-28-11 1-31-12 2/28/12 | 8 | 8 | 8 | Notify SSHSP providers of new payment rates
 | 10/1/2011 11-15-11 1-31-12 2/28/12 | 8 | 8 | 8 | Implement new payment rates
MRT# 14 |  |  |  |  | Project Name: Restructure Reimbursement for Proprietary Nursing Homes Division Lead: [NAME]   Team Lead: [NAME] Description: Effective April 1, 2011 modify the equity capital component of Nursing Home rates | -27.1 |  |  |  | Maintenance
 | 2011-04-01 00:00:00 | P | P | P | Set up designated Capital Rate set for 2011 Rates effective April 1, 2011
 | 5/13/2011 to 6/15/11 | P | P | P | Receive feedback from Industry about potential alternatives
 | 6/1/2011 6-30-11 | P | P | P | Submit SPA for CMS approval (SPA #11-49)
 | 7/1/2011 10/1/11 9/28/11 | P | P | P | SPA has been modified to reflect industry agreement - Upon CMS approval, revise the rates to reflect industry feedback / final decisions
 | 2011-09-28 00:00:00 | P | P | P | SPA approval received on 9/28/11
 | 7/15/2011 10/1/11 12/1/11 | 8 | 8 | 8 | Prepare DOB Schedule and DOB Memo
 | 7/15/2011 10/1/11 12/1/11 | 8 | 8 | 8 | [NAME] Admin letter to NHs advising them of rate change
 | 7/15/2011 10/1/11 12/1/11 | 8 | 8 | 8 | Upon CMS approval of SPA Submit DOB Schedule and DOB Memo for J.Ulberg, [NAME], and DOB Approval
 | 8/1/2011 10/1/11 12/1/11 | 8 | 8 | 8 | Send Rate Schedule to EMEDNY
 | 8/1/2011 10/1/11 12/1/11 | 8 | 8 | 8 | Mail DAL letter to NHs notifying of rate change
MRT #15 |  |  |  |  | Project Name:  [NAME] all Pharmacy FFS Proposals into a Comprehensive Reform Package Division Lead: Divison of Financial Planning & Policy (DFPP) Team Lead: [NAME]:  [NAME] all pharmacy fee-for-service proposals into one reform package which includes several initiatives that optimize rebate opportunities, reduce waste, rationalize coverage and reimbursement, or remove statutory limits that drive cost. | -55.83
 | 2011-04-01 00:00:00 | P | P | P | Proposal 15-A (see below)
 | 2011-04-01 00:00:00 | P | P | P | Proposal 15-B (see below)
 | 8/1/2011 3/1/12 | 8 | 8 | 8 | Proposal 15-C (see below) |  |  |  |  | Maintenance
 | 2011-05-01 00:00:00 | P | P | P | Proposal 15-E (see below)
 | 10/1/2011 1/26/12 | 8 | 8 | 8 | Proposal 15-F (see below)
 | 10/1/2011 | P | P | P | Proposal 15-G (see below)
 | 2011-10-01 00:00:00 | P | P | P | Proposal 15-H (see below)
 | 10/1/2011 8-25-11 | P | P | P | Proposal 15-I (see below)
 | 10/1/2011 8-25-11 | 8 | 8 | 8 | Proposal 15-J (see below) |  |  |  | Merged with 15-C
 | 2011-12-01 00:00:00 | P | P | P | Proposal 15-K (see below)
 | 1/1/2012 1/1/2013 | 8 | 8 | 8 | Proposal 15-L (see below)
MRT# 15C |  |  |  |  | Project Name: Reduce Pharmacy Reimbursement & Dispensing Fees Division Lead: DFPP Team Lead: [NAME]:  Reduction in pharmacy ingredient cost and dispensing fee reimbursement amounts to align with levels achieved in other State Medicaid Programs and commercial payers. | -30.2
 | 2011-04-01 00:00:00 | P | P | P | Obtain enabling legislation to reduce reimbursement & fees. |  |  |  | Executive language accepted.
 | 2011-04-01 00:00:00 | P | P | P | Obtain legislation to eliminate HIV Specialty Pharmacy designation and associated higher drug reimbursement. |  |  |  | Executive language accepted.
 | 2011-04-15 00:00:00 | P | P | P | Draft State Plan Amendment (SPA) (Program impact statement & State Plan Review Summary) |  |  |  | Complete.
 | 2011-04-15 00:00:00 | P | P | P | Meet with staff from ADAP re: HIV Specialty Pharmacy.
 | 2011-04-25 00:00:00 | P | P | P | Workgroup to determine strategy and timing for rate reduction |  |  |  | Staff from DFPP/DOB/DOIT
 | 2011-05-01 00:00:00 | P | P | P | Determine staffing needs. |  |  |  | No additional staffing requirements.
 | 2011-05-01 00:00:00 | P | P | P | Meet with regulated parties (PSSNY,  chains) |  |  |  | Discussion with PSSNY & NACDS 4/12- f/u to be scheduled week of 5/2
 | 2011-05-01 00:00:00 | P | P | P | Submit final SPA package |  |  |  | With State Plan Coordinator
 | 2011-05-15 00:00:00 | P | P | P | Establish Average Acquisition Cost (AAC) workgroup
 | 2011-07-01 00:00:00 | P | P | P | Establish  potential process for retroactive pricing adjustment to achieve savings estimate, if decision is made to retroactively apply reductions |  |  |  | SPA submission prior to 6/30/11 will be retro to first day of submission quarter (4/1).
 | 7/1/2011 8/1/11 8/15/11 | P | P | P | Revise reimbursement methodology in claims system |  |  |  | To be done internally by DFPP staff. Waiting for SPA approval
 | 7/1/2011 8/1/11 8/15/11 | P | P | P | Revise dispensing fees in claims system |  |  |  | To be done internally by DFPP staff. Waiting for SPA approval
 | 6/1/2011 6-15-11  7/1/2011 8/1/11 8/15/11 | P | P | P | Notify stakeholders through Medicaid Update article and Provider letters |  |  |  | Waiting for SPA approval
 | 6/1/2011 6-15-11  7/1/2011 8/1/11 8/15/11 | P | P | P | Update DOH website "Pricing Methodology" |  |  |  | Waiting for SPA approval
 | 7/1/2011 8/1/11 8/15/11 | P | P | P | Obtain SPA approval |  |  |  | Second set of questions received for 11-61.  Third set of questions received and responded to
 | 7/1/2011 8/1/11 8/15/11 | P | P | P | Implement |  |  |  | Savings are based on 4/1/11 implementation.  Staff have developed a plan that will achieve the savings based on a 4/1 date.
 | 2011-09-01 00:00:00 | P | P | P | Determine final payment for HIV pharmacy and notify FMG to make payment. |  |  |  | collect data from current HIV pharmacy and compute payment.
 | 10/1/2011 3/1/12 | ▲ | ▲ | ▲ | Implement AAC reimbursement methodology |  |  |  | Inclusion of AAC in the "lower of" reimbursement methodology has been removed from SPA 11-61. Determination has been made to complete pricing survey, develop reimbursement and resubmit to CMS once AAC pricing and dispensing fee has been developed. | Kalin, Please advise if Caution status is appropriate,  Also, would suggest changing date to 1/1/12
 |  |  |  |  | Reimbursement changes for clotting products and development of AAC |  |  |  | [NAME] 15-J; merged into 15-C 8/4/11
 | 2011-05-01 00:00:00 | P | P | P | Develop specialized pricing and appeals process. |  |  |  | Will use "lower of" acquisition cost or SMAC (currently provided by the Hemophilia consortium)
 | 2011-05-01 00:00:00 | P | P | P | Identify systems impact. Will require change to identify clotting factor and reimburse using appropriate methodology. Will need to develop acquisition cost field and pricing calculation. Work with DOS. |  |  |  | EP 1610 submitted 3/28/11.
 | 2011-05-01 00:00:00 | P | P | P | Identify staffing needs |  |  |  | No additional staff.
 | 10/1/2011 7-1-11 | P | P | P | Communicate with  stakeholders (beneficiaries with hemophilia, prescribers and pharmacy providers)
 | 2011-08-05 00:00:00 | P | P | P | Add clotting factor reimbursement changes to AAC project
 | 2011-08-10 00:00:00 | P | P | P | Complete  emergency regulation package authorizing the Department to require submission of acquisition cost
 | 8/15/2011 10/1/11  11/1/11  12/15/11 | 8 | 8 | 8 | Submit system project to revise reimbursement methodology |  |  |  | pushing this out until dispensing fee established.
 | 8/30/2011  10/1/11  10/20/11 | P | P | P | Develop reporting method/tool for acquisition cost |  |  |  | Will use Health Commerce System secure FTP.
 | 8/30/2011  10/1/11  10/20/11 11/25/11      12/15/11 | 8 | 8 | 8 | Develop method to determine appropriate dispensing fee |  |  |  | CPA firm has been identified and is beginning work on tool.
 | 9/30/2011 11/10/11  12/15/11  1/15/11 | 8 | 8 | 8 | Collection and analysis of data finalized
 | 10/1/2011 11/29/11 12/29/11 | 8 | 8 | 8 | Submit SPA requesting approval for AAC and proposed dispensing fee
 | 2012-02-01 00:00:00 | 8 | 8 | 8 | Notify providers
 | 2012-03-01 00:00:00 | 8 | 8 | 8 | SPA Approval
 | 2012-03-01 00:00:00 | 8 | 8 | 8 | System project complete
MRT# 15F |  |  |  |  | Project Name:  Implement a Voluntary Mail Order Program Division Lead: DFPP Team Lead: [NAME]:  Create a mail order pharmacy benefit for maintenance drugs, to take advantage of higher discounts. | 0
 | 2011-04-15 00:00:00 | P | P | P | Determine need for regulatory changes. [Any willing provider] |  |  |  | Complete
 | 2011-05-01 00:00:00 | P | P | P | Identify staffing needs
 | 2011-05-01 00:00:00 | P | P | P | Develop  reimbursement rates for VMO pharmacies                            BRAND: AWP-20% or WAC - 4%  (dispensing fee $3.50) GENERIC: The lower of AWP-25%, Federal Upper Limit (FUL),  State Maximum Allowable Cost (SMAC), usual and customary, or Average Acquisition Cost (dispensing fee $2.00) |  |  |  | Brand-AWP-20% (3.50 dispensing).  [NAME] retail price (2.00 dispensing)
 | 2011-05-31 00:00:00 | P | P | P | State Plan Amendment (per CMS "any willing, qualified provider") |  |  |  | With State Plan Coordinator
 | 5/15/2011 6-1-2011 | P | P | P | Submit regulatory package |  |  |  | In executive clearance process
 | 2011-06-01 00:00:00 | P | P | P | Identify systems impact.  System enhancements will be required to ensure that VMO pharmacies are identified and  paid at appropriate rate. |  |  |  | EP 1606 submitted
 | 10/1/2011 12-1-11  3/1/12 | 8 | 8 | 8 | Notify stakeholders via Medicaid Update article, e-blasts, etc.
 | 8/1/2011  11/20/11 1/15/12 | 8 | 8 | 8 | Work with DLA to notify legislature of reimbursement rate for VMO |  |  |  | 60 day notice required.  Moving date back to align with implementation
 | 5/15/2011 6-1-2011   07/01/11  8/1/11 12/1/11   2/25/12 | 8 | 8 | 8 | Develop credentialing criteria and provider agreements |  |  |  | Work with enrollment
 | 5/15/2011 6-1-2011   07/01/11  8/1/11 12/1/11   2/25/12 | 8 | 8 | 8 | Make change to DOH policy manual
 | 10/1/2011 1-26-12  3/15/12 | 8 | 8 | 8 | Implement systems enhancements and appropriate reimbursement rates |  |  |  | working with DOIT
MRT# 15L |  |  |  |  | Project Name:  Proper disposal of unused meds and waste reduction through short cycle dispensing and re-dispensing  Division Lead: DFPP Team Lead: [NAME]:  Ensure the appropriate disposal and/or return of unused medications and require long term care (LTC) pharmacies to dispense in quantities less than 30 days | 0
 | 2011-05-01 00:00:00 | P | P | P | Identify systems impact. Requires changes to allow "partial fill, "  capture NCPDP short cycle billing fields, edit to require short cycle for LTC and apply appropriate dispensing fees. Will also need editing to enforce short cycle dispensing. EP have to included NCPDP fields once they are identified by established workgroups. System will be modeled after Part D 2012 project. |  |  |  | EP 1608 submitted 3/28/11.
 | 2011-05-01 00:00:00 | P | P | P | Identify staffing needs
 | 2011-06-01 00:00:00 | P | P | P | Determine need for regulatory changes related to returned meds
 | 2011-07-01 00:00:00 | P | P | P | Review and identify impact of federal ACA guidelines |  |  |  | Final Rule published 4/15/11
 | 2011-07-05 00:00:00 | P | P | P | Decision made to merge OMIG 154-4 (Pharmacy Restock) into plan.
 | 7/1/2011 7-31-12 | 8 | 8 | 8 | Collaborate with OMIG regarding MRT#154 "return to stock"
 | 10/1/2011 10-1-12 | 8 | 8 | 8 | Notify stakeholders |  |  |  | work with OLTC.
 | 11/1/2011 11-1-12 | 8 | 8 | 8 | Communicate procedural changes to providers through Medicaid Update, e-blasts, etc.
 | 12/1/2011 12-1-12 | 8 | 8 | 8 | Update provider manuals for pharmacy and LTC
 | 1/1/2012 1/1/13 | 8 | 8 | 8 | Implement
MRT # 24 |  |  |  |  | Project Name:  Payment for Enteral Formula with Medical Necessity Criteria Division Lead: DPRUM Team Lead: [NAME]:  Provide coverage of enteral formula to individuals who cannot obtain nutrition through any other means | -14.7
 |  |  |  |  | Legislative Change
 | 2011-04-01 00:00:00 | P | P | P | Legislation enacted
 |  |  |  |  | Federal Public Notice
 | 2011-03-09 00:00:00 | P | P | P | Draft to DHCF
 | 2011-03-30 00:00:00 | P | P | P | Published
 |  |  |  |  | State Plan Ammendment |  |  |  | SPA not needed
 | 2011-03-25 00:00:00 | P | P | P | Draft to DHCF
 | 2011-04-01 00:00:00 | P | P | P | Effective
 | 2011-06-30 00:00:00 | P | P | P | Last approval date
 |  |  |  |  | Regulation Change
 | 2011-03-16 00:00:00 | P | P | P | Identify and discuss with legal
 | 2011-03-21 00:00:00 | P | P | P | Draft to legal
 | 2011-05-01 00:00:00 | P | P | P | Emergency Rule Adopted |  |  |  | Will be published in 4/27/11 State Register, effective 5/1/11
 | 2011-06-10 00:00:00 | P | P | P | Assessment of public comment to DOH Regulatory Affairs
 | 2011-07-01 00:00:00 | P | P | P | Approval of assessment of public comment
 | 2011-07-05 00:00:00 | P | P | P | Emergency Rule Extended/Published
 | 2011-09-02 00:00:00 | P | P | P | 2nd Assessment of public comment to DOH Regulatory Affairs
 | 2011-09-09 00:00:00 | P | P | P | Signoff on Final Rule
 | 2011-09-28 00:00:00 | P | P | P | Proposed Rule Adoption/Published
 | 2011-11-14 00:00:00 | P | P | P | Expiration of public comment period on proposed rule
 |  |  |  |  | Staff Training
 | 2011-04-15 00:00:00 | P | P | P | Prior Approval procedures
 | 2011-04-15 00:00:00 | P | P | P | Pended claims procedures
 | 2011-04-15 00:00:00 | P | P | P | Provider Inquiries
 | 2011-04-15 00:00:00 | P | P | P | CSC Call Center
 |  |  |  |  | System Changes
 | 2011-03-18 00:00:00 | P | P | P | Identify procedure file changes required |  |  |  | No procedure file changes needed - will be handled in PA system changes.
 | 2011-04-01 00:00:00 | P | P | P | PA Routing |  |  |  | EP submitted for systematic routing, will be done manually until EP implementation
 |  |  |  |  | Prior Authorization System Changes
 | 2011-01-31 00:00:00 | P | P | P | Identify changes required
 | 2011-02-07 00:00:00 | P | P | P | Estimate from contractor
 | 2011-03-21 00:00:00 | P | P | P | Secure funding
 | 2011-04-15 00:00:00 | P | P | P | Develop and test changes
 | 2011-05-02 00:00:00 | P | P | P | Implement changes
 | 6/15/2011 7/11/11 | P | P | P | Secure funding for cystic fibrosis bypass (an inborn metabolic disease where a standard oral formula, not an inborn metabolic formula, is needed) and maintenance contract which runs out July 1.
 | 7/15/2011 8/17/11 8/24/11 | P | P | P | Implement cystic fibrosis bypass
 |  |  |  |  | Provider Notification
 | 2011-03-21 00:00:00 | P | P | P | Develop langauge for coverage criteria and notification
 | 2011-03-25 00:00:00 | P | P | P | Notify provider associations
 | 2011-04-15 00:00:00 | P | P | P | Pharmacy and DME emedny.org communication
 | 2011-04-15 00:00:00 | P | P | P | eMedNY Listserv, DME and Pharmacy email
 | 2011-04-01 00:00:00 | P | P | P | Provider Manual - Fee Schedule update
 | 2011-04-27 00:00:00 | P | P | P | Provider Manual - Procedure Section update
MRT# 26 |  |  |  |  | Project Name: Utilization Controls on Behavioral Health Clinics Division Lead: DFPP Team Lead: [NAME]: Under this proposal, mental hygiene clinic rates would be subject to either provider specific or patient specific utilization standards or thresholds. | -13.3
 | 2011-03-12 00:00:00 | P | P | P | Receive draft proposals from Mental Hygeine Agencies
 | 2011-03-14 00:00:00 | P | P | P | Begin drafting required EP, SPA, Regulation changes (responsibility of Mental Hygiene Agencies), and Federal Public Notice
 | 2011-03-15 00:00:00 | P | P | P | Submit Public Notice
 | 2011-03-29 00:00:00 | 8 | 8 | 8 | Submit final EP to eMedNY (EP would only apply to patient speciifc thresholds)
 | 2011-05-15 00:00:00 | 8 | 8 | 8 | Notify providers via Medicaid Update and eMedNY Provider Communications
 | 2011-05-16 00:00:00 | P | P | P | Submit SPA
 | 2011-05-30 00:00:00 | P | P | P | Finalize proposals from Mental Hygeine Agencies
 | 5/15/2011 6/1/11 | P | P | P | Calculate standards or thresholds (responsibility of Mental Hygiene Agencies)
 | 5/1/2011 6-1-11 6-23-11 | P | P | P | Submit Regualtion
 | 5/15/2011 6-15-11 | P | P | P | EP or rate adjustments completed and submitted to DOS for systems work
 | 6/1/2011 6-15-11 7-15-11 8-15-11 9/15/11 10/15/11 11/1/11 1/1/12 | 8 | 8 | 8 | Implement retroactive to 4/1/11 (pending SPA approval) |  |  |  | Resubmitted some pages of SPA to CMS based on OASAS changes.  Currently awaiting feedback from CMS.
MRT# 29 |  |  |  |  | Project Name:  Reduce Transportation Costs through Regional Management Recommended Targeted Fee Actions Division Lead: DFPP Team Lead: [NAME]. Staff: [NAME] Description:  Achieve savings by State procurement of regional transportation management | -30.5
 |  |  |  |  | Medicaid Transportation Management Initiative below:
 | 2010-11-19 00:00:00 | P | P | P | Hudson Valley Transportation Management Procurement - posted on website
 | 2011-04-15 00:00:00 | P | P | P | Selection of Hudson Valley management contractor
 | 2011-04-30 00:00:00 | P | P | P | Negotiate Hudson Valley Contractor Bid
 | 2011-05-03 00:00:00 | P | P | P | Hudson Valley Contractor Award
 | 2011-05-20 00:00:00 | P | P | P | Hudson Valley Contractor submits required Work Plan
 | 2011-05-25 00:00:00 | P | P | P | DOH Approves Hudson Valley Contractor Work Plan
 | 2011-07-01 00:00:00 | P | P | P | Begin FFS management of Albany, Columbia, [NAME], [NAME], Orange, Ulster Counties
 | 2011-08-01 00:00:00 | P | P | P | Begin FFS management of Fulton, Montgomery, Putnam, Washington, Warren, counties
 | 2011-09-01 00:00:00 | P | P | P | Begin FFS Management of Westchester, Rockland Counties
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | Increase Hudson Valley contract by 9 additional counties: Broome, Cayuga, Dutchess, Oneida, Onondaga, Saratoga, Schenectady, Schoharie, [NAME]
 | 7/1/2011 1/1/12 | 8 | 8 | 8 | Carve out transportation from managed care - Hudson Valley 13 Counties
 | 2012-06-01 00:00:00 | 8 | 8 | 8 | Carve out transportation from managed care - 9 additional counties
 | 2011-04-15 00:00:00 | P | P | P | NYC Transportation Management Procurement - posted on website
 | 7/29/2011 8/29/11 10/3/11 | P | P | P | Selection of NYC management contractor |  |  |  |  | Maintenance
 | 8/12/2011 9/12/11 10/21/11 | P | P | P | Negotiate NYC Contractor Bid
 | 8/19/2011 9/19/11 10/31/11 12/1/11 | 8 | 8 | 8 | NYC Contractor Award
 | 9/2/2011 10/2/11 11/7/11 12/8/11 | 8 | 8 | 8 | NYC Contractor submits required Work Plan
 | 9/9/2011 10/9/11 11/22/11 12/15/11 | 8 | 8 | 8 | DOH Approves NYC Contractor Work Plan
 | 9/16/2011 11-1-11 2/1/12 | 8 | 8 | 8 | Begin FFS Management of NYC
 | 10/1/2011 9/1/12 1/1/13 | 8 | 8 | 8 | Carve out transportation from managed care - NYC
 |  |  |  |  | Western Region Transportation Management County Participation
 | 2011-10-07 00:00:00 | P | P | P | [NAME] method of procurement (new FAS? / other method?)
 | 2012-02-01 00:00:00 | 8 | 8 | 8 | Western Region Procurment Posted on DOH Website
 | 2012-06-01 00:00:00 | 8 | 8 | 8 | Selection of Western Region Management Contractor
 | 2012-06-15 00:00:00 | 8 | 8 | 8 | Negotiate Western Region Procurment Bid
 | 2012-06-22 00:00:00 | 8 | 8 | 8 | Western Region Contractor Award
 | 2012-07-07 00:00:00 | 8 | 8 | 8 | Western Region Contractor submits required Work Plan
 | 2012-07-14 00:00:00 | 8 | 8 | 8 | DOH Approves Western Region Contractor Work Plan
 | 2012-08-01 00:00:00 | 8 | 8 | 8 | Begin FFS management in Western Region
 | 2013-01-01 00:00:00 | 8 | 8 | 8 | Carve out transportation from managed care - Western Region
 |  |  |  |  | Medicaid Transportation fee changes below:
 | 2011-05-15 00:00:00 | P | P | P | Medicaid Update to Reduce ambulette dialysis fee to ADHC fee drafted
 | 6/1/2011 7/1/11 | P | P | P | Reduce ambulette dialysis fee to Adult Day Home Care (ADHC) fee
 | 2011-04-01 00:00:00 | P | P | P | Freeze transportation fees at the 4/1/11  level, with limited exceptions
 | 2011-12-01 00:00:00 | 8 | 8 | 8 | Hudson Valley , ROS managers development of group rides to major medical centers
 | 2011-04-29 00:00:00 | P | P | P | Approval of action plan to redirecting "frequent flyer" 911 users of ambulance transportation to  the appropriate transportation mode.
 | 2011-06-01 00:00:00 | P | P | P | Implement redirecting "frequent flyer" 911 users of ambulance transportation to  the appropriate transportation mode. |  |  |  | Estimated at $5 M annually for  860 enrollees with 10 + trips in 2010
MRT # 30 |  |  |  |  | Project Name:  Prescription Footwear Payment and Coverage Division Lead: DPRUM Team Lead: [NAME]:  Update the Medicaid footwear benefit coverage and payment methodology, reducing over utilization and administrative burden | -7.17
 |  |  |  |  | Legislative Change
 | 2011-04-01 00:00:00 | P | P | P | Legislation enacted
 |  |  |  |  | Federal Public Notice |  |  |  |  | Maintenance
 | 2011-03-09 00:00:00 | P | P | P | Draft to DHCF
 | 2011-03-30 00:00:00 | P | P | P | Published
 |  |  |  |  | State Plan Ammendment
 | 2011-03-25 00:00:00 | P | P | P | Draft to DHCF
 | 4/1/2011 5/1/11 | P | P | P | Effective |  |  |  | Reimbursement SPA effective 5/1/11
 | 2011-06-08 00:00:00 | P | P | P | Reimbursement SPA final to DHCF
 | 2011-06-15 00:00:00 | P | P | P | Final SPA to CMS
 | 2011-06-30 00:00:00 | 8 | 8 | 8 | Last submission date
 | 2011-08-17 00:00:00 | P | P | P | SPA approval
 |  |  |  |  | Regulation Change
 | 2011-03-16 00:00:00 | P | P | P | Identify and discuss with legal
 | 2011-03-21 00:00:00 | P | P | P | Draft to legal
 | 2011-04-01 00:00:00 | P | P | P | Emergency Rule Adopted |  |  |  | Will be published in 4/27/11 State Register, benefit limit effective 4/1/11, MRA effective 5/1/11
 | 2011-06-10 00:00:00 | P | P | P | Assessment of public comment to DOH Regulatory Affairs
 | 2011-07-01 00:00:00 | P | P | P | Approval of assessment of public comment
 | 2011-07-05 00:00:00 | P | P | P | Emergency Rule Extended/Published
 | 2011-09-02 00:00:00 | P | P | P | 2nd Assessment of public comment to DOH Regulatory Affairs
 | 2011-09-09 00:00:00 | P | P | P | Signoff on Final Rule
 | 2011-09-28 00:00:00 | P | P | P | Proposed Rule Adoption/Published
 | 2011-11-14 00:00:00 | P | P | P | Expiration of public comment period on proposed rule
 |  |  |  |  | Staff Training
 | 2011-03-25 00:00:00 | P | P | P | Update Prior Approval procedures
 | 2011-03-25 00:00:00 | P | P | P | Update pended claims procedures
 | 2011-03-25 00:00:00 | P | P | P | Provider Inquiries
 | 2011-03-25 00:00:00 | P | P | P | CSC Call Center
 |  |  |  |  | System Changes
 | 2011-03-18 00:00:00 | P | P | P | Identify procedure file changes required
 | 2011-03-31 00:00:00 | P | P | P | Update procedure file with benefit paramters
 | 2011-04-30 00:00:00 | P | P | P | Update procedure file with new pricing methodology effective 5/1/11
 | 2011-04-01 00:00:00 | P | P | P | PA Routing |  |  |  | EP submitted for systematic routing, will be done manually until EP implementation
 |  |  |  |  | Provider Notification
 | 2011-03-21 00:00:00 | P | P | P | Develop langauge for coverage criteria and notification
 | 2011-03-25 00:00:00 | P | P | P | Notify provider associations
 | 2011-04-01 00:00:00 | P | P | P | Pharmacy and DME emedny.org communication
 | 2011-04-01 00:00:00 | P | P | P | eMedNY Listserv, DME and Pharmacy email
 | 2011-04-01 00:00:00 | P | P | P | Provider Manual - Fee Schedule update
 | 2011-04-27 00:00:00 | P | P | P | Provider Manual - Procedure Section update
 | 2011-04-20 00:00:00 | P | P | P | Solicit MRA input from associations
 | 2011-05-01 00:00:00 | P | P | P | Implement new MRA's
MRT #34 |  |  |  |  | Project Name:  Establish Utilization Limits for Physical Therapy, Occupational Therapy, and [NAME] Lead: DFPP Team Lead: [NAME]; Additional Staff: [NAME]:  Establish utilization limits for physical therapy, occupational therapy, speech therapy (speech-language pathology) for practitioners and clinics. | -2.47
 | 2011-01-11 00:00:00 | P | P | P | Draft Article VII language
 | 2011-03-09 00:00:00 | P | P | P | Draft Federal public notice
 | 2011-03-30 00:00:00 | P | P | P | Federal Public Notice
 | 2011-04-01 00:00:00 | P | P | P | Prepare State Plan Amendment
 | 2011-04-01 00:00:00 | P | P | P | Targeted SPA submission date
 | 2011-04-01 00:00:00 | P | P | P | Authorizing language passed
 | 2011-04-15 00:00:00 | P | P | P | Initiate preparation of Evolution Project Request (EPR) to effect systems (eMedNY) changes
 | 2011-04-30 00:00:00 | P | P | P | Meet with provider representative groups (e.g., NYSSLHA, NYSOTA, NYSPTA)
 | 2011-05-04 00:00:00 | P | P | P | Meet with NYSSLHA representatives
 | 2011-05-05 00:00:00 | P | P | P | Contact Medicaid Matters to schedule meeting
 | 2011-06-08 00:00:00 | P | P | P | Draft recipient notice - will be included with pharmacy notice to recipients regarding pharmacy bundling into managed care
 | 2011-07-21 00:00:00 | P | P | P | Prepare Q&A's for use by call center staff
 | 5/7/2011 6/10//11 6-24-11 7/13/11 8/1/11 | P | P | P | Respond to any requests for additional information
 | 8/1/2011 8/15/11 8-25-11 | P | P | P | Initiate recipient mailing
 | 7/31/2011 8-15-11 8/30/11 9/30/11 | P | P | P | Update provider manuals
 | 2011-09-01 00:00:00 | P | P | P | Post updated provider information/prepare Medicaid Update
 | 2011-10-01 00:00:00 | P | P | P | Implement changes
 | 2012-02-23 00:00:00 | 8 | 8 | 8 | Scheduled implementation date for Evolution Project 1472
MRT # 42 |  |  |  |  | Project Name:  Stocking coverage Division Lead: DPRUM Team Lead: [NAME]:  Limit Medicaid coverage for compression stockings to the Medicare criteria and include coverage during pregancy | -0.93 | 2.13 | 2.13
 |  |  |  |  | Legislative Change
 | 2011-04-01 00:00:00 | P | P | P | Legislation enacted
 |  |  |  |  | Federal Public Notice
 | 2011-03-09 00:00:00 | P | P | P | Draft to DHCF
 | 2011-03-30 00:00:00 | P | P | P | Published
 |  |  |  |  | State Plan Ammendment |  |  |  | SPA NOT NEEDED
 | 2011-03-25 00:00:00 | P | P | P | Draft to DHCF
 | 2011-04-01 00:00:00 | P | P | P | Effective
 | 2011-06-30 00:00:00 | P | P | P | Last approval date
 |  |  |  |  | Regulation Change
 | 2011-03-16 00:00:00 | P | P | P | Identify and discuss with legal
 | 2011-03-21 00:00:00 | P | P | P | Draft to legal
 | 2011-04-01 00:00:00 | P | P | P | Emergency Rule Adopted |  |  |  | Will be published in 4/27/11 State Register, effective 4/1/11
 | 2011-06-10 00:00:00 | P | P | P | Assessment of public comment to DOH Regulatory Affairs
 | 2011-07-01 00:00:00 | P | P | P | Approval of assessment of public comment
 | 2011-07-05 00:00:00 | P | P | P | Emergency Rule Extended (7/5)/Published (7/20)
 | 2011-09-02 00:00:00 | P | P | P | 2nd Assessment of public comment to DOH Regulatory Affairs
 | 2011-09-09 00:00:00 | P | P | P | Signoff on Final Rule
 | 2011-09-28 00:00:00 | P | P | P | Proposed Rule Adoption/Published
 | 2011-11-14 00:00:00 | P | P | P | Expiration of public comment period on proposed rule
 |  |  |  |  | Staff Training
 | 2011-03-25 00:00:00 | P | P | P | Prior Approval procedures
 | 2011-03-25 00:00:00 | P | P | P | Provider Inquiries
 | 2011-03-25 00:00:00 | P | P | P | CSC Call Center
 |  |  |  |  | System Changes
 | 2011-03-18 00:00:00 | P | P | P | Identify procedure file changes required
 | 2011-03-31 00:00:00 | P | P | P | Update procedure file
 | 2011-04-01 00:00:00 | P | P | P | PA Routing |  |  |  | EP submitted for systematic routing, will be done manually until EP implementation
 |  |  |  |  | Provider Notification
 | 2011-03-21 00:00:00 | P | P | P | Develop langauge for coverage criteria and notification
 | 2011-03-25 00:00:00 | P | P | P | Notify provider associations
 | 2011-04-01 00:00:00 | P | P | P | Pharmacy and DME emedny.org communication
 | 2011-04-01 00:00:00 | P | P | P | eMedNY Listserv, DME and Pharmacy email
 | 2011-04-01 00:00:00 | P | P | P | Provider Manual - Fee Schedule update
 | 2011-04-27 00:00:00 | P | P | P | Provider Manual - Procedure Section update
MRT# 49 |  |  |  |  | Project Name: Reimburse Art 28 clinics for HIV counseling/testing using APGs Division Lead: DFPP Team Lead: [NAME]: Medicaid will incorporate payment to Article 28 clinics for HIV counseling and testing services into the Ambulatory Patient Group (APG) payment structure. | -0.2
 | 2011-04-11 00:00:00 | P | P | P | Calcute applicable APG rate setting figures and update APG software
 | 2011-06-01 00:00:00 | P | P | P | Notify providers via Medicaid Update and eMedNY Provider Communications
 | 2011-06-10 00:00:00 | P | P | P | Calculate new FQHC rates and impacts
 | 2011-07-01 00:00:00 | P | P | P | Implement in APGs 7/1/11 as discussed with providers and provider assocaitions, no savings possible until Jan 1, 2012
 | 2011-07-28 00:00:00 | P | P | P | Notify FQHCs of rate changes
 | 10/1/2011 11/1/11 12/1/11 | 8 | 8 | 8 | Implementing new rates for FQHCs retroactive to 10/1/11 |  |  |  | 11/17:  Rates are currently with DOB for approval.
MRT #67 |  |  |  |  | Project Name:  Assist Safety Net Providers Division Lead: OHSM Team Lead: [NAME]: Provide a package of assistance to safety providers | 0
 | 2011-04-01 00:00:00 | P | P | P | Identify DOH workgroup members needed
 | 2011-04-01 00:00:00 | P | P | P | Determine which specific interventions are available after Budget passes: HEAL allocation, Temp operator authority, Anti Trust oversight, workforce retraining funds; nursing home temporary closure rate , capital restructuring
 | 2011-04-08 00:00:00 | P | P | P | Convene internal DOH workgroup to  develop initiative requirements and process:
 | 2011-04-15 00:00:00 | P | P | P | Identify stakeholders to consult - GNYHA, HANYS, Iroquois, NYSHFA, NYAHSA
 | 2011-05-06 00:00:00 | P | P | P | [NAME]  meetings for stakeholder input
 | 5/20/2011 6-3-11 6-13-11 | P | P | P | Develop defintion of eligible safety provider
 | 5/20/2011 6-3-11 6-13-11 | P | P | P | Identify criteria and requirements for provider application to Department
 | 2011-06-15 00:00:00 | 8 | 8 | 8 | Determine whether to develop recommendation for consideration by the Public Health and Health Planning Council to establish a Planning entity to assist in application assessment
 | 2011-06-15 00:00:00 | 8 | 8 | 8 | Establish Planning entity with PHHPC to assist Department
 | 6/30/2011 7/20/11 | P | P | P | OHIP to establish MA  rates for hospitals-- to assist closures and APG rate enhancement for voluntary inpatient bed reductions
 | 6/15/2011 7-20-11 | P | P | P | Identify DoH  process for evaluation of applications and determination of  what assistance/intervention will be provided
 | 6/15/2011 7-20-11 | P | P | P | Identify DoH resources both data and analysts to review applications
 | 6/15/2011 7-20-11 | P | P | P | Identify DoH resources to implement DoH agreed upon interventions
 | 8/31/2011 9/15/11 9/30/11 10/7/11 11-25-11 | 8 | 8 | 8 | Complete final review of application draft; approve final version
 | 6/1/2011 7-31-11 10/21/11 12-1-11 | 8 | 8 | 8 | Develop regs for Hospitals, DT&C, Nursing Home closure rate establishment
MRT # 68 |  |  |  |  | Project Name:  Repatriation of Out-of-State (OOS) Nursing Home Residents Division Lead: OLTC Team Lead: [NAME] Staff:  [NAME], [NAME], Teresa Scilipote, [NAME],[NAME], [NAME], [NAME], [NAME]:  This proposal would identify spending on out-of-state placements and seek to repatriate those individuals within three years. | 0
 | 2011-04-01 00:00:00 | P | P | P | Engage internal and external stakeholders to support the repatriation efforts.
 | 2011-05-01 00:00:00 | P | P | P | Identify residents receiving medicaid benefits living in out of state nursing homes.
 | 2011-05-01 00:00:00 | P | P | P | Develop a comprehensive workplan for repatriation of out-of-state nursing home residents. Based on assessment of recipient needs and available/necessary resources, the workplan will include a timeline outlining the action steps and milestones.
 | 2011-05-24 00:00:00 | P | P | P | Develop a Medicaid Prior Approval Process for all OOS nursing home placements.
 | 2011-06-01 00:00:00 | P | P | P | Select a small group of OOS providers /residents to begin engaging in repatriation efforts.
 | 2011-06-11 00:00:00 | P | P | P | Meet with out of state nursing home providers of the selected group to identify mechanisms needed to return residents to the most integrated setting in NYS.
 | 2011-06-30 00:00:00 | P | P | P | Convene workgroup comprised of staff from the Department of Health, Office of Mental Health and the Office of People with Developmental Disabilities to develop an accurate roster of NYS Medicaid recipients residing in out-of-state nursing homes.
 | 2011-07-01 00:00:00 | P | P | P | Identify an assessment methodology.
 | 2011-07-12 00:00:00 | P | P | P | [NAME] program to enhance compliance with OBRA 1987,Olmstead and ADA requirements.
 | 7/18/2011, 08/01/11 | P | P | P | Communicate provider expectations with the SCREEN and Level 1 processes.
 | 7/18/2011, 08/01/11 | 8 | 8 | 8 | Adapt Weekly Bed Census Survey to assess provider ability to deliver care and services for difficult to place individuals.
 | 2011-09-23 00:00:00 | P | P | P | Subit eMedNY Evolution project to update and automate out of state PA letters
 | 8/1/2011, 08/15/11 10/1/11 | P | P | P | Implement the Medicaid Prior Approval Process.
 | 8/30/2011, 9/16/11 | P | P | P | Calculate potential costs of repatriating recipients and creating additional resources, as needed, to return these individuals to NYS, and identify barriers to achieving repatriation goals.
 | 2011-10-12 00:00:00 | P | P | P | GIS Released
 | 10/1/11 10/13/11 | P | P | P | Convene a meeting with external stakeholders to develop a plan of action to support ongoing repatriation.
 | 10/13/2011, 11/15/11 1/1/12 | 8 | 8 | 8 | Develop and provide materials for nursing homes and hospital describing community based housing and service options.
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | Implement PA letters evolution project
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | Internal workgroup will develop an electronic tracking system correlated with the eMedny program to track placement of Medicaid recipients within the long term care system.
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | Develop an incentive plan for NYS long term care providers to facilitate the appropriate placement of residents within NYS.
MRT # 69 |  |  |  |  | Project Name:  Uniform Assessment Tool (UAT) for LTC Division Lead: [NAME] Team Lead: [NAME]:  Deliver electronic uniform assessment tool for long term care recipients | 1.85
 | Development and Testing of Uniform Assessment System
 | 2011-04-01 00:00:00 | P | P | P | Department of Health (DOH) submission of GCOM Software contract to Attorney General (AG) for approval.
 | 4/11/2011 4/8/11 | P | P | P | AG approval of contract with GCOM Software
 | 4/11/2011 4/8/11 | P | P | P | DOH submission of GCOM Software contract to Office of State Comptroller (OSC) for approval (pending AG approval).
 | 4/11/2011 4/14/11 4/21/11 | P | P | P | Release announcement of OLTC plans and intentions regarding uniform assessment in NYS.
 | 4/1/2011 4/8/11 4/15/11 | P | P | P | Department of Budget (DOB) approval of expenditure (B-1184) for NYSTEC to conduct independent verification & validation (IV&V) of delivered solution from GCOM.
 | 4/11/2011 4/29/11 5/11/11 | P | P | P | DOH submission of NYSTEC contract to OSC for approval.
 | 5/15/11 4/26/11 | P | P | P | OSC approval of contract with GCOM Software, Inc.
 | 5/15/2011 5/24/2011 | P | P | P | OSC approval of contract with NYSTEC
 | 2011-05-16 00:00:00 | P | P | P | Technology [NAME] -- pending GCOM and NYSTEC contract approvals by AG and OSC: Project kick-off initiates the software development project with technology vendors at the table. |  |  |  |  | Maintenance
 | 7/19/2011 8/2/2011 | P | P | P | DOH IT Signoff on Software Architecture
 | 7/20/2011 8/3/11 | P | P | P | Completion of Project Iteration #1 Project Planning
 | 10/3/2011 10/17/11 11/30/11 | 8 | 8 | 8 | Completion of Project Iteration #2 Technical Architecture
 | 12/15/2011 12/29/11 2/3/12 | 8 | 8 | 8 | Completion of Project Iteration #3 interRAI formats and supplements
 | 3/13/2012 3/27/12 4/25/12 | 8 | 8 | 8 | Completion of Project Iteration #4 LOC, CAPS, Training, System Performance
 | 5/18/2012 6/1/12 7/5/12 | 8 | 8 | 8 | Completion of Project Iteration #5:  Beta Test
 | 6/15/2012 6/29/12 8/2/12 | 8 | 8 | 8 | Completion of Final Candidate Cycle and System Acceptance
 | 8/31/2012 9/14/12 10/19/12 | 8 | 8 | 8 | Completion of Live Pilot
 | Beta & Pilot
 | 2011-06-10 00:00:00 | P | P | P | Computer Readiness Survey to LDSS and Service Providers
 | 6/6/2011 6/24/2011 7/5/11 | P | P | P | Identify Beta/Pilot participants
 | 2011-09-06 00:00:00 | P | P | P | Contact and Confirm Beta Participatants
 | 10/26/2011 11/15/11 | P | P | P | Conclude Beta Partipant Kickoff Meetings
 | 3/28/2012 4/27/12 | 8 | 8 | 8 | [NAME] Beta
 | 6/1/2012 7/5/12 | 8 | 8 | 8 | Conclude Beta
 | 7/2/2012 8/3/12 | 8 | 8 | 8 | Pilot Kickoff
 | 9/14/2012 10/19/12 | 8 | 8 | 8 | Pilot Conclusion
 | State-wide Implementation
 | TBD |  |  |  | Plan will be formulated based on beta participation and results.
 | Expanded Capabilities
 | TBD | 8 | 8 | 8 | Expanded Capabilities: Service Planning / Case Management
 | TBD | 8 | 8 | 8 | Expanded Capabilities: State-wide Implementation Planning
MRT # 70 |  |  |  |  | Project Name:  Multi-payer Statewide Patient Centered Medical Home Division Lead: Medical Director/DQE Team Lead: [NAME]; Additional Staff: Jackey [NAME]; [NAME], [NAME]: Expand the current Statewide Patient Centered Medical Home Program (PCMH) to more payers. | 8.5
 |  |  |  |  | Coordination with Internal Divisions
 | 2011-03-11 00:00:00 | P | P | P | CHPLUS INCORPORATION AND PMPM FOR FFS - Meet with CHPlus staff to discuss incorporation of CHPlus.  Additional meetings as necessary. |  |  |  | Plans will be required to submit CHPlus PCP rosters.  Per member per month payment done outside of capitation payment.
 | 2011-03-14 00:00:00 | P | P | P | Determine need for regulation |  |  |  | No
 | 2011-04-13 00:00:00 | P | P | P | DUALS-Reach out to relevent DOH staff also involved with duals to begin discussions on coordinating dual initiatives. |  |  |  | Meeting was held on 5/13/11. Awaiting submission of "mega waiver" to coordinate with OHIP dual initiatives.
 | 5/1/2011 9/1/2011 | 8 | 8 | 8 | MULTI-PAYER DEMO: Meet with DMC to discuss plan outreach, rate development, MMCOR reporting |  |  |  | Establish on going meetnigs if necessary.  Long-term.  A new multi-payer demo will not be implemented.
 | 2011-05-01 00:00:00 | 8 | 8 | 8 | MULTI-PAYER DEMO: Meet with DLA to ensure anti-trust protection. |  |  |  | Met with the group.  Focus is on mergers. This group is focusing on mergers. Not necessary to participate.
 | 2011-05-01 00:00:00 | P | P | P | CHPLUS INCORPORATION AND PMPM FOR FFS- Develop overall project design: establish general parameters for provider participation and eligible services;  identify internal and external stakeholders; establish payment models: risk adjusted global payments and FFS MH payments; identify systems (EP) needs. |  |  |  | Work nearly is complete on incorporating CHPlus into both the SW and ADK Demos.  Due to continued enrollment in Medicaid managed care and limited number of non-duals in Medicaid FFS, FFS medical home payments will remain an "add-on."
 | 2011-05-15 00:00:00 | P | P | P | In conjunction with MRT Proposal #217 create advisory group to the Commissioner consisting of payor and provider participants and stakeholders.  Advisory group will focus on both primary care objectives and patient centered medical homes. |  |  |  | Met with [NAME] and another meeting is scheduled to discuss combining work plans. Another meeting was held to discuss the ad hoc advisory group. Names were discussed and work continues.
 | 2011-05-02 00:00:00 | P | P | P | MULTI-PAYER DEMO: Assist DFPP with FAS. |  |  |  | Ongoing.  Due to continued enrollment in Medicaid managed car, there are a limited number of non-duals who are not in managed care.  This initiative is not being implemented.
 |  |  |  |  | Dual Integration
 | 7/1/2011 8/15/11  10/1/11 | P | P | P | Coordinate with Dual Grant |  |  |  | Dual eligibles will be participating in the ADK multi-payer demo through CMS' participation in the MAPCP program.  CMS will not be participating in any additional  multi-payer demos. The ability to integrate the duals into PCMH will depend on the "mega" waiver and possibly the dual grant.
 | 7/1/2011 8/15/11  10/1/11 | P | P | P | Coordinate with MLTC mandatory program
 | 7/1/2011 8/15/11  10/1/11 | P | P | P | Coordinate with CMS waiver
 | 7/1/2011 8/15/11  10/1/11 | P | P | P | Coordinate with Health Home initiative
 |  |  |  |  | Public Notice
 | 2011-03-09 00:00:00 | P | P | P | Draft Public Notice
 | 2011-03-29 00:00:00 | P | P | P | Public Notice Issued
 |  |  |  |  | State Plan Ammendment
 | 2011-03-22 00:00:00 | P | P | P | Draft State Plan Amendment for items: 3) testing new models of payment and 8) changing FFS payment methods. [NAME] for community-based physicians, DTCs, FQHCs and OPDs; |  |  |  | Will not submit SPA for PMPM for Medicaid FFS.
 | 4/15/2011 6/27/11 | P | P | P | Submit SPA: Testing New Models of Payment to CMS |  |  |  | Per DHCF direction, re-written and provided to DHCF on 6/3/2010.  Per DHCF, had meetings with DFFP and BMCF to determine  origins of fiscal. Does not appear that costs were assigned to this section of the MRT proposal.
 | 7/1/2011 9/1/11 11/1/11 | P | P | P | Answer RAIs in a timely manner |  |  |  | First comments from CMS were received and responses provided.  Responses sent to CMS 11/2/11.
 | 2011-04-22 00:00:00 | P | P | P | CHPlus - Draft State Plan Amendment
 | 2011-05-06 00:00:00 | P | P | P | CHPlus -Submit SPA to CMS
 |  |  |  |  | Incorporation of CHPlus into ADK and SW
 | 2011-03-01 00:00:00 | P | P | P | CHPlus - Meet with Health Plans and their Associations to discuss proposal
 | 2011-03-08 00:00:00 | P | P | P | CHPlus - Begin policy/draft requirements development
 | 2011-03-31 00:00:00 | P | P | P | CHPlus- [NAME] policy/task requirements
 | 2011-04-29 00:00:00 | P | P | P | CHPlus - Draft change specifications to MMCOR for cost reporting
 | 2011-08-15 00:00:00 | P | P | P | CHPlus - Request updated information on current CHPlus enrollees in medical homes
 | 2011-08-01 00:00:00 | P | P | P | CHPlus - Issue ADM informing plans of the project and supporting policies and requirements
 | 2011-08-01 00:00:00 | P | P | P | [NAME] changes to Plan Manual and contracts
 | 2011-09-01 00:00:00 | P | P | P | CHPlus - Receive CMS SPA approval (required for implementation)
 | 2011-09-01 00:00:00 | P | P | P | CHPlus - Compute additional payment and modify pmpm rates effective 10/1/2011
 | 2011-10-01 00:00:00 | P | P | P | CHPlus - Implement (effective 10/1/11)(Contingent upon implementation of programmatic requirements in CHPlus) |  |  |  | Will be implemented on 10/1/11.
 |  |  |  |  | PMPM For FFS SW and ADK
 | 2011-05-15 00:00:00 | P | P | P | Begin to develop, programming and testing of attribution methodology.  ADK attribution methodology applied to non-dual FFS recipients resulting in 24K individuals attributed to a MH provider.  Further work is needed to determine attribution based on a more expanded list of CPT codes and to determine whether those attributed to PCMH providers may be attributed to other non-PCMH providers if the methodology includes all Medicaid providers. |  |  |  | Note: Work completed.  Roughly a  third of the recipients in FFS who had visits with PCMH providers would be attributed to another non-PCMH provider - mostly OPDs.  However, the number of unique recipients attributed to PCMH providers would increase from 25K to 33K with the ADK list of CPT codes. Nevertheless, it was decided the conversion to a PMPM would not be pursued given the decreasing numbers of FFS enrollees and competing priorities vis a vis other components of this MRT and support of Health Homes.
 | 6/1/2011 7/15/2011 | 8 | 8 | 8 | [NAME] for FFS PMPM MH payments |  |  |  | Still unclear whether we will be submitting for this given plan to move more recipients into MMC.  As for ADK, [NAME] county scheduled to begin manadatory enrollment on 10/1.
 | 2011-08-01 00:00:00 | 8 | 8 | 8 | Oversee Evolution Request: Set up and attend meetings as necessary with DOIT and CSC.  Review FRD.  CSC testing. |  |  |  | Continual monitoring to ensure payments are accurate.
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | Implement eMedNY Systems Change - retroactive to 10/1/11 ?
 | 2011-09-01 00:00:00 | 8 | 8 | 8 | Draft Medicaid Update Article for 10/1/11 edition.
 |  |  |  |  | Level 3 New Payment Methodologies
 | 6/15/2011 8/1/201 10/1/11 11/1/11 1/1/12 | 8 | 8 | 8 | Begin to develop and test risk adjustment payment methodologies |  |  |  | Still awaiting SPA approval.  NYS DOH is submitting a LOI to CMS for the CPCI demos which includes a testing new models of reimbursement. If CMS invites NYS Medicaid to participate, a CPCI demo will dovetail with this aspect of the MRT.
 | 6/15/2011 8/1/2011 10/1/11 11/1/11 | 8 | 8 | 8 | Begin to establish any necessary data feed from providers or participants
 | 8/1/2011 10/1/2011 11/1/11 | 8 | 8 | 8 | Modify health plan contracts
 | 8/1/2011 10/1/2011  11/1/11 | 8 | 8 | 8 | Implement changes to MMCOR
 |  |  |  |  | New Multi-payer Demonstration
 | 9/1/2011   11/1/11 | P | P | P | Identify region and possible payers |  |  |  | At this time, there is no interest from other payers in participating in a new multi-payer ,medical home demonstrations. There are currently several operating throughout the state. THINC (Hudson Valley) and CDPHP (Capital Region) have indicated that they will be applying for CPCI. NYS DOH will send a letter to CMS expressing interest in these two regions as well as the entire state minus the ADK demo area.
 | 5/15/2011 9/1/2011 11/1/11 | 8 | 8 | 8 | Implementation - Begin to identify DOH (Medicaid/ CHPlus/OHIT/DLA)/SID/GOER/Civil Service workgroup participants. |  |  |  | Establish monthly meetings and conference calls.  Establish payor and provider expections with regard to certification, timeframes and payment.  (Draft Guidelines for participation.) Advise on implementation of EHR and a multi-payer datawarehouse(?) in order to implement performance measures and P4P. Develop attribution methodology.  [NAME] on risk adjustment.
 |  |  |  |  | Evaluation of: SW MH, Multi-payer Demo; New Level  Payment Methods
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | Develop an evaluation Plan; Contract with an independent evaluator (?) |  |  |  | Note: Baseline QARR and CAHPS rates available for current SW MH.  The current ADK and SW PCMH programs will continue to be evaluated. Baseline quality and utilization results are already available for theSW program using 2009 data.  ADK evaluation will occur as part of the payer  group and CMS' will evaluate MEdicaid outcomes through its evaluation contractor, RTI.
MRT #82 |  |  |  |  | Project Name:  Reduce reimbursement for Hospital Acquired Conditions      and Potentially Preventable Negative Outcomes (PPNOs) Division Lead: DHCF Team Lead: [NAME] Staff: Dr. [NAME]                                                                  Description: Reduce or deny payment to hospitals for patient conditions acquired while admitted to a hospital | (2.00) | (2.00) | (2.00)
 | Research and development
HACs | 2011-02-17 00:00:00 | P | P | P | Begin review of Federal policy/draft requirements (CMS HAC Proposed Rule) |  | Retrieved proposed rule from CMS website initial; analysis of requirements |  | Retrieved proposed rule from CMS website initial; analysis of requirements
 | 2011-03-11 00:00:00 | P | P | P | Research current Serious Adverse Events conditions in relation to HAC conditions |  | Analyzing how the SAE policy corresponds to the HAC policy |  | Analyzing how the SAE policy corresponds to the HAC policy
 | 2011-03-11 00:00:00 | P | P | P | Research side-by-side comparison of HACs/PPCs/PSIs for veracity and effectiveness as quality indicators and cost containers |  | Research and review each quality indicator looking for similarities, overlap, and condition specificity that will ensure the fullest measure of quality and safety for patients |  | Research and review each quality indicator looking for similarities, overlap, and condition specificity that will ensure the fullest measure of quality and safety for patients
 | 2011-03-14 00:00:00 | P | P | P | Research and analyze POA requirements for HAC implementation and expansion |  | Determined status of current POA compliance and effectiveness as relates to current SAE program; appears CMS understands the difficulty in the application of POA as an indicator for HACs and seem to be following NYSs lead on self-reporting and claim review as indicated in the HAC proposed rule; tentative plan for HAC indication is the redaction of the condition via ICD-9 code |  | Determined status of current POA compliance and effectiveness as relates to current SAE program; appears CMS understands the difficulty in the application of POA as an indicator for HACs and seem to be following NYSs lead on self-reporting and claim review as indicated in the HAC proposed rule; tentative plan for HAC indication is the redaction of the condition via ICD-9 code
 | 2011-04-01 00:00:00 | P | P | P | Complete policy definition
 | 2011-04-01 00:00:00 | P | P | P | Determine eMedNY systems impacts/requirements
 | 2011-04-01 00:00:00 | P | P | P | Design eMedNY systems configuration
 | 5/6/11 5/27/11 | P | P | P | Complete eMedNY system requirements
 | 6/1/11 6/21/11 7/28/11 | P | P | P | Delivery of software from 3M to CSC
 | 6/15/11 7/28/11 | P | P | P | Test eMedNY systems configuration
 | 2011-10-26 00:00:00 | P | P | P | Delivery of revised software from 3M to CSC that incorporates the Federal Rule changes |  | Pediatric and obstetrical exclusions to the development of deep vein thrombosis or a pulmonary embolism in connection with a total knee replacement or a hip replacement |  | Pediatric and obstetrical exclusions to the development of deep vein thrombosis or a pulmonary embolism in connection with a total knee replacement or a hip replacement
 | 11/1/11 - 12/31/11 | 8 | 8 | 8 | Retest eMedNY systems configuration
 | Communication
 | 3/4/11 3/10/11 4/21/11 4/28/11 | P | P | P | Internal policy discussions |  | Discussions focus on current state of SAE program, HAC requirements and strength of PPC concept as an alternative to achieve greater quality, safety, and cost effectiveness |  | Discussions focus on current state of SAE program, HAC requirements and strength of PPC concept as an alternative to achieve greater quality, safety, and cost effectiveness
 | 3/4/11         4/1/11 | P | P | P | Communications with 3M for APR-DRG grouper changes |  | Conference call with 3M to explore what APR-DRG grouper changes may be needed to comply with HAC requirement |  | Conference call with 3M to explore what APR-DRG grouper changes may be needed to comply with HAC requirement
 | 2011-03-11 00:00:00 | P | P | P | Discussions with associations about Present On Admission Indicator compliance (claims data quality issue) |  | Conference call:Talked about the POA as an indicator for HACs and why some hospitals are have issues on accurate reporting of indicator; associations claim they were unaware of the substantial number of hospitals w/reporting issues |  | Conference call:Talked about the POA as an indicator for HACs and why some hospitals are have issues on accurate reporting of indicator; associations claim they were unaware of the substantial number of hospitals w/reporting issues
 | 2011-03-11 00:00:00 | P | P | P | Communications with HANYS and GNYHA |  | Conference call with associations to explore the HAC requirement and whether PPCs would be a better alternative; associations split on PPC effectiveness, claiming that following Medicare's lead with AHRQ indicators would be less burdensome on hospitals |  | Conference call with associations to explore the HAC requirement and whether PPCs would be a better alternative; associations split on PPC effectiveness, claiming that following Medicare's lead with AHRQ indicators would be less burdensome on hospitals
 | 2011-03-17 00:00:00 | P | P | P | Meeting with 3M and Treo Solutions to discuss comparisons of quality indicators |  | Data analysis provided reflecting the strengths and weaknesses of the various quality indicators and associated cost effectiveness |  | Data analysis provided reflecting the strengths and weaknesses of the various quality indicators and associated cost effectiveness
 | 3/4/11       3/18/11        4/1/11 | P | P | P | Communications with eMedNY to determine systems impacts/requirements |  | Spoke with Mark(Malone) regarding the implementation of HACS to be effective July 1, 2011.  He indicated that if the only change being made was to effectuate a new grouper that suppresses the HAC in grouper assignment, CSC would need the software application no later than June 1.  However, we need to discuss the types of output fields that will be incorporated into the grouper since there will be requirements placed on us to identify the type and number of HACS being suppressed. |  | Spoke with Mark(Malone) regarding the implementation of HACS to be effective July 1, 2011.  He indicated that if the only change being made was to effectuate a new grouper that suppresses the HAC in grouper assignment, CSC would need the software application no later than June 1.  However, we need to discuss the types of output fields that will be incorporated into the grouper since there will be requirements placed on us to identify the type and number of HACS being suppressed.
 | 2011-03-18 00:00:00 | P | P | P | Communications with 3M for APR-DRG grouper changes needed to comply with 7/1/11 HAC implementation date and 10/1/11 APR-DRG revision update |  | In order to meet the needs for July 1, the APR DRG grouper itself will not be returning any HAC information. It will be assumed that the discharged APR DRG will be HAC adjusted based on the data that is passed through it. . However, you will be receiving a separate HAC component that will output HAC related information. I am waiting to hear back from the engineers so that I can provide you with the input and output info that you are requesting for yourself and CSC.  For October, the APR DRG grouper will be modified to provide an actual HAC adjusted discharge DRG along with the unadjusted discharge DRG and HAC related output. There are two phases that will need to be addressed, the immediate needs for July and the more involved changes for October. |  | In order to meet the needs for July 1, the APR DRG grouper itself will not be returning any HAC information. It will be assumed that the discharged APR DRG will be HAC adjusted based on the data that is passed through it. . However, you will be receiving a separate HAC component that will output HAC related information. I am waiting to hear back from the engineers so that I can provide you with the input and output info that you are requesting for yourself and CSC.  For October, the APR DRG grouper will be modified to provide an actual HAC adjusted discharge DRG along with the unadjusted discharge DRG and HAC related output. There are two phases that will need to be addressed, the immediate needs for July and the more involved changes for October.
 | 2011-04-01 00:00:00 | P | P | P | Meeting with 3M and eMedNY/CSC to discuss APR-DRG grouper software changes to facilitate 7/1 implementation of HACs |  | Conference call discussing work requirements and hardware and software strategies to ensure timely compliance with HAC directive on 7/1 and larger issues for APR-DRG grouper updates for 10/1 |  | Conference call discussing work requirements and hardware and software strategies to ensure timely compliance with HAC directive on 7/1 and larger issues for APR-DRG grouper updates for 10/1
 | 4/4/11        4/11/11 | P | P | P | Communication with [NAME] on Serious Adverse Events program implications
 | 2011-04-12 00:00:00 | P | P | P | Communicate with Department legal office for statute guidance on HAC program
 | 4/15/11     4/29/11      5/6/11 | P | P | P | Meeting with 3M and eMedNY/CSC to discuss APR-DRG grouper software changes to facilitate 7/1 implementation of HACs
 | Administrative
 | 2011-03-08 00:00:00 | P | P | P | Draft Federal Public Notice |  | Drafted and submitted information describing HAC and PPC program for inclusion to Medicaid Redesign Team Federal Public Notice |  | Drafted and submitted information describing HAC and PPC program for inclusion to Medicaid Redesign Team Federal Public Notice
 | 2011-03-15 00:00:00 | P | P | P | Review current Serious Adverse Events State Plan Amendment |  | Reviewed SPA content and determine what changes need to be made for implementing new policy |  | Reviewed SPA content and determine what changes need to be made for implementing new policy
 | 2011-03-30 00:00:00 | P | P | P | Public Notice Issued
 | 2011-04-01 00:00:00 | P | P | P | Draft State Plan Amendment
 | 2011-04-07 00:00:00 | P | P | P | [NAME] and submit clarifying Federal Public Notice
 | 2011-04-27 00:00:00 | P | P | P | Clarifying Federal Public Notice Issued
 | 3/21/11     3/30/11       4/1/11         4/5/11 | P | P | P | Design/Draft/Submit evolution project for eMedNY systems changes
 | 2011-04-15 00:00:00 | P | P | P | State Plan Amendment Completed
 | 2011-05-23 00:00:00 | P | P | P | Approved Evolution Project FRD
 | 2011-05-24 00:00:00 | P | P | P | Completed draft HAC/PPNO regulations
 | 2011-06-01 00:00:00 | P | P | P | Revise State Plan Amendment and regulation package to account for the new changes to the Federal Rule
 | 6/15/11 7/15/11 | P | P | P | Submit HAC/PPNO regulation package
 | 6/15/11 7/15/11 | P | P | P | State Plan Amendment submitted to CMS
 | 7/1/11 8/1/11 1/1/12 | 8 | 8 | 8 | HAC Implementation
 | Research and development
PPNOs | 2011-02-15 00:00:00 | P | P | P | Internal policy discussions |  | Discussions focus on current state of SAE program, HAC requirements and strength of PPC concept as an alternative to achieve greater quality, safety, and cost effectiveness |  | Discussions focus on current state of SAE program, HAC requirements and strength of PPC concept as an alternative to achieve greater quality, safety, and cost effectiveness
 | 2011-03-01 00:00:00 | P | P | P | Begin policy/draft requirements development
 | 2011-03-08 00:00:00 | P | P | P | Review literature from other States |  | Researched PPC experience from other states |  | Researched PPC experience from other states
 | 2011-05-01 00:00:00 | P | P | P | Preliminary analysis of Potentially Preventable Complications (PPC) and Potentially Preventable Readmission (PPR) rates using 2009 paid claims data and 3M software. |  | Data will be provided by the Bureau of Program Quality Information and Evaluation |  | Data will be provided by the Bureau of Program Quality Information and Evaluation
 | 2011-06-01 00:00:00 | P | P | P | Determine eMedNY systems impacts/requirements
 | 6/30/11 1/1/12 | 8 | 8 | 8 | Metric for tracking savings
 | Communication
 | 2011-04-20 00:00:00 | P | P | P | Meet with Hospital Associations (HANYS and GNYHA) to discuss options to meet savings target |  | Conference call with associations to explore the HAC requirement and whether PPCs would be a better alternative; associations split on PPC effectiveness, claiming that following Medicare's lead with AHRQ indicators would be less burdensome on hospitals but provide less in the name of quality and cost effectiveness |  | Conference call with associations to explore the HAC requirement and whether PPCs would be a better alternative; associations split on PPC effectiveness, claiming that following Medicare's lead with AHRQ indicators would be less burdensome on hospitals but provide less in the name of quality and cost effectiveness
 | 2011-06-22 00:00:00 | P | P | P | Meet with Hospital Associations (HANYS and GNYHA) to discuss options to meet savings target |  | Discussed initial results provided by DOH.  The associations have made a few methodology requests that the Department will look into. |  | Discussed initial results provided by DOH.  The associations have made a few methodology requests that the Department will look into.
 | 7/29/11 10/1/11 10/15/11 12/1/11 | 8 | 8 | 8 | Agree on the final methodology for the blend of PPRs and PPCs with the Hospital Associations
 | Administrative
 | 2011-03-08 00:00:00 | P | P | P | Draft Federal Public Notice
 | 2011-03-30 00:00:00 | P | P | P | Public Notice Issued
 | 2011-04-07 00:00:00 | P | P | P | [NAME] and submit clarifying Federal Public Notice
 | 2011-04-27 00:00:00 | P | P | P | Clarifying Federal Public Notice Issued
 | 6/10/11 7/18/11 11/1/11 12/15/11 | 8 | 8 | 8 | Recalculate the PPR and PPC expected rates and develop the final reduction percentage to achieve targeted savings
 | 6/1/11 8/1/11 9/20/11 | P | P | P | Draft State Plan Amendment
 | 7/1/11 8/15/11 9/30/11 | P | P | P | State Plan Amendment sent to CMS
 | 7/1/11 9/1/11 1/1/12 | 8 | 8 | 8 | PPNOs implemented |  | Retroactive to 7/1/11; however will be implemented prospectively |  | Retroactive to 7/1/11; however will be implemented prospectively
MRT # 89 |  |  |  |  | Project Name: Health Homes for High Cost, High Need Enrollees Division Lead: DFPP Team Lead: [NAME], Add'l Staff: [NAME], [NAME], [NAME], [NAME]: Provide care coordination to high cost/need enrollees to reduce cost & hsp admissions, ER visits & admits to SNF | -16.6
 |  |  |  |  | Health Home Implementation Phase 1
 | 2011-01-11 00:00:00 | P | P | P | Draft Article 7 language
 | 2011-03-31 00:00:00 | P | P | P | Submit FPN
 | 2011-04-01 00:00:00 | ü | ü | ü | Obtain State legislative authority |  |  |  | HH language in Art. 7
 | 2011-04-13 00:00:00 | ü | ü | ü | Meet with NYCHRA, NYCDOHMH, NYC Dept. of Homeless Services, OASAS, and OMH on homelessness and health homes
 | 2011-04-14 00:00:00 | ü | ü | ü | Develop central interested parties list to facilitate program updates, solicit suggestions and feedback
 | 2011-04-14 00:00:00 | ü | ü | ü | Meet with OMH to  discuss approaches for coordinating and  integrating  programs/services for  beneficiaries with mental health illness |  |  |  | additional meetings planned
 | 2011-04-20 00:00:00 | ü | ü | ü | Identify workgroup teams and team leaders to address key issues including data, reporting, quality measures, HIT, enrollment, etc. |  |  |  | Subgroups will be needed to work on activities related to the patient selection and enrollment, reporting, data exchange, measurement features of health homes, etc.
 | 2011-04-20 00:00:00 | ü | ü | ü | Discuss payment methodology & reimbursement for health homes  Phase 1 internally
 | 2011-04-22 00:00:00 | ü | ü | ü | Explore development of interagency team for health home development & implementation
 | 2011-04-22 00:00:00 | ü | ü | ü | Initiate development  and design of DOH Health Home website to share program information
 | 2011-04-22 00:00:00 | ü | ü | ü | Initiate development of Phase 1 Health Home Program to include CIDP and non-TCM patient populations
 | 2011-04-22 00:00:00 | ü | ü | ü | Initiate development of payment methodology and reimbursement amounts for Phase 1 programs
 | 2011-04-22 00:00:00 | ü | ü | ü | Initiate identification and development of data requirements for Phase 1
 | 2011-04-22 00:00:00 | ü | ü | ü | Initiate identification and development of  Phase 1 population selection criteria
 | 2011-04-22 00:00:00 | ü | ü | ü | Initiate  development of evaluation methodology for Phase 1
 | 2011-04-27 00:00:00 | ü | ü | ü | Discuss SPA preprint internally
 | 2011-04-29 00:00:00 | ü | ü | ü | Initiate identification and development of  federal and State reporting requirements for Phase 1
 | 2011-05-03 00:00:00 | ü | ü | ü | Discuss SPA pre-print requirements for quality measures and development of HIT requirements for health homes
 | 2011-05-03 00:00:00 | ü | ü | ü | Meet with OPWDD to  discuss approaches for coordinating and  integrating  programs/services for  beneficiaries with intellectual/developmental disabilities
 | 2011-05-05 00:00:00 | ü | ü | ü | Discuss SPA preprint with TREO
 | 2011-05-06 00:00:00 | ü | ü | ü | Initiate discussion on duals
 | 2011-05-06 00:00:00 | ü | ü | ü | Meet with OASAS to  discuss approaches for coordinating and  integrating  programs/services for beneficiaries with  substance abuse
 | 2011-05-06 00:00:00 |  |  |  | Initiate development of  a mechanism to accept referrals for a health home from hospitals and other providers
 | 2011-05-09 00:00:00 | ü | ü | ü | Meeting with DOH, OMH, OASAS, OPWDD and select providers on development of Health Home Provider Qualifications
 | 2011-05-13 00:00:00 | ü | ü | ü | Finalize Health Home website design to share information
 | 5/13/2011 5/20/11 |  |  |  | Initiate the development of a  process for enrollee auto assignment based on Phase 1 selection criteria
 | 2011-05-20 00:00:00 | ü | ü | ü | Finalize a  core set of  general requirements that applies to all health home providers |  |  |  | Provider qualifications drafted that focus on serving enrollees with behavioral health  and/or chronic medical conditions
 | 2011-05-23 00:00:00 |  |  |  | Implementation of Health Home website to share information
 | 2011-05-25 00:00:00 |  |  |  | Initiate discussion with CMS (Center for Medicare & Medicaid Intervention,  Federal Coordinated Health Care Office) on inclusion of dual eligible in HH
 | 2011-05-25 00:00:00 | ü | ü | ü | Initiate discussion  with CMS on HH model for enrollees with behavioral health and/or chronic medical conditions
 | 2011-05-25 00:00:00 | ü | ü | ü | Initiate identification of  system needs related to claims editing and payment for Phase 1
 | 2011-05-26 00:00:00 | ü | ü | ü | Initiate development of Phase 1 SPA submission
 | 2011-06-01 00:00:00 |  |  |  | Finalize set of Phase 1 HH provider specific enrollment and operational requirements
 | 2011-06-01 00:00:00 | ü | ü | ü | Finalize draft of payment options and circulate to HCF, MC, DQE for comment
 | 2011-06-01 00:00:00 |  |  |  | Finalize process for enrollee auto assignment based on Phase 1 selection criteria
 | 2011-06-01 00:00:00 |  |  |  | Finalize draft evaluation methodology for Phase 1
 | 5/25/2011  6/2/11 | ü | ü | ü | Initiate discussion with CMS (Center for Medicare & Medicaid Intervention,  Federal Coordinated Health Care Office) on inclusion of dual eligible in HH
 | 6/1/2011  6/8/11 | ü | ü | ü | Finalize draft evaluation methodology for Phase 1
 | 2011-06-10 00:00:00 | ü | ü | ü | Finalize initial HIT requirements for health homes
 | 2011-06-10 00:00:00 | ü | ü | ü | Finalize system needs related to claims editing and payment for Phase 1 |  |  |  | Short term approach agreed to. Finalizing long term approach.
 | 2011-06-10 00:00:00 | ü | ü | ü | Finalize plan to incorporate the dual eligibles in health homes
 | 2011-06-15 00:00:00 | ü | ü | ü | Consult with SAMHSA prior to Phase 1 SPA submission
 | 5/23/2011  6/3/11 6/17/11 | ü | ü | ü | Implementation of Health Home website to share information
 | 2011-06-24 00:00:00 | ü | ü | ü | Finalize strategies for submission of subsequent TCM conversion to HH  SPAs (AI, OMH, OPWDD, OASAS) |  |  |  | The OMH and AI TCMs are included in the initial SPA.  Additional discussion is needed on the OPWDD TCM. Phase 1 and Phase 2 workplan activities  have been merged
 | 6/16/2011 6/30/11 | ü | ü | ü | Reach agreement on a single multi-agency patient consent form for health home use |  |  |  | Does not include consent for RHIO
 | 2011-06-30 00:00:00 | ü | ü | ü | Submit Phase 1 SPA draft
 | 6/1/2011  6/15/11 7/22/11 | ü | ü | ü | Finalize payment methodology and reimbursement amounts for Phase 1 programs
 | 7/18/2011 8/1/11 | ü | ü | ü | Notify Phase 1 HH potential providers that applications are being accepted by DOH and coordinate notification  with sister agencies and associations to facilitate notification to potential providers, members, and interested parties.
 | 6/1/2011  6/15/11 7/22/11 8/1/11 | ü | ü | ü | Finalize set of Phase 1 HH provider specific enrollment and operational requirements
 | 6/10/11  6/17/11  7/29/11 8/4/11 | ü | ü | ü | Continued discussion with  CMS on SPA submission for enrollees with behavioral health and or/chronic medical conditions and to discuss  hospital referrals of recipients  to health homes requirement
 | 6/10/2011  6/17/11  7/15/11 8/10/11  8/26/11 | ü | ü | ü | Finalize federal and State reporting requirements for Phase |  |  |  | 8/5/11 CMS provided NY with 8 core measures.  NY response regarding concerns submitted to CMS 8/8/11
 | 6/20/2011 7/29/11   8/26/11 | 8 | 8 | 8 | Receive SAMHSA approval for submission of Phase 1 SPA |  |  |  | SAMSHA does not issue approval, requirement is to consult with (done on 6/15/11)
 | 8/12/2011 8/30/11 | 8 | 8 | 8 | Submit freedom of choice waiver for mandatory enrollment in health homes |  |  |  | Repeated item
 | 2011-08-30 00:00:00 | ü | ü | ü | Submitted revised OHIP/DCE Systems Change request for WMS |  |  |  | Previously submitted on 4/25/11
 | 8/12/2011 8/26/11 9/2/11 | ü | ü | ü | Submit freedom of choice waiver for mandatory enrollment in health homes |  |  |  | [NAME] seeking waiver at this time.  HH enrollment will be voluntary with choice and opt out
 | 9/1/2011 9/7/11 | ü | ü | ü | Prospective health home applicants must submit a Letter of Intent |  |  |  | Delayed due to Hurricane Irene
 | 2011-09-12 00:00:00 | ü | ü | ü | Determination made to implement health homes in phases by geographic region and submit multiple HH SPAs |  |  |  | DOH received 165 LOIs statewide
 | 9/23/2011 9/26/11 | ü | ü | ü | Finalize federal and State reporting requirements for Phase 1 |  |  |  | 9/15/11 CMS revised the core quality measures again
 | 6/1/2011 6/24/11 7/15/11 8/10/11 8/26/11 9/2/11 9/30/11 | ü | ü | ü | Finalize Phase 1 population selection criteria
 | 9/26/2011 10//7/11 10/28/11 | ü | ü | ü | Submit Phase 1 SPA |  |  |  | Submitted 11/8/11
 | 10/13/2011 10/5/11 11/1/11 | ü | ü | ü | Applications due date for Phase 1 counties
 | 9/1/2011 10/5/11 10/24/11 11/18/11 | 8 | 8 | 8 | Finalize development of HH/ RHIO consent form
 | 8/1/11 12/1/11 | 8 | 8 | 8 | Begin provider enrollment of health home entities for Phase 1
 | 6/10/2011 6/17/11  7/15/11 8/10/11  8/26/11 9/16/11  12/2/11 | 8 | 8 | 8 | Finalize  data requirements for Phase 1 |  |  |  | 8/5/11 CMS provided NY with 8 core measures.  NY response regarding concerns submitted to CMS 8/8/11  Functional assessment requirement not finalized.
 | 7/1/2011  7/29/11 8/25/11 9/26/11, 10/17/11 11/18/11 12/2/11 | 8 | 8 | 8 | Finalize HH enrollee notification letter for Phase 1
 | 5/6/11  6/8/11 6/24/11 7/29/11 9/9/11 11/10/11 12/9/11 | 8 | 8 | 8 | Initiate development of a mechanism to accept referrals for a health home from hospitals and other providers. |  |  |  | CMS is getting back with clarification.  Clarification continues to be sought based on CMS response to NY's questions- response received 10/11/11
 | 6/10/2011, 6/17/11 8/12/11 9/15/11 10/26/11 12/9/11 | 8 | 8 | 8 | Discussion with GNYHA and HANYS to discuss procedures for hospital referrals of recipients to health homes
 | 8/19/11 9/15/11 12/9/11 | 8 | 8 | 8 | Begin enrollment of Medicaid enrollees into Phase 1 HH
 | 12/1/2011  12/15/11 | 8 | 8 | 8 | Finalize system needs related to Welfare Management System (WMS) in preparation for Phase 1 of HH
 | 6/8/2011 6/20/11  8/26/11 12/16/11 | 8 | 8 | 8 | Finalize development of  a mechanism to accept referrals for a health home from hospitals and other providers
 | 8/15/2011 9/15/11, 10/24/11 12/18/11 | 8 | 8 | 8 | Receive SPA approval for Phase 1
 | 8/19/11 9/15/11 11/1/11 12/18/11 | 8 | 8 | 8 | Complete development of  program manuals and guidance materials for Phase 1 HH
 | 10/1/2011 11/1/11  1/9/12 1/1/12 | 8 | 8 | 8 | Implement Phase 1counties
 | 4/2/2012 4/16/12 4/1/12 | 8 | 8 | 8 | Implement of Phase 2 counties |  |  |  | CMS has advised us that HH SPAs must start at the beginning of the quarter.
 | 6/3/2012 6/18/12 7/1/12 | 8 | 8 | 8 | Implement  Phase 3 counties |  |  |  | CMS has advised us that HH SPAs must start at the beginning of the quarter.
 | 2014-01-01 00:00:00 | 8 | 8 | 8 | Survey and interim report due to CMS
 |  |  |  |  | Health Home Implementation Phase 2 TCM conversion  Phase 1 & 2 Merged
 | 2011-06-01 00:00:00 | ü | ü | ü | Initiate development of  Phase 2 SPA for TCM conversion to HH (AI, OMH, OPWDD, OASAS) including transition plans, population criteria selection, federal and State reporting requirements, payment methodology and reimbursement amounts, system needs, data needs, evaluation method, and enrollee assignment.
 | 2011-06-13 00:00:00 | ü | ü | ü | Initiate discussion with CMS regarding Phase 2 Health Home SPA submission
 | 2011-07-05 00:00:00 | ü | ü | ü | Consult with SAMHSA prior to Phase 2 SPA submission |  |  |  | Included in discussion with SAMHSA regarding chronic medical/behavioral population.
 | 2011-07-15 00:00:00 | 8 | 8 | 8 | Finalize federal and State reporting requirements for Phase 2 TCM conversion
 | 2011-07-15 00:00:00 | 8 | 8 | 8 | Finalize Phase 2 TCM conversion data requirements
 | 2011-07-15 00:00:00 | 8 | 8 | 8 | Finalize Phase 2 TCM conversion population selection criteria
 | 2011-07-15 00:00:00 | 8 | 8 | 8 | Finalize process for enrollee auto assignment based on Phase 2 TCM conversion selection criteria
 | 2011-07-22 00:00:00 | 8 | 8 | 8 | Finalize evaluation methodology for Phase 2 TCM conversion
 | 2011-07-22 00:00:00 | 8 | 8 | 8 | Finalize Phase 2 TCM conversion population selection criteria
 | 2011-07-22 00:00:00 | 8 | 8 | 8 | Finalize process for enrollee auto assignment based on Phase 2 TCM selection  criteria
 | 7/5/2011  7/29/11 | 8 | 8 | 8 | Finalize payment methodology and reimbursement amounts for Phase 2 TCM programs
 | 7/5/2011  7/29/11 | 8 | 8 | 8 | Finalize system needs related to claims editing and payment for Phase 2 TCM conversion |  |  |  | Short term approach agreed to. Finalizing long term approach.
 | 2011-07-29 00:00:00 | 8 | 8 | 8 | Finalize draft evaluation methodology for Phase 2 TCM conversion
 | 2011-07-29 00:00:00 | 8 | 8 | 8 | Receive SAMHSA approval for submission of Phase 2 SPA |  |  |  | Separate SAMHSA approval for TCM conversion not needed as OMH and AI TCM conversion was included in SAMSHA discussion on the chronic medical/behavioral population and these populations are included in the 6/29/11 draft SPA submission.
 | 2011-08-26 00:00:00 | 8 | 8 | 8 | Finalize strategies for submission of subsequent TCM conversion to HH  SPAs (OPWDD)
 | 2011-08-26 00:00:00 | 8 | 8 | 8 | [NAME] for TCM conversion to HH (AI, OMH, OPWDD, OASAS)
 | 6/1/2011  9/30/11 9/8/11 | 8 | 8 | 8 | Finalize process for enrollee auto assignment based on Phase 1 selection criteria
 | 2011-09-09 00:00:00 | 8 | 8 | 8 | Finalize HH enrollee notification letter for Phase 2 TCM conversion
 | 2011-10-01 00:00:00 | 8 | 8 | 8 | Receive SPA approval for Phase 2 TCM conversion SPA
 | 1/30/2012  10/1/11 | 8 | 8 | 8 | Implement Phase 2 program TCM conversion
 | 2014-01-01 00:00:00 | 8 | 8 | 8 | Survey and interim report due to CMS
 |  |  |  |  | Vendor contract for HH/PCMH implementation assistance
 | 2011-04-13 00:00:00 | ü | ü | ü | Initiate development of a vendor contract to utilize a  vendor for assistance with  program implementation, management and operations activities.
 | 2011-05-05 00:00:00 | ü | ü | ü | Submission of BB1184 |  |  |  | BB1184 approved
 | 5/6/2011 5-16-11 5-20-11 | ü | ü | ü | Complete development of a vendor contract to utilize a vendor for assistance with  program implementation, management and operations activities.
 | 5/17/2011 5-22-11 | ü | ü | ü | Initiate clearance process of solicitation document
 | 5/13/2011 5-27-11 6-3-11 6/15/11 | ü | ü | ü | Post vendor contract for HH/PCMH implementation assistance for 30 days |  |  |  | Still in approval process  Posted 7/5/11
 | 5/20/2011 6-3-11 6-10-11 6/22/11 7/12/11 | ü | ü | ü | Bidder's questions received on vendor HH/PCMH implementation assistance contract
 | 5/27/2011  6-10-11 6-17-11 6/29/11  7/19/11 | ü | ü | ü | DOH response to HH/PCMH implementation assistance bidder questions
 | 6/13/2011 6-27-11 7-3-11 7/15/11  8/5/11 | ü | ü | ü | Bid proposals due for  vendor contract for HH/PCMH implementation assistance
 | 6/21/2011 7-11-11 7-18-11 8/5/11  8/19/11 | ü | ü | ü | Complete evaluation and selection of  vendor contract for HH/PCMH implementation assistance
 | 6/29/2011 7-22-11 7-29-11 8/12/11 8/30/11 9/30/11 | ü | ü | ü | Complete DOH internal approval and sign contract for  vendor contract for HH/PCMH implementation assistance
 | 7/5/2011 8-1-11 8-8-11 8/19/11 9/7/11 11/23/11 | ü | ü | ü | Vendor for HH/PCMH implementation assistance begins work
 |  |  |  |  | Colocation of Services
 | 2011-05-04 00:00:00 | ü | ü | ü | Meet with OHSM, OMH, OASAS, and OPWDD to identify areas for streamlining licensing requirements for colocation and discuss future roles and responsibilities.
 | 2011-06-01 00:00:00 |  |  |  | Develop interagency  MOU outlining roles and responsibilities of agencies in colocating services.
 | 2011-06-06 00:00:00 |  |  |  | Finalize initial development of  a single set of license requirements for multiagency co-located services
 | 6/16/2011 6/21/11 | ü | ü | ü | Continue discussion on colocation issues with agencies
 | 6/16/2011 6/30/11 | ü | ü | ü | Reach agreement on a single multi-agency patient consent form for health home use |  |  |  | Does not include consent for RHIO
 | 6/6/2011  7/15/11 8/15/11 | ü | ü | ü | Continue discussion with OMH and OASAS on initial development of  a single set of license requirements for multiagency co-located services
 | 6/30/2011  7/15/11 8/26/11 10/30/11 12/2/11 | 8 | 8 | 8 | Continue discussion on colocation issues with agencies and mulit-licensed providers
 | 6/1/2011 8/4/11 8/21/11 9/30/11 11/18/11 1/13/12 | 8 | 8 | 8 | Develop interagency  roles and responsibilities of agencies in colocating services.
 | 2011-09-01 00:00:00 | 8 | 8 | 8 | Finalize development of RHIO consent form
 | 8/1/2011  9/1/11 11/30/11 12/28/11 2/17/12 | 8 | 8 | 8 | Complete interagency colocation MOU outlining roles and responsibilities of agencies in colocating services.
 | 8/8/2011  10/1/11 10/20/11  1/11/12 3/2/12 | 8 | 8 | 8 | Initiate implementation activities related to co-locating services as identified in the MOU.
 |  |  |  |  | Expand MATS | 0
 |  |  |  |  | MATS tasks are covered by Health Home plan
MRT #90 |  |  |  |  | Project Name:  Mandatory Enrollment in MLTC/ Plans / Health Home Conversion Division Lead: DMC Team Lead: [NAME] Staff: [NAME], [NAME], [NAME] Description:  Transition Medicaid Recipients age 21 and older in need of community-based long term care services into MLTC plans, and convert MLTC plans to Health Homes. Phase 1 to begin to remove LDSS from enrollment process; target implementation 9/1/11. Phase 2 to begin Mandatory enrollment 4/2012 in NYC, including transition of current users of community based long term care services. Target for transition is 5/2015. Expansion Upstate will roll out as capacity is achieved. | -8.33
 | 2011-03-24 00:00:00 | P | P | P | Meeting with MLTC Plans.  Dialogue on proposal.
 | 5/30/2011 6/8/11 6/15/11 | P | P | P | Establish Membership of Workgroup
 | 2011-07-08 00:00:00 | P | P | P | First Workgroup meeting
 | 2011-08-16 00:00:00 | P | P | P | Second [NAME] meeting
 | 2011-09-19 00:00:00 | P | P | P | [NAME]
 | 2011-09-28 00:00:00 | P | P | P | [NAME] meeting
 | 2011-11-01 00:00:00 | P | P | P | Workgroup recommendations presented to MRT
 |  |  |  |  | CONVERT MLTC TO HEALTH HOME
 | 5/1/2011 6-30-11 | P | P | P | Establish Health Home Standards.  Determine if plan operations need modification.
 | 5/13/2011 6-30-11 | P | P | P | Submit draft State Plan Amendment to CMS. |  |  |  | Based on workplan #89
 | 6/1/2011 6-15-11 8-15-11 | P | P | P | Identify any systems / claiming issues
 | 5/20/2011 6-1-11 8-15-11 10-1-11 | 8 | 8 | 8 | Incorporate necessary Health Home MLTC plan contract changes with Phase 1 amendment
 | 8/1/2011 8-15-11 10-1-11 10/15/11 11/1/11 | ▲ | ▲ | ▲ | Response to CMS Questions, State Plan Approval |  |  |  | Based on workplan #89  On hold
 | October 2011 - March 2013 | 8 | 8 | 8 | Enhanced federal share
 |  |  |  |  | PHASE ONE - ELIMINATE LDSS
 | 2011-04-01 00:00:00 | P | P | P | Issue Revised Service Area Expansion Application
 | 2011-04-29 00:00:00 | P | P | P | Draft amendment to MTLC contract to adress changes to LDSS and benefit package changes into internal review
 | 2011-04-30 00:00:00 | P | P | P | Anticipate receipt of Service Area Expansion applications for review
 | 2011-05-11 00:00:00 | P | P | P | Discuss MLTC and proposed changes with MCARP
 | 6/11 - ongoing | P | P | P | Anticipate receipt of first new MLTC COA applications Review and processing of new MLTC COA Applications
 | 4/22/2011 5-26-11 6-14-11 | P | P | P | Issue revised Certificate of Authority application and application to add another line of business for a plan with a COA
 | 7/15/2011 7-20-11 | P | P | P | Training of [NAME] and other entities who may assist with education/enrollment
 | 2011-08-15 00:00:00 | P | P | P | Collect feedback through discussions with plans and counties
 | 2011-09-01 00:00:00 | P | P | P | Commence enrollment activities without LDSS for 10/1/11 enrollments
 | 8/1/2011 9-15-11 11-15-11 | P | P | P | Revised MLTC plan materials finalized including handbooks, member notices, marketing materials
 | 5/20/2011 6/20/11 8/15/11 10/1/11 10/15/11 11/1/11 11/21/11 | 8 | 8 | 8 | MLTC 2012 contract sent to CMS for approval
 | 8/15/2011 10-15-11 11-1-11 11/15/11 12/15/11 | 8 | 8 | 8 | Finalize parameters and processes for post enrollment review with contractor.
 | 6/1/2011 7-1-11 8-23-11 10/22/11 11-15-11 11/30/11 | 8 | 8 | 8 | MLTC 2012 contract approved by CMS. Sent to plans
 | 7/1/2011 8-1-11 9-1-11 10/29/11 11-30-11 12/15/11 | 8 | 8 | 8 | Contract amendments complete DOH clearance and sent to OSC
 |  |  |  |  | PHASE TWO - MANDATORY MLTC [NAME]
 | 2011-04-22 00:00:00 | P | P | P | Submit 1115 Waiver amendment to CMS
 | 2011-04-30 00:00:00 | P | P | P | Begin system modifications for auto-assignment algorithm
 | 2011-05-01 00:00:00 | P | P | P | Begin discussions with [NAME] re: rate development for 4/12 rate cycle
 | 2011-05-11 00:00:00 | P | P | P | Discuss MLTC and proposed changes with MCARP
 | 6/1/2011 7/1/11 | P | P | P | Provide staff assistance to MRT workgroup regarding development of guidelines for other care coordination models
 | 2011-11-15 00:00:00 | P | P | P | Posting of care coordination model guidance on DOH website
 | 8/1/2011 9/1/11 10/1/11 10/21/11 12/1/11 | 8 | 8 | 8 | Waiver negotiations with CMS complete
 | 10/1/2011 11/15/11 12/1/11 | 8 | 8 | 8 | Draft MLTC contract amendment changes for mandatory enrollment
 | 2011-12-01 00:00:00 | 8 | 8 | 8 | Completion of rates
 | 11/1/2011 11/30/11 12/15/11 | 8 | 8 | 8 | MLTC contract amendments sent to CMS for approval
 | 12/1/2011 12/15/11 12/30/11 | 8 | 8 | 8 | MLTC contract amendments approved by CMS. Sent to plans
 | 2012-01-06 00:00:00 | 8 | 8 | 8 | Contract amendments complete DOH clearance, to include network certification. Sent to OSC.
 | 10/1/2011 10-31-11 1/15/12 | 8 | 8 | 8 | Begin to establish process to ensure MLTC home care network providers meet certification criteria
 | 2012-01-31 00:00:00 | 8 | 8 | 8 | Educational materials developed for use with current and new personal care users
 | 2012-02-28 00:00:00 | 8 | 8 | 8 | Training of [NAME] and other entities who may assist with education/enrollment
 | 2012-02-01 00:00:00 | 8 | 8 | 8 | OCS approves contract amendments
 | 2012-02-28 00:00:00 | 8 | 8 | 8 | Notices go out to first group of personal care users about need to select a plan within the next 30 days
 | 2012-03-01 00:00:00 | 8 | 8 | 8 | New applicants for personal care are directed to MLTC for services to commence 4/1/12
 | 2012-03-31 00:00:00 | 8 | 8 | 8 | Current users who have not selected a plan are auto-assigned. MLTC plan notified of current service plan and home care provider
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | First group of new users begin service in MLTC plan
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | First group of auto-assigned members begin MLTC enrollment
 | 2015-05-01 00:00:00 | 8 | 8 | 8 | Complete transition of personal care users into MLTC
 |  |  |  |  | SYSTEMS
 | 2011-08-08 00:00:00 | P | P | P | Initiate systems meetings to determine enrollment requirements on eligibility system
 | 9/30/2011 10/15/11 | 8 | 8 | 8 | All outstanding system issues resolved
 | 2011-10-30 00:00:00 | 8 | 8 | 8 | Submit eligibility system change requirements
 | 2012-01-31 00:00:00 | 8 | 8 | 8 | Eligibility system code & development complete
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | Eligibility system testing complete/system changes implemented
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | Begin transition of personal care users into MLTC
MRT #93 |  |  |  |  | Project Name:  Establish behavioral health organizations (BHOs) to manage carved-out behavioral health services Division Lead: DFPP Team Lead: [NAME] (OMH)     Add'l staff:  [NAME], [NAME], [NAME], [NAME], [NAME] Description:  Use BHOs to manage behavioral health services that are provided outside of managed care. OASAS lead:  [NAME] 485-2312 | -4
 | 2011-03-31 00:00:00 | P | P | P | Submit FPN
 | 2011-04-01 00:00:00 | P | P | P | Obtain State legislative authority |  |  |  | Included in Article 7 bill
 | 2011-04-11 00:00:00 | P | P | P | DOH/OMH/OASAS meeting scheduled to determine roles and responsibillities
 | 2011-05-12 00:00:00 | P | P | P | Meet with stakeholders
 | 2011-05-16 00:00:00 | P | P | P | Meet with stakeholders
 | 2011-05-13 00:00:00 | P | P | P | [NAME] program requirements including relationship to health homes |  |  |  | Ongoing and in progress
 | 2011-05-27 00:00:00 | P | P | P | Determine eMedNY system requirements |  |  |  | Ongoing and in progress
 | 5/27/2011 6/17/11 | P | P | P | Determine BHO payment methodology
 | 6/3/2011 7/1/11 | P | P | P | Begin development of interagency MOU identifying each agencies roles and responsibilities in administering and managing the BHO initiative
 | 2011-06-10 00:00:00 | P | P | P | Develop BHO contract award criteria including min. network, financial, information systems
 | 2011-06-24 00:00:00 | P | P | P | Post contract requirements on web
 | 2011-06-24 00:00:00 | P | P | P | Solicit bids
 | 2011-07-07 00:00:00 | P | P | P | Bidders conference
 | 2011-08-05 00:00:00 | P | P | P | Review bids
 | 8/19/2011 8/23/11 | P | P | P | Select vendors
 | 9/15/2011 10/15/11 | P | P | P | Complete readiness reviews
 | 10/1/2011 11/1/11 | P | P | P | Implement program
 | 8/26/2011 9/30/11 10/8/11 11/25/11 | 8 | 8 | 8 | Finalize contracts with BHOs (NYC, Central Region, Western Region, Hudson Valley) |  |  |  | Contracts have been approved by AG, with OSC for final signoff.  Contractors have begun to work at risk.
 | 2011-12-23 00:00:00 | 8 | 8 | 8 | Finalize contracts with Long Island BHO
 | 2011-10-01 00:00:00 | 8 | 8 | 8 | Implement eMedNy system edits
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | Full BHO implementation (NYC, Central Region, Western Region, Hudson Valley)
 | 2012-02-01 00:00:00 | 8 | 8 | 8 | Full BHO implementation (Long Island)
 | 2013-04-01 00:00:00 | 8 | 8 | 8 | Determine capacity and financial ability of NYC Special Needs Plans (SNPs) to be designated as regional BHO
MRT #101 |  |  |  |  | Project Name:  Develop Initiatives to Integrate and Manage Care for Dual Eligibles Division Lead: DMC Team Lead: [NAME]:  Develop approaches for serving dual eligibles | 0
 | 4/1/2011 4/18/11 | P | P | P | Anticipate receiving planning contract from CMS for planning activities
 | 3/30/2011 5-30-11 8-1-11 | P | P | P | Receive Medicare part D data from CMS
 | 8/30/2011 11/15/11 | P | P | P | Receive Medicare A/B data from CMS
 | 7/1/2011 12-15-11 | 8 | 8 | 8 | Recruit, hire and train staff
 | 4/1/11  5-30-11 8-1-11 - 10/31/12 | P | P | P | Conduct data analysis of Medicare and Medicaid data on dual eligibles
 | 6/1/2011 6-17-11 7/23/11 | P | P | P | Select vendor for actuarial work
 | 6/1/2011 6-17-11 7/23/11 | 8 | 8 | 8 | Select vendor for analytic work
 | 6/1/2011 6-17-11 7/23/11 9/1/11 10/15/11 10/31/11 | P | P | P | Select vendor for assistance with stakeholder meetings
 | 8/11-9/11 11/11-12/11 | 8 | 8 | 8 | Convene stakeholder and informational meetings
 | 11/11-12/11 | 8 | 8 | 8 | Prepare demonstration recommendations
 | 12/11-2/12 | 8 | 8 | 8 | Develop reimbursement methodology
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | Propose legislation for demonstration
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | Submit demonstration proposal to CMS
 | 4/12-10/12 | 8 | 8 | 8 | Negotiate as needed with CMS on demonstration
 | 2012-10-01 00:00:00 | 8 | 8 | 8 | Begin implementation of dual demonstration(s)
MRT # 102 |  |  |  |  | Project Name:  Centralize Responsibility for Medicaid Trauma & Estate Recovery Process Division Lead: OMIG Portfolio Manager: [NAME] [NAME] Project Lead:  [NAME]:  Statewide responsibility for making Medicaid recoveries from the estates of deceased recipients, in personal injury actions and in legally responsible relative refusal cases. | -39
 |  |  |  |  | Derive Methodology for Savings
 | 2011-04-29 00:00:00 | P | P | P | Develop methodology
 | 2011-05-06 00:00:00 | P | P | P | Complete Budget Savings Form
 | 2011-05-20 00:00:00 | P | P | P | Approval by BBFM
 | 2011-04-28 00:00:00 | P | P | P | Update MRS in FACTS
 | 2011-05-27 00:00:00 | P | P | P | Derive Methodology for Savings Completed
 |  |  |  |  | Outreach activities
 | 2011-06-02 00:00:00 | P | P | P | Submit to NYPWA Presentation Description
 | 2011-07-31 00:00:00 | P | P | P | Conduct presentation at NYPWA in July
 | 2011-07-01 00:00:00 | P | P | P | Review Rockefeller study
 | 2011-05-24 00:00:00 | P | P | P | OMIG Finalize Local Commissioners Memorandum (LCM)
 | 2011-05-24 00:00:00 | P | P | P | Submit to OHIP for distribution
 | 2011-05-26 00:00:00 | P | P | P | M-Tag Meeting
 |  |  |  |  | Implementation
 |  |  |  |  | Voluntary (in process)
 | 2011-04-25 00:00:00 | P | P | P | Identify interested counties
 | 2011-06-01 00:00:00 | P | P | P | Initiate negotiations with Implement with first interested counties |  |  |  | At this point, seven counties have been completed, four in progress, and twenty-five engaged with OMIG on voluntary basis
 | 6/1/2011 7/1/2011 | P | P | P | Start reporting recoveries
 |  |  |  |  | Legislation Enactment
 | 2011-03-14 00:00:00 | P | P | P | Identify state statutes                                                                              • Social Services Law §§104, 104-b, 369                          • Administrative Directive 02 OMM/ADM - 3
 | 2011-05-31 00:00:00 | P | P | P | Review and obtain clarification on statutory authority for OMIG to collect Public Assistance recoveries.
 | 2011-08-15 00:00:00 | P | P | P | Finalize Explore the feasibility of drafting a MOU with OTDA regarding access to PA data |  |  |  | Ongoing discussions occurring to address this by county by county basis
 |  |  |  |  | Concept Regulation
 | 12/30/2011 6/1/2012 | 8 | 8 | 8 | Propose regulation changes, if needed
 | 4/2/2012 7/1/2012 | 8 | 8 | 8 | Obtain approval of regulation changes
 | 4/2/2012 9/1/2012 | 8 | 8 | 8 | Implement Regulation changes
 | 2011-12-30 00:00:00 | 8 | 8 | 8 | If necessary, expand OMIG enabling Statute regarding to include Public Assistance.
 | 2011-12-30 00:00:00 | 8 | 8 | 8 | Amend state regulatory and statutory authority to perform estate and casualty for medical assistance data. Social Services Law §§104, 104-b, 369 language.  Purpose is to provide statutory authority at State level to perform estate and casualty recovery of public assistance and medical care.
 | 2011-12-30 00:00:00 | 8 | 8 | 8 | Develop consistent State authority policy language required within 02 OMM/ADM - 3 and administrative directive, as needed
 | 2011-12-30 00:00:00 | 8 | 8 | 8 | Create new legislation under SSL §369 -req notice of estate and casualty filings be given to the State by attorneys, workers' compensation, liability & no-fault carriers. May include penalty language consistent with Medicare, Medicaid, Medicaid, and SCHIP. Review current state and casualty requirements to state certain estate and casualty matters and expand regulation, as needed
 | 2011-12-30 00:00:00 | 8 | 8 | 8 | Create new leg allowing State to hold PIA (Personal Incident Account) funds as the probate jurisdiction administering the estate.  Purpose of legislation is to avoid payment of fees and commissions to the PA for appointment to handle all PIA funds. |  |  |  | Not necessary - Analysis reveal pre-existing authority exists regarding allocation of payments, fees, and commissions
 | 2011-12-30 00:00:00 | P | P | P | Social Services Law §369(6) - Expand definition of "estate" to include non-probate assets (MRT#132). Purpose of law is to increase available assets for recovery |  |  |  | Part of MRT 132
 | 2011-12-30 00:00:00 | 8 | 8 | 8 | Propose Legislation changes
 | 2012-04-02 00:00:00 | 8 | 8 | 8 | Obtain approval of legislation changes
 | 2012-04-02 00:00:00 | 8 | 8 | 8 | Implement Legislative changes
 |  |  |  |  | Improve [NAME]
 | 2012-12-31 00:00:00 | P | P | P | Establish database system of claimants |  |  |  | ongoing- county by county basis
 | 2012-12-31 00:00:00 | P | P | P | Establish mechanism for recovery of funds |  |  |  | ongoing- county by county basis
MRT # 103 |  |  |  |  | Project Name:  Reduce Inappropriate Use of Certain Services Division Lead: DHCF Team Lead: [NAME] Add'l Staff: [NAME]: This proposal would institute financial incentives to reduce inappropriate use of cesarean deliveries. | -12.1
 |  |  |  |  | ADMINISTRATIVE
 | 2011-03-25 00:00:00 | P | P | P | Full policy definition to clarify services and actions:    -Initial denial of c-section claims / quality incentives on others
 | 2011-03-30 00:00:00 | P | P | P | Federal Public Notice publication
 | 2011-04-01 00:00:00 | P | P | P | Regulations |  |  |  | Emergency reg filed 4/6
 | 2011-04-01 00:00:00 | P | P | P | Draft State Plan Amendment to CMS |  |  |  | In DOH Review - Draft to CMS 4/15/11
 | 5/30/2011 6/30/2011 | P | P | P | [NAME] Plan Amendment and send to CMS |  |  |  | Revised Methodology: new SPA drafted - In review
 | 2011-06-15 00:00:00 | P | P | P | Revise Regulations |  |  |  | [NAME] process
 | 5/30/2011 6/15/11 | P | P | P | Revise Federal Public Notice publication |  |  |  | Revised Methodology: new FPN drafted
 | 2011-06-15 00:00:00 | 8 | 8 | 8 | Assessment of public comment from obgyn doctor regarding email dated 4/20/11 ([NAME]) |  |  |  | Not Necessary per Legal Dept
 | 7/1/2011 7/15/11 | P | P | P | Model reduction to Statewide Base Price for $24.2M savings and provide to Managed Care and BPACR
 | 8/31/2011 11/30/11 | 8 | 8 | 8 | Implement reduction to Statewide Base Price |  |  |  | SPA approved 8/11/11; forwarded to BPACR for rate implementation; now effective 10/1/11 with no reduction to fiscal.
 |  |  |  |  | [NAME] AND DEVELOPMENT
 | 2011-03-25 00:00:00 | P | P | P | Discuss with 3M an appropriate DRG and severity level assignment for the initial claim default payment
 | 2011-04-15 00:00:00 | P | P | P | Discuss clinical standards for 'medically necessary' cases with Department Medical Directors |  |  |  | [NAME] sent 4/6/11 - Meeting w/ Dr [NAME], [NAME], [NAME], [NAME], [NAME] etc on 4/12 to discuss
 | 2011-04-12 00:00:00 | P | P | P | Meet with Department Medical Director and Division of Quality and Evaluation to discuss alternatives to using an appeal process:  standard payment for all deliveries |  |  |  | Met on 4/12.  Possible use of blended weights for all deliveries to achieve savings upfront
 | 2011-04-20 00:00:00 | P | P | P | Meet with IPRO and OHSM to begin appeal process discussions. |  |  |  | Met with IPRO on 4/7 and developed initial plan and steps to take
 | 2011-04-28 00:00:00 | P | P | P | Analyze option to adjust SIW's as an alternative to appeals |  |  |  | Discussing analysis at 4/29/11 meeting
 | 2011-04-28 00:00:00 | P | P | P | Meet with IPRO, DPR and DOIT to discuss details on appeal process/systems issues |  |  |  | Meeting scheduled for 4/28/11
 | 2011-04-29 00:00:00 | P | P | P | Meet with DQE and Medical Director to discuss all available implementation options |  |  |  | Meeting scheduled for 4/29/11
 | 2011-05-05 00:00:00 | P | P | P | Key decision to be made whether or not to include Managed Care
 | 5/5/2011 5/30/11 | 8 | 8 | 8 | Meet with IPRO and Medical Directors to discuss clinical details for appeals |  |  |  | On hold
 | 2011-06-30 00:00:00 | P | P | P | Meet with OB workgroup to discuss next steps
 |  |  |  |  | SYSTEM ISSUES
 | 2011-03-21 00:00:00 | P | P | P | Discuss timeframe / steps for systems requirements with Division of Information Technology |  |  |  | Discussed a temporary means to implement due to time issues
 | 4/30/2011 5-30-11 | 8 | 8 | 8 | Submit evolution project for eMedNY program changes - on hold |  |  |  | Working on details with DOIT and IPRO
 | 5/15/2011 5-30-11 | 8 | 8 | 8 | Retroactive appeals need to be considered - on hold |  |  |  | Made DOIT aware of this issue
 |  |  |  |  | COMMUNICATION WITH STAKEHOLDERS
 | 2011-05-17 00:00:00 | P | P | P | Meet with Associations to discuss impact on providers - conference call held to discuss alternative options, agreement reached |  |  |  | GNY offered input on how cases should be handled
 | 5/15/2011 6-15-11 | 8 | 8 | 8 | Develop a Q & A Document - on hold
 | 2011-05-30 00:00:00 | 8 | 8 | 8 | Notify Providers through the Medicaid Update - on hold
 | 2011-05-30 00:00:00 | 8 | 8 | 8 | Work with Provider Relations to develop communication strategy - on hold
 |  |  |  |  | SAVINGS METRIC
 | 2011-05-01 00:00:00 | 8 | 8 | 8 | Identify a process to identify savings including effect on appeals and develop a metric for calculating and tracking savings
 |  |  |  |  | ADDITIONAL QUALITY INITIATIVES
 | 5/30/2011 6/30/11 | 8 | 8 | 8 | Begin discussions with the Division of Quality and Evaluation to identify additional cost saving services (including CABG & PCI procedures) |  |  |  | After discussions with management, it was decided that no significant savings can be achieved through these additional quality initiatives.
 | 5/30/2011 6/30/11 | 8 | 8 | 8 | Meet with Department Medical Directors and Division of Quality and Evaluation to discuss options for quality incentives
 | 5/30/2011 6/30/11 | 8 | 8 | 8 | Identify measures to be put into place to improve quailty and reduce utilization
 | 5/30/2011 6/30/11 | 8 | 8 | 8 | Identify a means to relay the quality measures to providers
 | 5/30/2011 6/30/11 | 8 | 8 | 8 | Implement plan to inform providers of quality measures
MRT # 109 |  |  |  |  | Project Name:  Requires Hospitals and Nursing Homes to provide Patient Centered Palliative Care Division Lead: OHSM - DPSQ Team Lead: [NAME], Esq., additional staff [NAME]: To inform patients about palliative care and pain management options in hospitals, nursing homes, home care, special needs assisted living residences and enhanced assisted living residences pursuant to PHL 2997-d | 0
 | 2011-03-15 00:00:00 | P | P | P | Task 1  - Develop project management plan (the plan will include stakeholders within the department, provider associations and appropriate palliative care council members who have expertise in this area.
 | 2011-03-15 00:00:00 | P | P | P | Task 2 - Review tools developed for the implementation of Palliative Care Information Act which can be used to inform all providers. |  |  |  | Review is underway.
 | 2011-03-21 00:00:00 | P | P | P | Task 3 - Schedule meeting with Department staff in the hospital, nursing home, home care and assisted living programs. ([NAME][NAME]/[NAME] and [NAME]) To discuss: (a) the development of standards for compliance with PHL 2997-d (b) the development of guidance tools based on these standards which can be used by surveillance staff to monitor compliance (c) the development of a dissemination plan for this information using such department communication formats such as "Dear Administrator" letters (d) the processes that already exist in each of these settings to provide health information to the patient/resident/consumers for whom they care.
 | 2011-04-11 00:00:00 | P | P | P | Task 4 -2nd call with DOH program staff
 | 2011-04-25 00:00:00 | P | P | P | Task 5 - Meet with Hospital Associations (HANYS-Kathy Ciccone/Mary Therriault and Greater New York-[NAME]) on 4/25/11 to review requirement and seek input as to what systems exist in hospitals and nursing homes to convey patient information:  (a) how would they identify appropriate patients to receive the information (b) how would they document the information was given (c) what information (resources found on DOH website, Palliative Care page) |  |  |  | Meetings to take place week of 4/18/11
 | 2011-04-25 00:00:00 | P | P | P | Task 6 - Meet with Nursing Home Associations (NYASA-Elliot Frost, NYSHFA-[NAME] and HANYS-Deb LeBarron) Discuss same questions as above.
 | 2011-04-25 00:00:00 | P | P | P | Task 7 - Meet with Home Care and Assisted Living Associations (HCA-[NAME], HCP-Margaret Gorman/Christina Miller-Foster and ESAAL-[NAME]).  Discuss same questions as above.
 | 2011-04-27 00:00:00 | P | P | P | Task 8 - Palliative Care Council meeting already scheduled.  This topic could be added to agenda to seek input from experts on the council in hospitals, nursing homes and home care.  Discuss same questions as above.
 | 2011-05-10 00:00:00 | P | P | P | Task 9 - Met with Hospice and Palliative Care Association.  Discussed services available in each county and collaborations which can be developed among providers in community.
 | 2011-05-31 00:00:00 | P | P | P | Task 10- Meet with Dr [NAME] to discuss how the Center to Advance Palliative Care can assist in being a resource to entities required by PHL 2997-d to facilitate access to palliative care services.
 | 2011-06-27 00:00:00 | P | P | P | Task 11 - Meeting with associations of Hospitals, Nursing Homes, Home Care, Assisted Living to review first draft of Questions and Answers.  Response due date is July 8th
 | 2011-07-13 00:00:00 | P | P | P | Task 12 - meeting of the Palliative Care Education and Training Council.  Seeking guidance on FAQs
 | 2011-09-14 00:00:00 | P | P | P | Task 13 - Train DOH regional surveillance staff who will be investigating complaints relative to violations of this law.
 | 9/10/2011 9/23/11 | P | P | P | Task 14 - Develop Dear Administrator letter setting forth the requirements, which includes how information will be provided, how DOH programs will monitor compliance and what resources are available.
 | 9/6/2011 9/23/11 9/26/11 | P | P | P | Task 15 - OLTC executive approval
 | 2011-09-26 00:00:00 | P | P | P | Task 16 - Submit FAQs for OHSM
 | 2011-09-27 00:00:00 | P | P | P | Task 17 - Law effective
 | 2011-10-03 00:00:00 | P | P | P | Task 18 - OHSM Approval
 | 2011-10-19 00:00:00 | P | P | P | Circulate IPR of FAQs for DOH website and HCS
 | 2011-10-31 00:00:00 | P | P | P | Present to the Palliative Care Education and Training Council
 | 11/14/2011 11-25-11 | 8 | 8 | 8 | Guidance posted to DOH website
MRT # 129 |  |  |  |  | Project Name:  [NAME] by Supervising Integration of Providers Division Lead:  Team Lead: [NAME]: Implement regulatory framework to provide active supervision and confer anti-trust immunity on providers that are merging, consolidating, integrating operations. | 0
 | 2011-04-01 00:00:00 | P | P | P | Enactment of legislation
 | 2011-04-30 00:00:00 | P | P | P | Assemble internal work group
 | 2011-05-02 00:00:00 | P | P | P | Consult with NYS attorney general's office
 | 2011-06-30 00:00:00 | P | P | P | Draft regulations
 | 2011-07-15 00:00:00 | P | P | P | Consult with stakeholders
 | 7/15/11 7/26/11 | P | P | P | Present regulations to Governor's Counsel's Office
 | 2011-07-21 00:00:00 | 8 | 8 | 8 | Present draft regulations to PHHPC committee  for discussion
 | 2011-08-04 00:00:00 | 8 | 8 | 8 | Brief PHHPC on regulations
 | 2011-09-22 00:00:00 | P | P | P | Discuss regulations at PHHPC committee
 | 2011-10-06 00:00:00 | 8 | 8 | 8 | Discuss regulations at PHHPC Full Council
 | 8/22/11      9/15/11      10/11/11      11/14/11 12/15/11 | 8 | 8 | 8 | Secure Governor's Counsel's Office approval of regulations
 | 09/07/119/28/11      10/26/11        11/30/11 12-30-11 | 8 | 8 | 8 | Publish in State Register for 45-day comment period
 | 10/22/11      11/12/11      12/10/11      1/14/11 2/15/12 | 8 | 8 | 8 | Prepare response to public comments, if any
 | 2011-12-08 00:00:00 | 8 | 8 | 8 | Present to PHHPC Codes Committee and Council for adoption.
 | 12/28/11      1/18/12 2/18/12 | 8 | 8 | 8 | Publish Notice of adoption in State Register
MRT #131 |  |  |  |  | Project Name:  Reform Medical Malpractice and Patient Safety Division Lead: OHSM Team Lead: [NAME]:  Create a neurologically impaired inant medical indemnity fund and establish a cap on non-economic damages in medical malpractice cases in addition to exploring other alternatives. | -43
 |  |  |  |  | Project Name:  Medical Malpractice Reform Division Lead: Insurance /Health Team Lead: Sapna Maloor/[NAME]:  Medical Indemnity Fund
 | 2011-04-30 00:00:00 | P | P | P | Identify and start scheduling meetings with stakeholders (GNYHA, HANYS,Mediciad Matters,  ACOG, MSSNY, UCP,March of Dimes, [NAME] insurers, other insurers, Office of Court Adminsration, Bar Association)
 | 2011-04-30 00:00:00 | P | P | P | Conduct internal state stakeholder meetings (DoH- Early Intervention, OLTC Waiver program; OPWDD, ACCES, Tax Department, Education Department
 | 2011-05-01 00:00:00 | P | P | P | Start selection process for a fund administrator |  |  |  | DFS
 | 2011-05-01 00:00:00 | P | P | P | Initiate development of regulations relating to: claims process and form development, definition of medically necessary costs (refer to Medicaid and Medicaid waiver projects); dispute resolution/appeal process; Medicaid lien identification; expense certification to Tax & Finance |  |  |  | Need to identify Department and Insurance Department resources to write regulations | Maintenance
 | 2011-05-15 00:00:00 | P | P | P | Begin website development (Fund Administrator or Departments)
 | 2011-05-30 00:00:00 | P | P | P | Begin to identify consumer advisory committee members/schedule meetings; add to fund administrator responsibliites
 | 5/15/2011 5/22/11 8-1-11 | P | P | P | Explicit directions on HCRA transfer to Fund |  |  |  | [NAME]
 | 6/1/2011 7-15-11 8-30-11 9/13/11 | P | P | P | Intiate notification of consumers, providers of service and insurers about Indemnity Fund |  |  |  | DOI/DoH/Fund Administrator
 | 6/15/2011 7-15-11 8/22/11 9/6/11 10-1-11 10-8-11 | P | P | P | Choose fund administrator |  |  |  | DFS
 | 6/15/2011 7-15-11 8/22/11 9/6/11 10-1-11 10-8-11 | P | P | P | Identify actuarial resources |  |  |  | DFS
 | 7/1/2011 9-1-11 10-1-11 10-8-11 | P | P | P | Establish fund with Tax & Finance
 | 6/15/2011 7-15-11 8/22/11 9/6/11 10-1-11 10-8-11 11-25-11 | 8 | 8 | 8 | Establish current year's actuarial estimate for fund |  |  |  | DFS
 |  |  |  |  | Hospital Quality Initiative - develop the Hospital Safety Insititute |  |  |  | [NAME]
 | 2011-05-15 00:00:00 | P | P | P | Meet with stakeholders (GNYHA, HANYS, MSSNY, ACOG,[NAME])
 | 2011-05-30 00:00:00 | P | P | P | Recommend stakeholders to Commissioner
 | 8/15/2011 9-15-11 10-1-11 10/15/11 12-15-11 | 8 | 8 | 8 | Finalize membership
 | 6/30/2011 9/30/11 11-1-11 1-1-12 | 8 | 8 | 8 | Hold organizing meeting to identify ob safety programs
 | 8/30/2011 11/30/11 1-30-12 | 8 | 8 | 8 | Develop a multi-year plan on programs to intiate with provider community
 | 9/30/2011 12-30-11 2-28-12 | 8 | 8 | 8 | Identify first year projects and resources
 | 10/15/2011 1-15-12 3-15-12 | 8 | 8 | 8 | Convene stakeholders group to develop program and discuss implementation
 |  |  |  |  | Hospital Quality Contribution Assessment |  |  |  | [NAME] [NAME]
 | 2011-03-31 00:00:00 | P | P | P | Discuss how to incorporate into the current Health Facility Cash Assessment Program (HFCAP) for hospitals. Collections have to be reported and deposited separately. |  |  |  | We will need a separate reporting mechanism to handle the existing assessment plus the new assessment.
 | 2011-03-31 00:00:00 | P | P | P | Schedule conference call with Pool Administrator to discuss program |  |  |  | Pool Adminsitrator is anticipating information from the Dept and ready to implement.
 | 2011-05-02 00:00:00 | P | P | P | Create Hospital list |  |  |  | Consistent with HFCAP program | Maintenance
 | 2011-05-20 00:00:00 | P | P | P | Design electronic report |  |  |  | Need Pool Administrator's input and programming.  Need to combine into existing report.
 | 2011-05-20 00:00:00 | P | P | P | Develop reporting due date schedule |  |  |  | Same as existing HFCAP
 | 2011-05-20 00:00:00 | P | P | P | Create instructions for report |  |  |  | Similar to existing HFCAP report, but need to explicitly define obstetrical (OB) patient care service revenues.
 | 5/31/2011 6/15/11 | P | P | P | Notify Providers of Hospital Quality Contributions assessment using letters\website. |  |  |  | There is some question about whether newborn services should be included with obstetrical services and what actions need to occur to ensure all intended services are assessed.
 | 2011-06-15 00:00:00 | P | P | P | Conclude discussions with the Hospital Associations about the assessable revenue and the rates of the Hospital Quality Contribution |  |  |  | HANYS has some concerns about not using newborn services because of commercial bundled payments making it difficult for hospitals to separate maternity from newborn services.
 | 2011-06-15 00:00:00 | P | P | P | Confirm accounts for transferring funds/e-mail notification |  |  |  | Coordinate with Bureau of Accounts Management, OSC and Division of Budget as needed
 | 5/31/2011 6-30-2011 | P | P | P | Test electronic report |  |  |  | Time consuming. Need to wait until items above are completed.
 | 2011-06-30 00:00:00 | P | P | P | Process State Regulation package to change the HFCAP rate from 1.6% to 3.2% 2.4% to ensure that the mandated $30M is collected |  |  |  | Legal has drafted some legislation - section 86-1.41 of Title 10 (Health) NYCRR
 | 5/31/2011       6-30-2011          7/12/11 | P | P | P | Post all appropriate materials to DOH website |  |  |  | Soon after providers are notified.
 | 6/6/2011 6/30/11             7/31/11 | P | P | P | Incorporate into existing HFCAP database but account for reporting and payments separately |  |  |  | Billing and accounting for payments will be separate from HFCAP report. Need to test billing/recoupment process.  The programmer has been working on this, but it needs to be thorougly tested.
 | 7/15/2011     8/15/11 | P | P | P | Develop required reports for budgeting purposes for collections/transfers etc. |  |  |  | Similar to HFCAP reports.
 | 7/15/2011    8/30/11 | P | P | P | Develop Cost Estimates based on ICR data for billing
 | 2011-12-01 00:00:00 | P | P | P | Evalutate if the current HQC rate (1.6%) is adequate to collect the $30M tartget. |  |  |  | As of 11/10, with three month's worth of data, the contributions are coming in on target, and the $30 M expected collection target for this SFY is expected to be met.
 | ongoing, beginning December 2011 | 8 | 8 | 8 | [NAME] Hospitals Quarterly - the initial billing cycle will likely have issues requiring immediate attention and will likely result in a significant increase in phone calls from the hospitals. |  |  |  | A decision to generate separate bills for the existing HFCAP and the Obstetrical Services component will need to be addressed. A thorough and complete review of all hospitals will be required to ensure accuracy.
 | ongoing, beginning January 2012 | 8 | 8 | 8 | Send Delinquent Hospitals billings to MA for Recoupment |  |  |  | Allocation of recoupment dollars to HFCAP account and HCRA resources account is a new requirement and will have to be handled properly.
 | ongoing | 8 | 8 | 8 | Answer provider phone calls |  |  |  | Call volume may be heavy upon initial notification and initial billing.
 | ongoing | 8 | 8 | 8 | Reconcile to make sure outstanding balance in Medicaid matches outstanding balance on database |  |  |  | This is ongoing, important maintenance.
MRT #133 |  |  |  |  | Project Name:  Administrative Renewal for Aged, Blind, and Disabled and Medicare Savings Program (MSP) Participants Division Lead: DCE Team Lead: [NAME] Description:  Allow aged, blind and disabled with fixed incomes to be automatically renewed based on cost of living increases. | -0.3
 |  |  |  |  | Policy and Procedure
 | 2011-04-30 00:00:00 | P | P | P | Complete review of policy issues
 | 7/1/2011 7/22/11 8-15-11 9-23-11 10/7/11 | P | P | P | Submit draft ADM for clearance
 | 10/1/2011 10/14/11 | P | P | P | Issue ADM - effective 1/01/2012
 |  |  |  |  | Systems Updates
 | 2011-04-01 00:00:00 | P | P | P | Submit System Change Request
 | 2011-04-15 00:00:00 | P | P | P | Finalize system change requirements
 | 5/17/2011 6-10-11 7-26-11 | P | P | P | Finalize System Action Request - Aged, [NAME], Disabled
 | 5/17/2011 6-10-11 8-1-11 8-15-11 9-5-11 10-15-11 | P | P | P | Finalize System Action Request - MSP
 |  |  |  |  | CNS
 | 2011-05-17 00:00:00 | P | P | P | Submit new CNS renewal notices
 | 8/22/2011 11-18-11 | 8 | 8 | 8 | Development/coding changes
 | 10/7/2011 1-2-12 | 8 | 8 | 8 | Unit testing
 | 10/12/2011 1/9/12 | 8 | 8 | 8 | User Acceptance
 |  |  |  |  | WMS
 | 8/22/2011 11-18-11 | 8 | 8 | 8 | Development/coding changes
 | 10/7/2011 1/2/12 | 8 | 8 | 8 | Unit testing
 | 10/12/2011 1/9/12 | 8 | 8 | 8 | User Acceptance
 |  |  |  |  | MBL
 | 8/22/2011 11-18-11 | 8 | 8 | 8 | Development/coding changes
 | 10/7/2011 1/2/12 | 8 | 8 | 8 | Unit testing
 | 10/12/2011 1/9/12 | 8 | 8 | 8 | User Acceptance
 |  |  |  |  | Local District Interfaces
 | 2011-04-25 00:00:00 | P | P | P | Define changes to existing renewal interfaces (i.e. EDITS, MRT, CHEM)
 | 8/22/2011 11-18-11 | 8 | 8 | 8 | Development/coding changes
 | 10/7/2011 1/2/12 | 8 | 8 | 8 | Unit testing
 | 10/12/2011 1/9/12 | 8 | 8 | 8 | User Acceptance
 | November, 2011 (as part of [NAME]) January 2012 | 8 | 8 | 8 | Migrate system changes (October 17 2011 .. 11.3 migration) First run is 2nd week in January for cases expiring 3/31/12
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | Implementation - Aged, [NAME], Disabled (for renwals sent out)
 | 2012-03-01 00:00:00 | 8 | 8 | 8 | Implementation - MSP (for renwals sent out)
MRT# 134 |  |  |  |  | Project Name: Audit of Cost Reports submitted by hospitals; replacing CPA certifications Division Lead: DHCF Team Lead: [NAME]:  Contract with independent certified public accounting firms licensed in NYS to conduct annual field and desk audits of the Institutional Cost Reports | .75
 | 2011-03-30 00:00:00 | P | P | P | Federal Public Notice
 | 2011-04-01 00:00:00 | P | P | P | SPA submission date |  |  |  | To CMS 4/15/11
 | 2011-04-01 00:00:00 | P | P | P | Draft regulation to collect audit fees for review by Administration
 | 2011-04-04 00:00:00 | P | P | P | Briefing the industry on the tentative Audit plan
 | 2011-04-08 00:00:00 | P | P | P | Draft FAS (Funding Availability Solicitation) RFP for review by OHIP administration
 | 07/29/11          05/23/11                                                             05/01/11 | P | P | P | RFP  FAS submitted for DOH review (Including Form 2333 and EDC Form)
 | 06/17/11                                      05/23/11                                                   5/1/2011 | P | P | P | Deliver fee schedule for billing and collection.  Post to DOH Website. |  |  |  | Fee schedule has been posted.
 | 07/20/11      06/01/11                                                                                                        5/1/2011 | P | P | P | Attachment A approval (Dependent upon budget approval)
 | 6/20/11                5/31/11 | P | P | P | Due Date of Cost Report |  |  |  | The ICR has a revised due date of 6/20/11 to give providers more time to file accurately due to numerous software changes.
 | 08/04/11                            08/26/11                7/1/11 | P | P | P | Release of RFP through Contract Reporter and to designated list.                                       Release of FAS to designated list.                                                                                            Release of RFP through Contract Reporter
 | 08/15/11                      09/07/11                   7/10/11 | P | P | P | Written questions due from bidders |  |  |  |  | Maintenance
 | 08/25/11              09/19/11                   7/21/11 | P | P | P | Response to written questions from the Department to the bidders
 | 09/15/11                09/08/11                  09/28/11                 08/01/11 | P | P | P | Proposal due from bidders to the Department
 | 2011-10-12 00:00:00 | ▲ | ▲ | ▲ | Evaluation completed; return to OHIP Contracting for approval
 | 10/23/11              10/17/11                10/24/11               9/1/11 |  |  |  | Negotiation of contract terms after award. Finalization of form 2333.
 | 2011-11-07 00:00:00 | ▲ | ▲ | ▲ | Award of Contract
 | 11/08/11            10/31/11         9/15/11 | ▲ | ▲ | ▲ | Finalization of Audit Plan - Present to industry
 | 12/12/11            11/1/11 | ▲ | ▲ | ▲ | Commencing of Audit (ICR 2010)
MRT# 139 |  |  |  |  | Project Name: Implement the new waiver for LTHHCP Division Lead: OLTC - DHCBS Team Lead: [NAME] Add'l Staff: [NAME], [NAME] Description:  To implement the new enhancements of the LTHHCP waiver, initiating the opportunities for increased Medicaid cost-savings and performance. | 0
 | 2011-05-01 00:00:00 | P | P | P | Issue Implementation guidance to LDSS (ADM) and [NAME] (DAL) agencies
 | 2011-05-18 00:00:00 | P | P | P | Conference call with local districts for questions related to issued guidance
 | 2011-06-03 00:00:00 | P | P | P | Draft  Medicaid Update article with claiming instructions for LTHHCP providers related to new/expanded services |  |  |  | For publication in July
 | 6/15/2011 7-1-11 | P | P | P | Rates officially established for new waiver services, contingent on issuance of final rates
 | 7/15/2011 8/15/11 | P | P | P | Preliminary review and comment of of the revised LTHHCP provider manual by selected local districts
 | 2011-09-15 00:00:00 | P | P | P | Internal review of draft of revised LTHHCP provider manual
 | 10/15/2011 12/15/11 | 8 | 8 | 8 | Coordinate final draft of revised LTHHCP provider manual with CCM principles from MRT MLTC Work Group
 | 2011-08-15 00:00:00 | 8 | 8 | 8 | Rates for new services available in eMedNY to allow claims processing
 | 2011-08-15 00:00:00 | 8 | 8 | 8 | Implement new/expanded services
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | issue [NAME] manual
MRT #141 |  |  |  |  | Project Name:  Accelerate State Assumption of Medicaid Program Division Lead: DMC Team Lead: [NAME]                                                                                                                                                                                                                           Additional Staff: [NAME]:  Accelerate State Assumption of Medicaid program authorization for Managed Long Term Care; State takeover of Medicaid managed care contracting process statewide | 0
 |  |  |  |  | Part A:Take over Medicaid Managed Care Contracts from NYC
 | 2011-03-01 00:00:00 | P | P | P | Review NYC Specific sections of the MMC contract for input into statewide contract
 | 2011-03-15 00:00:00 | P | P | P | Meet with NYC and plan associations to discuss changes proposed
 | 2011-04-01 00:00:00 | P | P | P | Review NYC Specific sections of the SNP contract for input into statewide contract
 | 2011-04-15 00:00:00 | P | P | P | Draft dual eligible Medicaid managed care contract language for Medicaid Advantage Plans NYC service areas included with the effective date of 1/1/11.
 | 2011-04-20 00:00:00 | P | P | P | Dual eligible Medicaid Managed care contract language for Medicaid Advantage to CMS for approval
 | 2011-06-01 00:00:00 | 8 | 8 | 8 | SNP state contract approved by CMS.  SNP state contract sent to OSC for approval.
 | 6/1/2011 6-1-11 | P | P | P | Dual eligible Medicaid Managed care contract language for Medicaid Advantage approved by CMS - sent to plans
 | 2011-06-10 00:00:00 | 8 | 8 | 8 | New state SNP contracts for SNP only to CMS for approval
 | 2011-06-15 00:00:00 | P | P | P | Dual eligible Medicaid Managed care contract language for Medicaid Advantage approved by CMS - returned by plans
 | 5/25/2011 6-30-11 | P | P | P | Draft SNP managed care state contract changes for consolidation into 7/1/11  8-1-11 combined MMC/FHP/SNP state contract for plans that are MMC and SNP
 | 5/10/2011 5-30-11 6-6-11 7-1-11 | P | P | P | MMC statewide contract amendment including service area language effective 8-1-2011 drafted
 | 5/10/2011 5-30-11 6-10-11 6-30-11 7-15-11 | P | P | P | Draft mainstream managed care contract termination for MCOs with NYC contracts effective 6/30/11  7-31-11
 | 6/15/2011 7-20-11 7-30-11 8-30-11 10-14-11 10/31/11 11-30-11 | 8 | 8 | 8 | CMS approval of MMC/NYC contract terminations and MMC amendments
 | 6/30/2011 8-10-11 9-10-11 12/16/11 | 8 | 8 | 8 | MMC/NYC contract terminations and MMC contract amendment approved by CMS. Sent to plans and returned
MRT # 144 |  |  |  |  | Project Name:  Eliminate Duplicative Behavioral Health Hosp Surveys Division Lead: OHSM - with OMH and OASAS Team Lead: [NAME] (OMH) Additional Staff:  [NAME] (OASAS), [NAME] (DOH) Description:  The granting of "deemed status" in lieu of state licensing surveys to hospitals accredited by The Joint Commission or other nationally accrediting body assessing NYS specific concerns. | 0
 | 3/31/2011 | P | P | P | Discussions among DOH, OASAS and OMH to fully appreciate the nature of the different deemed status agreements/plans with The Joint Commission (TJC).
 | 3/31/2011 | P | P | P | Continue discussions with TJC regarding readiness to begin deemed OMH surveys including the potential role of OMH in training behavioral health surveyors in the OMH addendum.
 | 3/31/2011 | P | P | P | Review with TJC the scope of psychiatric inpatient services in NYS. Prepare list with # units per hospital, # of beds and population type of units to inform decision on additional surveyor day(s) to conduct the behavioral health addendum.
 | 3/31/2011 | P | P | P | Commence conversations with TJC regarding the use of a deemed status arrangement to satisfy OASAS certification requirements for hospital-based medically managed withdrawal (1st priority) and inpatient rehabilitation (2nd priority).
 | 3/31/2011 | P | P | P | Initiate discussions with [NAME] (DNV) and American Osteopathic Association’s Healthcare Facilities Accreditation Program (AOA) regarding the use of a deemed status arrangement to satisfy OMH and OASAS licensing requirements.
 | 4/30/2011 | P | P | P | After careful review of the DOH Collaborative Agreement, develop a Collaborative Agreement between NYS OMH and TJC which describes the responsibilities of each party.
 | 4/30/2011 | P | P | P | Identify required regulatory changes to implement deemed status arrangement.
 | 4/30/2011 | P | P | P | Develop regulatory language (text of rule) to amend applicable Parts in Title 14 NYCRR.
 | 4/30/2011 | P | P | P | Review and if necessary revise the surveyor addendum to ensure it reflects the most recent TJC standards and OMH NYS rules and regulations.
 | 4/30/2011 | P | P | P | Conduct a comparison of standards utilized by AOA against the OMH licensing tool.
 | 5/31/2011 | P | P | P | Update hospital associations re readiness to begin deemed surveys.  Identify additional issues, barriers, and solutions.
 | 5/31/2011 | P | P | P | Develop an addendum to  AOA survey, if needed, to include high risk and/or New York State OMH specific items.
 | 5/31/2011 | P | P | P | Conduct a comparison of standards utilized by DNV against the OMH licensing tool.
 | 6/30/2011 | P | P | P | Compare TJC Survey Standards against OASAS Program Regulations -- medically managed withdrawal and inpatient rehabilitation.
 | 6-30-2011 | P | P | P | Develop and sign collaborative agreement/memorandum of understanding between the Joint Commission and NYS Office of Mental Health.
 | 6/30/2011 | 8 | 8 | 8 | Determine if rule change should be filed as a Notice of Proposed Rulemaking or Emergency Rulemaking.
 | 6/30/2011 | 8 | 8 | 8 | Secure Governor’s Office approval to file an emergency rule (per Executive Order 17), if applicable.
 | 6/30/2011 | P | P | P | Prepare accompanying regulatory paperwork.
 | 6/30/2011 | P | P | P | Circulate rule with completed regulatory filing paperwork internally for approval.
 | 6/30/2011 | P | P | P | Submit Notice of Proposed Rulemaking to Governor’s Office for approval.
 | 6/30/2011 | P | P | P | Determine which OMH providers will be eligible to apply to TJC for deemed status.  Share information with TJC.
 | 6/30/2011 | P | P | P | Work with TJC to develop interim procedure for hospitals to opt-in or opt-out of deemed status survey process, including consent to share report with OMH. Develop process for OMH to be notified of hospital decision.
 | 6/30/2011 | P | P | P | Develop an addendum to DNV survey, if needed, to include high risk and/or New York State OMH specific items.
 | 7/31/2011 | P | P | P | Distribute Dear Provider letter to inform hospitals of OMH deemed status procedures.
 | 7/31/2011 | P | P | P | Continue to conduct surveys and issue licenses to non-accredited hospitals and those opting out of deemed survey.
 | 8/31/2011 | P | P | P | Upon receipt of successful TJC reports, issue 3 year OMH licenses.
 | 8/31/2011 | P | P | P | Meet with Standards Compliance and Field staff to identify quality of care and safety issues and the areas where OASAS has specific regulations not covered by TJC.  Develop potential list of areas to be included in an addendum to TJC Survey Standards.
 | 8/31/2011 | P | P | P | Submit proposed rule to Department of State for publication in the NYS Register.
 | 8/31/2011 | P | P | P | Develop parameters and protocols for rapidly deploying OMH staff to conduct on site for cause surveys.
 | 7/31/2011 9/16/11 | P | P | P | Brief Mental Health Services Council on the proposed rule and conduct vote.
 | 7/31/2011 9/30/11 | P | P | P | Coordinate with DOH to achieve OMH participation in validation surveys in hospitals with licensed psychiatric units; Develop protocol to validate survey of NYS/OMH addendum.
 | 9/30/2011 | P | P | P | Meet with hospital associations' membership to review opportunities, options, procedures and protocols for deemed surveys.
 | 10/31/2011 | P | P | P | Assess Public Comment if received, and prepare assessment paperwork.  [NAME]-A letters to appropriate legislative leaders.
 | 10/31/2011 | P | P | P | Update OMH website to inform public of deemed status arrangement.
 | 10/31/2011 | P | P | P | Add accrediting body information to OMH [NAME] for hospitals.
 | 9/30/2011 11/16/11 | P | P | P | Discussions between OASAS and TJC leadership to develop a list of New York State specific concerns to be included in a TJC chemical dependence addendum.
 | 11/30/2011 | 8 | 8 | 8 | Circulate Notice of Adoption, including assessment of public comments internally for approval.
 | 11/30/2011 | 8 | 8 | 8 | Submit the Notice of Adoption to DOS for publication in State Register and mail 101-A letters to appropriate legislative leaders.
 | 12/31/2011 | 8 | 8 | 8 | Work with AOA and with the hospital associations to conduct pilot surveys.
 | 10/31/2011 12/31/11 | 8 | 8 | 8 | Discussions between OASAS and TJC leadership to agree on steps and timetable for implementation.
 | 1/31/2012 | 8 | 8 | 8 | Review results of AOA pilot surveys, modify protocols as needed.
 | 1/31/2012 | 8 | 8 | 8 | Work with DNV and with the hospital associations to conduct pilot surveys.
 | 1/31/2011 | 8 | 8 | 8 | Identify providers eligible to participate in a deemed status agreement with AOA and develop a schedule of certification due dates.
 | 1/31/2012 | 8 | 8 | 8 | Work with AOA to develop procedure for hospitals to opt-in or opt-out of deemed status survey process, including consent to share report with OMH. Develop process for OMH to be notified of hospital decision.
 | 1/31/2012 | 8 | 8 | 8 | Issue OMH 3 year license, upon receipt of successful American Osteopathic Association’s Healthcare Facilities Accreditation Program (AOA) Survey report.
 | 1/31/2012 | 8 | 8 | 8 | Identify providers eligible to participate in a deemed status agreement with DNV and develop a schedule of certification due dates.
 | 2/28/2012 | 8 | 8 | 8 | Review results of DNV pilot surveys, modify protocols as needed.
 | 2/28/2012 | 8 | 8 | 8 | Issue OMH 3 year license, upon receipt of successful  American Osteopathic Association’s Healthcare Facilities Accreditation Program (AOA) Survey report.
 | 3/31/2012 | 8 | 8 | 8 | Identify providers eligible to participate in a deemed status agreement with DNV and develop a schedule of certification due dates.
 | 3/31/2012 | 8 | 8 | 8 | Work with DNV to develop procedure for hospitals to opt-in or opt-out of deemed status survey process, including consent to share report with OMH. Develop process for OMH to be notified of hospital decision.
 | 3/31/2012 | 8 | 8 | 8 | Issue OMH 3 year license, upon receipt of successful  DNV's The National Integrated Accreditation for Healthcare Organizations (NIAHO) [NAME].
MRT #147 |  |  |  |  | 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
 |  |  |  |  | Extend end user reporting and data entry requirements for HCR from 5 days to 10 days
 | 2011-03-18 00:00:00 | P | P | P | [NAME] advisory to notify users of change.
 | 2011-04-01 00:00:00 | P | P | P | Circulate for internal approval; modify as required; re-circulate for internal approval.
 | 2011-04-15 00:00:00 | P | P | P | Circulate for MRT approval; modify as required; recirculate for MRT approval.
 | 2011-04-29 00:00:00 | P | P | P | Post on HCS.
 | 2011-04-29 00:00:00 | P | P | P | Distribute to non-DOH stakeholders.
 | 2011-04-29 00:00:00 | P | P | P | Revise and post on HCS training materials, FAQ, etc., to reflect change.
 | 2011-07-08 00:00:00 | P | P | P | Revise proposed regulations.
 | 2011-07-15 00:00:00 | P | P | P | Re-submit rev. proposed regulations to DOB-RRU/Governor's Office
 | 8/15/2011       9-23-11 10-7-11    11-15-11 | T | T | T | Executive Chamber approves the proposed regulations
 | 9/22/2011      11-17-11 | 8 | 8 | 8 | Regulations to PHHPC Codes Committee for information (9/22/11 11/17/11 meeting)
 | 10/6/2011      12-8-11 | 8 | 8 | 8 | Regulations to PHHPC for information (10/6/11 12/8/11 meeting)
 | 8/31/2011      12-14-11 | 8 | 8 | 8 | Publish Notice of Proposed Rule Making in State Register (Issue 35 50)
 | 10/15/2011       1-28-12 | 8 | 8 | 8 | 45-day public comment period ends
 | 10/28/2011      2-1-12 | 8 | 8 | 8 | Complete Assessment of Public Comments; revise regulations if necessary
 | 11/17/2011      3-30-12 | 8 | 8 | 8 | Assuming no/non-substantive revisions, submit to PHHPC Codes for adoption
 | 12/8/2011      4-15-12 | 8 | 8 | 8 | Assuming no/non-substantive revisions, submit to PHHPC for adoption
 | 12/23/2011      4-30-12 | 8 | 8 | 8 | Obtain Commissioner's certification
 | 1/12/2012      5-2-12 | 8 | 8 | 8 | Publish Notice of Adoption in State Register (Issue 2 18)
 |  |  |  |  | NYPORTS reform implementation
 | 2011-03-10 00:00:00 | P | P | P | Establish workgroup
 | 2011-03-10 00:00:00 | P | P | P | Set meeting calendar dates
 | 2011-03-18 00:00:00 | P | P | P | Review NQF reporting structures
 | 2011-03-18 00:00:00 | P | P | P | Develop cross-walk to current NYPORTS
 | 2011-03-18 00:00:00 | P | P | P | Assign draft codes to those NQF unique fileds
 | 2011-04-22 00:00:00 | P | P | P | Meet with executive staff to discuss implementation plan
 | 2011-04-30 00:00:00 | P | P | P | Convene stakeholders
 | 2011-05-30 00:00:00 | P | P | P | Draft revised regulations
 | 2011-05-30 00:00:00 | P | P | P | Revise reporting manual
 | 2011-05-30 00:00:00 | P | P | P | Plan educaton and training schedule
 | 2011-05-30 00:00:00 | P | P | P | Development of training materials
 | 2011-06-30 00:00:00 | P | P | P | Development of policy/ procedures
 | 2011-06-30 00:00:00 | P | P | P | Conduct trainings for DOH staff and regulated providers
 | 2011-06-30 00:00:00 | P | P | P | Finalize regulations
 | 2011-07-05 00:00:00 | P | P | P | Modified reporting approach implemented
 | 6/30/2011 7/15/11 | P | P | P | Circulate regulations to Stakeholders for comment
 | 2011-07-21 00:00:00 | P | P | P | Present proposed regulations to PHHPC Committee for discussion
 | 2011-08-04 00:00:00 | P | P | P | Present regulations at PHHPC
 | 7/15/2011 7/30/11 8-29-11 9/9/11 9/22/11 10/5/11 | 8 | 8 | 8 | Submit regulations to Governor's Office for Approval
 | 8/15/2011 9/15/11 10/5/11 | 8 | 8 | 8 | Revise regulations, if necessary
 | 8/31/2011 9/28/11 10/19/11 | 8 | 8 | 8 | Publish regulations in State Register
 | 10/15/2011 11/12/11 12/3/11 | 8 | 8 | 8 | 45-day comment period
 | 2011-12-28 00:00:00 | 8 | 8 | 8 | Publish Notice of Adoption in State Regiser
 | 2012-01-30 00:00:00 | 8 | 8 | 8 | Disseminate information via HPN to hospitals regarding revised adverse event reporting regulations
 |  |  |  |  | Allow home health aide training programs to have a single qualified supervisor RN for multiple training programs
 | 2011-04-10 00:00:00 | P | P | P | Draft policy guidance in the Home Health Aide Guidelines for Home Health Training Programs
 | 6/1/2011 6-15-11 7-1-11 8-15-11 | P | P | P | Draft Dear Administrator Letters (DALs) informing home health aide training programs of the revised guidance on RN supervision
 | 6/1/2011 6-15-11 7-1-11 8/15/11 | P | P | P | [NAME] modifications to surveillance and monitoring tools
 | 6/15/2011 7-15-11 8-15-11 9-1-11 | P | P | P | Seek feedback from stakeholders and interested parties re: content and clarity of draft documents including State Education Department
 | 6/15/2011 7-15-11 8-15-11 9-1-11 | P | P | P | Revise surveillance training to surveyors and disseminate revised materials to regional offices
 | 10/15/2011 01/03/2012 | 8 | 8 | 8 | Develop home care worker registry technical specifications with the Bureau of CSD that conform to the changes made to the home health aide training program guidelines
 | 6/15/2011 7-15-11 8-15-11 9-1-11 9-30-11      12-1-11 02/01/2012 | 8 | 8 | 8 | Post DAL's to the HPN to home care agencies and training programs
 | 7/15/2011 8-15-11 10-15-11      1-15-12 02/28/2012 | 8 | 8 | 8 | Work with stakeholder organizations to develop FAQ document(s) to respond to questions, if needed.
 | 2012-03-15 00:00:00 | 8 | 8 | 8 | Develop provider training for impending registry changes
 | 2012-05-01 00:00:00 | 8 | 8 | 8 | Conduct provider training as necessary regarding changes to be made to registry through webinar and other means
 | 2012-06-01 00:00:00 | 8 | 8 | 8 | Implement changes to registry that conform to the changes made to the home health aide training program guideline changes
 |  |  |  |  | Eliminate the requirement for a physician to be on the Quality Improvement (QI) Committee of Licensed Home Care Services Agencies (LHCSAs)
 | 2011-04-15 00:00:00 | P | P | P | [NAME] revised licensed home care regulation 766.9 (k)(1)
 | 5/1/2011 6-10-11 | P | P | P | Prepare notice to state register for publication of regulations
 | 8/1/2011         9-30-11 | P | P | P | Develop and draft revised surveillance protocols and inform surveyors of new protocols
 | 5/30/2011 6-30-11          8-15-11 9-15-11      10-15-11 | 8 | 8 | 8 | Secure Governor's Counsel's Office approval of revised regulations.
 | 7/21/2011                 11-17-11 | 8 | 8 | 8 | Present regulations to PHHPC Committee for discussion
 | 8/4/2011        10-6-11      12-8-11 | 8 | 8 | 8 | Present to PHHPC for discussion
 | 8/15/2011          10-6-11      12-15-11 | 8 | 8 | 8 | Revise regulations, if necessary
 | 8/31/2011       10-12-11      12-21-11 | 8 | 8 | 8 | Publish proposed regulations in State Register
 | 10/15/2011      11-28-11      2-4-12 | 8 | 8 | 8 | 45-day comment period
 | 10/15/2011       11-28-11      2-4-112 | 8 | 8 | 8 | Prepare response to public comments
 | 12/8/2011      3-30-12 | 8 | 8 | 8 | Present regulations to PHHPC Codes Committee for recommendation and to full Council for adoption.
 | 12/28/2011      4-15-12 | 8 | 8 | 8 | Publish Notice of Adoption in State Register
 | 12/28/2011      4-15-12 | 8 | 8 | 8 | Draft DAL informing LHCSA of revised requirement and effective date
 | 1/15/2012      4-30-12 | 8 | 8 | 8 | Post DAL's to the HCS informing providers of the revised regulation policy and procedure
 |  |  |  |  | Authorize Observation Units as Adjunct to Emergency Departments and Create Medicaid Rate
 | 2011-04-01 00:00:00 | P | P | P | Finalize development of Medicaid rate for observation units
 | 2011-04-20 00:00:00 | P | P | P | Present regulations to DOH Regulatory Advisory Committee
 | 2011-04-30 00:00:00 | P | P | P | Circulate regulations to Stakeholders for comment
 | 2011-05-04 00:00:00 | P | P | P | Finalize draft Observation Unit operating regulations
 | 2011-05-31 00:00:00 | P | P | P | Publish Medicaid Update article on observation unit rate for waiver units
 | 2011-05-31 00:00:00 | P | P | P | Launch Medicaid rate for existing observation units
 | 2011-07-21 00:00:00 | P | P | P | Present proposed regulations to PHHPC Committee for discussion
 | 2011-08-04 00:00:00 | P | P | P | Present proposed regulations to PHHPC for discussion
 | 5/31/2011 6-30-11 7-15-11 8-15-11 9-15-11 | P | P | P | Secure Governor's Counsel's approval of draft regs
 | 6/30/2011 8-24-11 10-5-11       9-28-11 | P | P | P | Publish proposed regulations in State Register
 | 10/15/2011 11-19-11      11-14-11 | P | P | P | 45-day comment period
 | 2011-12-08 00:00:00 | 8 | 8 | 8 | Present regulations to PHHPC Codes Committee for recommendation (11/17/11) and to full Council for adoption.
 | 2011-12-28 00:00:00 | 8 | 8 | 8 | Publish Medicaid Update article regarding availability of rate for new observation units
 | 2011-12-28 00:00:00 | 8 | 8 | 8 | Publish Notice of Adoption in State Regiser
 | 2011-12-31 00:00:00 | 8 | 8 | 8 | Train staff
 | 2011-12-31 00:00:00 | 8 | 8 | 8 | Disseminate information via HPN to hospitals regarding new operating standards for observation units and availability of Medicaid reimbursement.
 |  |  |  |  | Facilitate Access to Capital Financing through Obligated Groups, Including Multi-State Obligated Groups
 | 2011-04-01 00:00:00 | P | P | P | Identify DOH workgroup members needed
 | 2011-04-08 00:00:00 | P | P | P | Convene internal DOH workgroup to discuss and begin developing initiative requirements
 | 2011-05-30 00:00:00 | P | P | P | Begin drafting of needed policy guidance and regulation(s), as needed
 | 7/21/11 | 8 | 8 | 8 | Introduction of potential policy change to the Public Health and Health Planning Council Establishment and Project Review Committee
 | 2011-08-04 00:00:00 | P | P | P | Present policy change to PHHPC
 | 2011-08-15 00:00:00 | 8 | 8 | 8 | Revise policy guidance and regulations in response to PHHPC discussion.
 | 2011-08-15 00:00:00 | 8 | 8 | 8 | Submit draft policy document and possible regulatory language for executive review
 | 9/13/2011 9/20/11 10/31/11 11/30/11 | 8 | 8 | 8 | Executive sign-off of draft policy/regulation
 | 2011-09-28 00:00:00 | 8 | 8 | 8 | Publish proposed regulation, if needed, in the State Register for 45 day public notice
 | 2011-11-17 00:00:00 | 8 | 8 | 8 | Public Health and Health Planning Council Codes Committee review of proposed regulation for adoption
 | 2011-12-08 00:00:00 | 8 | 8 | 8 | Update the Public Health and Health Planning Council on revised policy
 | 2011-12-28 00:00:00 | 8 | 8 | 8 | Publish Notice of Adoption in State Register
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | Implementation of policy change and needed regulation changes
MRT#150 |  |  |  |  | Project Name:  Develop an Automated Exchange/Medicaid Eligibility System Division Lead: Systems/DCE Team Lead: [NAME]:  Execute Contract to Begin Development | 0
 | 2011-04-01 00:00:00 | P | P | P | Statute enacted to permit mini-procurement for Early Innovator
 | 5/15/2011 7-15-11 | P | P | P | Post Requirements on Web
 | 4/30/2011 9/30/11 10/7/11 | P | P | P | Submit APD to CMS for Medicaid funding
 | 10/1/2011 12/1/11 | 8 | 8 | 8 | Submit Contract to OSC
 | 10/30/2011 2/1/12 | 8 | 8 | 8 | Execute Contract
MRT # 154 |  |  |  |  | Project Name:  Enhance and Improve the State's Medicaid Program Integrity Efforts. Division Lead: OMIG  Portfolio Manager: [NAME][NAME] | -61.5 |  |  | total
MRT # 154-2 |  |  |  |  | Exception and Conflict Report- Mandate Home Health Care Providers to provide OMIG with Exception and Conflict Report Data Project Lead: [NAME]/[NAME]:  Mandate that all Certified Home Health Agencies (HHA) and Personal Care (PC) providers statewide utilize SANData or equivalent product as the point of service verification vendor, and provide Exception and Conflict Report data to the OMIG, which includes the identity of individual providers. Currently, such vendor data and reports are used by New York City (NYC) to verify actual services provided; length of visits; provider credentials; location of services provided; and schedule visits. | -45
 |  |  |  |  | Strategy and Plan to Educate Home Health Providers
 | 2011-05-13 00:00:00 | P | P | P | Develop Strategy to Educate Home Health Providers on OMIG's plans for [NAME] and Monitoring
 | 5/16/11 | P | P | P | Begin developing and implementing cost savings methodologies for education and review activities as applicable
 | 2011-05-25 00:00:00 | P | P | P | [NAME]
 | 2011-05-25 00:00:00 | P | P | P | Begin Executing Education Plan Activities
 | 2011-05-27 00:00:00 | P | P | P | Start tracking behavior
 | 2011-05-27 00:00:00 | P | P | P | Develop Review Plan for Suspicious Home Health Providers who use Vendors
 | 2011-05-27 00:00:00 | P | P | P | Develop list of providers, using vendors, that reflect suspicious claiming behavior
 | 5/30/11 | P | P | P | Begin Execute Review Plan for each provider as staffing plan allows
 | 6/20/2011 6/30/11 | P | P | P | Send Letters to Affected Providers
 | 2011-08-05 00:00:00 | P | P | P | Visit Providers
 |  |  |  |  | Legislation
 | 3/18/11 | P | P | P | Legislation proposed
 | 4/1/11 | P | P | P | Legislation approval consistent with Budget enactment
 |  |  |  |  | Scope Clarification - Approach
 | 2011-03-07 00:00:00 | P | P | P | Deputy meeting to set general project direction
 |  |  |  |  | High Level Program Development
 | 3/30/11 | P | P | P | Identify qualified vendors
 | 4/8/11 | P | P | P | Identify leads and create workgroup stakeholders (DMI, Audit, Target, Admin, Compliance, County Demo, LTC)
 | 2011-04-26 00:00:00 | P | P | P | Hold kickoff meeting with full representation of stakeholders
 | 5/12/2011 | P | P | P | Identify requirements and roles of stakeholder groups
 | 5/6/2011 5/13/11 5/18/11 | P | P | P | Continue effort to get one or more LTC Designees
 | 2011-05-24 00:00:00 | P | P | P | External meeting to finalize scope and obtain buyin (necessary if LTC joins group?)
 | 5/13/2011 6/13/11 | 8 | 8 | 8 | Identify data feeds destination (FACTS or [NAME] on eMedNY)
 | 5/23/2011 6/30/11 8/15/11 | 8 | 8 | 8 | Develop detail project outline (rules and regulations, internal roles and processes, objectives, system/data requirements, timeframes)
 | 2011-08-22 00:00:00 | 8 | 8 | 8 | Obtain approval of project outline by OHIP
 | 2011-08-30 00:00:00 | 8 | 8 | 8 | Obtain approval of project outline by OMIG
 | 2011-08-24 00:00:00 | P | P | P | Write up issues, challenges, decision points to discuss with between OHIP, OMC, and OMIG |  |  |  | Further discussions needed to discuss how to move this forward by OHIP, OMC, and OMIG
 | 9/15/2011 10-15-11 | P | P | P | Discuss with necessary parties
 | 9/30/2011 10-15-11 | P | P | P | Determine next steps for proceeding
 |  |  |  |  | Concept Regulation, if needed
 | 2011-10-30 00:00:00 | 8 | 8 | 8 | Propose regulation changes
 | 2012-01-03 00:00:00 | 8 | 8 | 8 | Obtain approval of regulation changes
 | 2012-01-03 00:00:00 | 8 | 8 | 8 | Implement Regulation changes
 | 2011-10-15 00:00:00 | P | P | P | Revise Work plan , if necessary
 | 2012-01-03 00:00:00 | 8 | 8 | 8 | Begin Project Implementation
 |  |  |  |  | Develop Detailed Program Requirements
 |  |  |  |  | [NAME].
 | 2011-05-25 00:00:00 | P | P | P | Research current NYC Regulation
 | 6/21/2011 7/13/2011 8/15/2011 | 8 | 8 | 8 | Draft concept paper and prepare package to Legal
 | 6/28/2011 7/20/11 9/20/2011 | 8 | 8 | 8 | Legal Review
 | 2011-09-27 00:00:00 | 8 | 8 | 8 | GO review and approval
 | 2011-09-27 00:00:00 | 8 | 8 | 8 | Outreach meetings
 | 2011-10-11 00:00:00 | 8 | 8 | 8 | [NAME] to DOS
 | 2011-12-13 00:00:00 | 8 | 8 | 8 | Comment period
 | 2011-12-20 00:00:00 | 8 | 8 | 8 | Draft public commentary assessment
 | 2012-01-03 00:00:00 | 8 | 8 | 8 | Adoption of regulatory change (assume no provisions are needed)
 |  |  |  |  | Program Development by Stakeholder
 | 2011-05-25 00:00:00 | P | P | P | Define OMIG Person/Organization Responsible for Overal Program Oversight
 | 2011-06-28 00:00:00 | P | P | P | Develop detailed requirements and processes for DMI
 | 2011-06-28 00:00:00 | P | P | P | Develop detailed requirements and processes for DTBA
 | 2011-06-28 00:00:00 | P | P | P | Develop detailed requirements and processes for Compliance
 | 2011-06-28 00:00:00 | P | P | P | Develop detailed requirements and processes for County Demo
 | 2011-06-28 00:00:00 | P | P | P | Develop detailed requirements and processes for Audit
 | 2011-06-28 00:00:00 | P | P | P | Develop detailed requirements and processes for LTC
 |  |  |  |  | Develop and Perform Reachout Functions
 | 8/5/11 | P | P | P | Webinar
 | 8/5/11 12/30/2011 | 8 | 8 | 8 | Administrative Directives
 | 8/5/11 12/30/2011 | 8 | 8 | 8 | Medicaid Updates
 | 8/5/11 12/30/2011 | 8 | 8 | 8 | Policy Manual Updates
 | 8/5/11 12/30/2011 | 8 | 8 | 8 | Meeting with Trade Associations
 |  |  |  |  | Derive Methodology for the savings
 | 8/15/11 4/28/11 | P | P | P | Update MRS Functionality in FACTS
 | 7/18/11 8/15/2011 | P | P | P | Develop methodology
 | 9/5/2011 9/30/2011 | P | P | P | Obtain clarification of data, if needed
 | 8/1/11 8/30/2011 10/1/2011 | P | P | P | Approval by BBFM
 | 8/15/11 9/7/2011 10/15/2011 | P | P | P | Internal Controls for initial review (audit of methodology)
 |  |  |  |  | Operational Details
 | 2011-10-12 00:00:00 | P | P | P | Issue business requirements for a Verification Organization (VO) with vendors and the associations
 | 2011-10-28 00:00:00 | 8 | 8 | 8 | Obtain feedback on VO business requirements
 | 2011-10-18 00:00:00 | P | P | P | Issue Direct mailing to covered providers
 | 2011-10-28 00:00:00 | 8 | 8 | 8 | Obtain feedback and point person
 | 2011-10-31 00:00:00 | 8 | 8 | 8 | Issue final requirements to vendors
 | 2011-11-04 00:00:00 | 8 | 8 | 8 | Obtain agreement to meet requirements and desire to enroll as a VO
 | 2011-11-07 00:00:00 | 8 | 8 | 8 | Direct e-mail to covered provider contacts with final requirements and initial list of vendors
 | 2011-12-19 00:00:00 | 8 | 8 | 8 | Work with Providers and Vendors to begin program
 | 2012-01-02 00:00:00 | 8 | 8 | 8 | Providers to have engaged a vendor and to share an implementation plan and schedule with the OMIG
 | 2011-11-09 00:00:00 | P | P | P | e-mails to providers with cover letter and draft requirements document.  Send to [NAME] too
 | 2011-11-17 00:00:00 | 8 | 8 | 8 | provider comments due
 | 2011-11-21 00:00:00 | 8 | 8 | 8 | (week of) final requirements sent to vendors, associations and providers
 | 2011-11-28 00:00:00 | 8 | 8 | 8 | deadline for vendors (to attest to interest and ability to be a VO) to be included in initial list of VOs
 | 2011-11-29 00:00:00 | 8 | 8 | 8 | Initial list of VOs sent to all providers, associations and vendors (including non-VOs - promote interoperability and sub-contracting).
 | 2011-12-28 00:00:00 | 8 | 8 | 8 | Providers must communicate their selection of a VO to OMIG.
 | 2012-01-20 00:00:00 | 8 | 8 | 8 | Each VO, for each of their client providers, must submit a customized implementation schedule for review and approval.
 |  |  |  |  | Measure Savings - $45 M
 | 2011-12-19 00:00:00 | 8 | 8 | 8 | Measure Cash Savings
 | 2011-12-19 00:00:00 | 8 | 8 | 8 | Update MRS monthly in FACTS (cost avoidance)
 | 2011-12-19 00:00:00 | 8 | 8 | 8 | Divisions Submit MRTSavings to BBFM
 | 2011-12-19 00:00:00 | 8 | 8 | 8 | Perform Program Monitoring & Targeting
 | 2011-12-19 00:00:00 | 8 | 8 | 8 | Begin Phase II - IT Tasks with Vendors
MRT # 154-3 |  |  |  |  | Pharmacy Signature- Require Identification and Signature for Home Delivery and for Receipt of Prescriptions at Pharmacies Project Lead: [NAME]: Require government issue ID and signature in order to receive prescriptions/fiscal orders at pharmacy and for home delivery.  Maintain ID and signature log records for a period of 6 years | 0 | Based on discussions with OHIP policy the ID portion of this proposal is not feasible.  The proposal will proceed with the signature portion of allowing the beneficiary or their representative to sign upon reeipt of orders at pharmace or for home deliveries. |  | Based on discussions with OHIP policy the ID portion of this proposal is not feasible.  The proposal will proceed with the signature portion of allowing the beneficiary or their representative to sign upon reeipt of orders at pharmace or for home deliveries.
 | 2011-04-21 00:00:00 | P | P | P | Reach out to DOH OHIP for history of signature and opinion on proposal
 | 2011-04-22 00:00:00 | P | P | P | Meet with OMIG legal staff to explain/discuss proposal
 | 4/29/2011 5/13/11 | P | P | P | OHIP legal staff to consult with DOH OHIP counsel [NAME]
 | 2011-05-20 00:00:00 | P | P | P | OHIP Policy / Legal Schedule meeting [NAME] to determine validality
 |  |  |  |  | Derive methodology for the savings
 | 4/15/2011  4/22/11 | P | P | P | Develop methodology
 | 2011-04-22 17:00:00 | P | P | P | Complete Budget Savings Form
 | 5/6/2011   4/26/11 | P | P | P | Approval by BBFM
 | 5/27/2011   4/28/2011 | P | P | P | Update MRS in FACTS
 | 2011-05-20 00:00:00 | P | P | P | Internal Controls for initial review (audit of methodology)
 |  |  |  |  | Emergency Regulatory Change
 | 2011-06-10 00:00:00 | 8 | 8 | 8 | Conduct emergency rule adoption process
 | 2011-07-29 00:00:00 | 8 | 8 | 8 | Emergency Rule Adopted
 |  |  |  |  | Formally Adopt Regulation
 | 2011-05-20 00:00:00 | P | P | P | Draft Programmatic Regulatory Language 18NYCRR505.3
 | 2011-05-20 00:00:00 | P | P | P | Draft concept paper and prepare package to Legal
 | 2011-06-03 00:00:00 | 8 | 8 | 8 | Legal Review
 | 2011-07-22 17:00:00 | 8 | 8 | 8 | GO review and approval
 | 2011-07-22 17:00:00 | 8 | 8 | 8 | Outreach meetings
 | 2011-08-05 17:00:00 | 8 | 8 | 8 | [NAME] to DOS
 | 2011-10-07 17:00:00 | 8 | 8 | 8 | Comment period
 | 2011-10-14 17:00:00 | 8 | 8 | 8 | Draft public commentary assessment
 | 2011-10-28 17:00:00 | 8 | 8 | 8 | Adoption of regulatory change (assume no provisions are needed)
 | 2011-11-01 17:00:00 | 8 | 8 | 8 | Publish to Register
 | 2011-11-02 17:00:00 | 8 | 8 | 8 | Regulation approved
 |  |  |  |  | Notify Providers
 | 2011-07-15 00:00:00 | P | P | P | Prepare Medicaid Update Article pertaining to signature requirement. Article sent to [NAME] for approval
 | 2011-08-20 00:00:00 | P | P | P | OHIP draft Update Article approved
 | 9/1/2011 10/31/2011 | P | P | P | Update article published  • Publish Medicaid Update Article - September or October Issue 10/1/11 e-Blast went out 9/1/11
 | 2011-12-31 00:00:00 | 8 | 8 | 8 | Develop Audit Finding and Protocol
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | Consult with OHIP Pharmacy Policy and County Demo on protocol development
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | Implement Protocol
 |  |  |  |  | Revise Audit Protocols & Findings
 | 2011-09-01 00:00:00 | 8 | 8 | 8 | Publish update article
 | 2011-10-01 00:00:00 | 8 | 8 | 8 | Implement policy
 | 2011-07-22 00:00:00 | 8 | 8 | 8 | [NAME] demo
 | 2012-01-25 00:00:00 | 8 | 8 | 8 | Implement protocol for audit periods consistent with effective date of regulation
 |  |  |  |  | Notify Providers
 | 2011-07-27 00:00:00 | 8 | 8 | 8 | Develop and distribute notification letter to all enrolled pharmacies
 | 2011-09-07 00:00:00 | 8 | 8 | 8 | Develop and publish Medicaid Update article
 | 2011-12-14 00:00:00 | 8 | 8 | 8 | Notification to PSSNY
 |  |  |  |  | Preparing provider for the change
 | 5/20/201 4/22/11 | P | P | P | Explore the idea of using CardSwipe as method for obtaining signatures (if so, this should be part of the reg)
 | 2011-12-14 00:00:00 | 8 | 8 | 8 | Provide template signature log
 | 2011-12-14 00:00:00 | 8 | 8 | 8 | Provide template notice for signage within the pharmacy
 | 2012-03-07 00:00:00 | 8 | 8 | 8 | Implement change with Pharmacies
 |  |  |  |  | Measure Savings $.6M
 | 2012-03-08 00:00:00 | 8 | 8 | 8 | Update MRS monthly in FACTS (cost avoidance)
 | 2012-03-08 00:00:00 | 8 | 8 | 8 | Submit to BBFM
 | 2012-07-12 00:00:00 | 8 | 8 | 8 | Measure cash savings (Audit findings)
MRT # 154-5 |  |  |  |  | Access DOH BNE -  Allow Access to the Department of Health (DOH) Bureau of Narcotics Enforcement (BNE), New York State Prescription Information Database Project Lead: [NAME] Description: Allow the OMIG access to DOH BNE data, which provides information on the cash purchase of controlled substances, to improve OMIG’s RRP targeting capabilities.  Currently RRP targeting is limited to Medicaid payment data only. |  |  |  | Once legislation is enacted, it takes 180 days after the legislation is passed for it to take effect.
 |  |  |  |  | Derive methodology for the savings
 | 6/17/11 4/28/11 | P | P | P | Update MRS in FACTS
 | 5/20/11 5/13/11 4/29/11 | P | P | P | Complete Budget Savings Form
 | 5/27/11 | P | P | P | Approval by BBFM
 | 2011-06-04 00:00:00 | P | P | P | Internal Controls for initial review (audit of methodology)
 | 2011-08-30 00:00:00 | P | P | P | Discuss alternative option related to Article VII |  |  |  | Ongoing discussions con't.
 | 2011-09-30 00:00:00 | P | P | P | Continue stakeholder discussions
 | 2011-10-31 00:00:00 | P | P | P | Reach decision - Access Granted
 | 2011-12-23 00:00:00 | 8 | 8 | 8 | Obtain access to DOH BNE data
 |  |  |  |  | Formally Adopt Legislation
 | 12/22/11 6/30/11 | 8 | 8 | 8 | Enact Legislation DOH Departmental #45 05-11 |  |  |  | This did not pass. Another option to consider is authority given under Article VII.  This will be further explored.
 |  |  |  |  | Formally Adopt Regulation
 | 6/17/11 | 8 | 8 | 8 | OMIG Staff/DOH Discussions ongoing
 |  |  |  |  | System access
 | 12/23/11  9/9/11 | 8 | 8 | 8 | Obtain access to DOH BNE system data
 | 1/3/2012 10/17/11 | 8 | 8 | 8 | Determine rrp candidate restrictions
 | 2/3/2012  10/17/11 | 8 | 8 | 8 | SMRT Review required
 | 3/2/2012 10/17/11 | 8 | 8 | 8 | Determine referral to law enforcement
 |  |  |  |  | Measure Savings  .1M
 | 4/2/2012 11/18/11 | 8 | 8 | 8 | Update MRS monthly in FACTS (cost avoidance)
 | 4/2/2012 11/18/11 | 8 | 8 | 8 | Submit to BBFM
MRT # 154-8 |  |  |  |  | Project Name: Duplicate Claims- Medicare Coordination of Benefits with Provider Submitted Duplicate Claims Project Lead: [NAME],  [NAME] Project Description: Review claims approved and paid by Medicare for dual eligible recipients, which are also submitted to Medicaid for payment, and refine existing edit logic (#02112) to prevent such duplication.  Existing edit logic is not always adequate to identify such duplication, which results in the payment of same claims by both Medicare and Medicaid.  Potential duplicate claims will be reviewed and recoveries made when appropriate.    Finding/recovery validation will help further refine the current edit logic criteria to appropriately reflect Medicare participation prior to authorizing Medicaid payments. | -16.5
 |  |  |  |  | Edit Change 02113
 | 2011-04-15 17:00:00 | P | P | P | Edit Calculation 02113
 |  |  |  |  | Derive methodology for the savings
 | 2011-04-01 17:00:00 | P | P | P | Develop methodology
 | 4/20/2011   4/29/11 | P | P | P | Complete Budget Savings Form
 | 5/6/2011 5/3/2011 | P | P | P | Approval by BBFM
 | 2011-05-16 17:00:00 | P | P | P | Internal Controls for initial review (audit of methodology)
 | 2011-05-17 00:00:00 | P | P | P | Update MRS in FACTS
 |  |  |  |  | Change to Payment Process for All Crossover Claims
 |  |  |  |  | Implement Edit
 | 2011-04-11 17:00:00 | P | P | P | Request Edit Logic Change
 | 4/25/2011   4/20/2011 | P | P | P | Obtain DOH Policy approval of Evolution Request
 | 5/20/2011 5/30/11 | P | P | P | Prioritize as e-MedNY Evolution
 | 2011-07-22 17:00:00 | P | P | P | Functional Requirements Document Developed |  |  |  | EPR revised  and resubmitted on 5/20/2011 to include agreed upon additional changes to existing edits 705, 727 and 2113.     6/2/11 [NAME] approved revised EPR and sent it to DOS.  DOS assigned project number EP1625 to this request and sent a transmittal to CSC asking them to place this project into Initiation using function code 058.
 | 5/30/2011 8/22/11 | 8 | 8 | 8 | Technical evaluation of system |  |  |  | Meeting on FRD scheduled for 6/17/11. FRD completed and sent to CSC on 7/20/11.
 | 6/1/2011 9/1/11 | 8 | 8 | 8 | Obtain project implementation date
 | 2011-06-01 17:00:00 | 8 | 8 | 8 | Schedule of Edit Runs by OHIP and Systems
 | 6/6/2011 10/20/11 | 8 | 8 | 8 | Construction/Testing
 | 8/2/2011 11/15/11 | P | P | P | Project Implementation
 | 2011-11-01 17:00:00 | 8 | 8 | 8 | New Data warehouse Training
 | 2011-10-03 17:00:00 | 8 | 8 | 8 | User Acceptance Testing
 | 10/31/2011   11/30/11 1/26/12 | 8 | 8 | 8 | Rollout system changes to e-Med NY |  |  |  | [NAME] memo of 8/30/11 states that the systems work to amend the dup edits for crossover claims will be implemented on 1/26/2012
 |  |  |  |  | Derive methodology for the savings
 | 4/15/2011   4/29/11 | P | P | P | Develop methodology
 | 5/2/2011   4/29/11 | P | P | P | Complete Budget Savings Form
 | 5/16/2011  5/3/2011 | P | P | P | Approval by BBFM
 | 2011-05-30 17:00:00 | P | P | P | Internal Controls for initial review (audit of methodology)
 | 2011-05-17 00:00:00 | P | P | P | Update MRS in FACTS
 |  |  |  |  | Obtain recoveries (Checks, Voids, and Withholds)
 | 2011-05-27 00:00:00 | P | P | P | Calculate Medicaid savings to support Edit and submit to BBFM
 | 2011-05-27 00:00:00 | P | P | P | Share with Medicaid director ([NAME])
 | 2011-06-07 00:00:00 | P | P | P | Run Recoveries against [NAME] files
 | 2011-06-15 00:00:00 | P | P | P | Medicaid update article
 | 2011-12-23 17:00:00 | 8 | 8 | 8 | Track recoveries
 | 2011-12-23 17:00:00 | 8 | 8 | 8 | Conduct system match of Medicare crossover claims (4 way match)
 | 2011-12-23 17:00:00 | 8 | 8 | 8 | Send out letters to providers |  |  |  | Template for letter and attachment sent to Mary Frances Carr for approval. 6/8/11 Mary Frances [NAME] stated review of letter should be completed by next week. Letter approved by Legal.  Letters to top 10 Physicians about to be mailed from Syracuse. Mail out of remaining letters is dependent on whether [NAME] will retire or be able to provide onsight supervision of Syracuse office involvement in mailout portion of MRT.   10 Recovery letters have been sent to Physicians from the Syracuse office.  Within a week, 39 additional letters will be sent to Physicains and DMEs with potential overpayments of $730,000 combined.
 | 2011-12-30 17:00:00 | P | P | P | Obtain staffing
 |  |  |  |  | System Match
 |  |  |  |  | Medicaid Crossover
 | 2011-10-03 17:00:00 | P | P | P | Send provider notice
 | 2011-12-23 17:00:00 | 8 | 8 | 8 | Recover savings
 | 2011-12-26 17:00:00 | 8 | 8 | 8 | Identify system matches (12/31/10)
 | 2012-12-31 17:00:00 | 8 | 8 | 8 | Repeat as needed (until edits are implemented)
 |  |  |  |  | Derive methodology for the savings
 | 4/1/2011   4/29/11 | P | P | P | Develop methodology
 | 5/2/2011   4/29/11 | P | P | P | Complete Budget Savings Form
 | 5/16/2011  5/3/2011 | P | P | P | Approval by BBFM
 | 2011-05-31 17:00:00 | P | P | P | Internal Controls for initial review (audit of methodology)
 | 2011-05-17 00:00:00 | P | P | P | Update MRS in FACTS
 |  |  |  |  | Update Enrollments for ownership changes & Mergers (Entity ID)
 | 2011-06-15 00:00:00 | P | P | P | Medicaid update article submitted |  |  |  | Telephone and email conversations are taking place. Will like to have a face to face meeting w. [NAME]. Contacted [NAME] 9/21/11 and resent her the file of claims where the provider billed under one FEIN but had different entity IDs, NPIs and provider ids.  She requested a few examples where this resulted in duplicate claims.
 | 6/30/2011 7/30/11 | P | P | P | Meet with OHIP enrollment |  |  |  | File of additional NPIs with different Entity IDs have been  provided by [NAME] of BBI. 6/2/11 file provided by [NAME] has been reviewed and sent to [NAME].  6/9/11 follow-up email sent to [NAME].
 | 2011-12-31 00:00:00 | 8 | 8 | 8 | Coordinate and rectify NPI and Entity IDs |  |  |  | Medicaid update article will appeared in the May 2011 edition. Article was published in the May 2011 edition.
 | 2011-12-30 17:00:00 | 8 | 8 | 8 | Recovery of funds (VOIDS)
 |  |  |  |  | Measure Savings
 | 2011-12-30 17:00:00 | 8 | 8 | 8 | Track recoveries
 | 2011-12-30 17:00:00 | P | P | P | Update MRS monthly in FACTS Savings (cost avoidance) |  |  |  | Cost avoidance for August 2011 has been reported.
MRT # 164 |  |  |  |  | Project Name:  Align Medicare Part B clinic coinsurance with Medicaid coverage and rates Division Lead: DFPP Team Lead: [NAME] Description:  Ensure that Medicare B coinsurance payment does not exceed Medicaid allowed amount | -5.77
 | 2011-03-31 00:00:00 | P | P | P | Draft Federal Public Notice
 | 2011-03-31 00:00:00 | P | P | P | Draft revisions to State Plan
 | 2011-04-15 00:00:00 | P | P | P | Determine policy changes
 | 2011-04-15 00:00:00 | P | P | P | Initiate regulatory process (concept paper, complete regulatory package, DLA review, publish proposed rule in State Register, public comment period, respond to public comments, finalize regulation)
 | 2011-04-15 00:00:00 | P | P | P | Initiate eMedNY system changes (develop Evolution Project Request to update/develop edit(s)) |  |  |  | System specifications provided to eMedNY
 | 2011-04-22 00:00:00 | P | P | P | Submit State Plan Amendment
 | 2011-05-18 00:00:00 | P | P | P | Regulatory Reform Committee meeting
 | 8/15/2011  9/1/11 9/15/11 | P | P | P | Provider notification via Medicaid Update
 | 2011-09-15 00:00:00 | P | P | P | Train staff (including DOH staff, CSC staff, Helpline staff) to respond to provider and enrollee inquiries
 | 2011-10-01 00:00:00 | P | P | P | Implementation of new policies and associated system changes. - physician
 | 8/1/2011 9/1/11 9/30/11 10/7/11 11/1/11 12/1/11 | 8 | 8 | 8 | Receive SPA approval
 | 10/1/2011 12/29/11 | 8 | 8 | 8 | Implementation of new policies and associated system changes - clinic
MRT # 191 |  |  |  |  | Project Name: Decrease the Incidence and Improve Treatment of Pressure Ulcers Division Lead: OLTC Team Lead: [NAME] Staff: [NAME],[NAME],[NAME], [NAME]:  This proposal provides financial support for the development of regional collaboratives to improve communications in care transitions across the healthcare continuum and for the development of measurement systems to show the reduction of pressure ulcers. | 0.35
 | 2010-06-01 00:00:00 | P | P | P | [NAME] across health care settings to develop a plan to reduce the incidence and improve the treatment of pressure ulcers.
 | 2010-07-15 00:00:00 | P | P | P | Develop regional collaboratives for the reduction of pressure ulcers through improving communications and sharing evidenced based resources to build care transitions across health care settings.
 | 2010-08-15 00:00:00 | P | P | P | Send a letter of introduction to the Gold Stamp:Reduction of Pressure Ulcer Initiative to providers across health care settings.
 | 10/04/2010-02/28/2011 | P | P | P | Communicate plan to providers and industry stateholders through Webinars, informational brochures and regional conferences.
 | 7/1/2011 8/1/11  9/1/11, 10/1/11 10-8-11 | P | P | P | Complete all aspects of the funding process.
 | 9/1/2011, 10-15-11 11-1-11 | P | P | P | Engage regional health care leaders to commit staff time and resources to work together in regional collaboratives.
 | 10/1/2011 11-30-11 | 8 | 8 | 8 | Provide funding and technical support for the facilitation of new regional coalitions and the development of a tool to measure the reduction of pressure ulcers.
 | 12/15/2011  2-1-12 | 8 | 8 | 8 | Implement the Evaluation Plan to measure performance.
MRT# 196 |  |  |  |  | Project Name:  Supportive Housing Division Lead: OLTC Team Lead: [NAME]:  Create a supportive housing interagency work group with a goal of a proposal submitted to the MRT by October 1, 2011. The goal of the workgroup is to create between 5000 and 10,000 housing opportunities for persons at risk of nursing home or other institutional placements. This will be a $75M increase starting with SFY 12-13. | 0
 | 05/01-08/11 09/11-10/11 | P | P | P | Conduct research on prior state efforts at supportive housing.
 | 6/1/2011 7-1-11 8/1/11 8-22-11 9/22/11 | P | P | P | Establish the MRT Affordable Housing work group.
 | 7/1/2011 8-1-11 8/30/11 9-15-11 10-24-11 | P | P | P | First meeting of the workgroup.
 | 09/11-10/01/11 10/11-12/11 | 8 | 8 | 8 | Meeting internally and with external stakeholders on options.
 | 9/1/2011 11/1/11 12/1/11 | 8 | 8 | 8 | Finalize the 2012-13 Budget Proposal
 | 12/01-12/31/11 | 8 | 8 | 8 | Meet with Executive Chamber and the Division of Budget on the proposal.
MRT #200 |  |  |  |  | Project Name:  Change in scope of practice for mid-level providers to promote efficiency and lower Medicaid costs Division Lead: OLTC Team Lead: [NAME] Add'l Staff:  [NAME], [NAME], [NAME], [NAME]:  Expand the scope of practice for RNs, LPNs, and home health aides to improve access to services and decrease associated costs in delivering services | 0
 |  |  |  |  | Workforce Flexibility/Change of Scope of Practice Work Group
 | 6/1/2011 7/1/11 8-15-11 9-15-11 | P | P | P | Set schedule and outcomes for workgroup
 | 6/15/2011 7-15-11 8-30-11 10-3-11 | P | P | P | Convene first workgroup meeting
 | 2011-10-27 00:00:00 | P | P | P | Convene second workgroup meeting
 | 2011-11-07 00:00:00 | P | P | P | Convene third workgroup meeting
 | 10/1/2011 11/15/11 | P | P | P | Final work group recommendations submitted to MRT
 | 2011-12-13 00:00:00 | 8 | 8 | 8 | Work group recommendations presented to MRT and voted on
 |  |  |  |  | Part A - Permit Nurses/patient s(under their scope of practice exemption) to orient/direct HHAs and PC wokers to provide nursing care as is currently allowed in the consumer directed personal assistant program; |  |  |  | Additional steps dependent on workgroup recommendations.
 | 2011-04-15 00:00:00 | P | P | P | Convene internal meetings to determine next steps for revising scope of practice
 | 2011-05-15 00:00:00 | P | P | P | Identify stakeholders with representatives of State Education Department; New York State Nurses Association and other interested stakeholders; identify areas in statutes, regulations and policies that would require change and formulate recommendations on scope of practice
 |  |  |  |  | Part B - Allow Nurse Practioners to sign Medical Evaluations for ACF/AL.
 | 2011-06-01 00:00:00 | P | P | P | [NAME] regulatory changes to title 18 for internal review
 | 2011-06-01 00:00:00 | P | P | P | [NAME] statuatory language for internal review
 |  | 8 | 8 | 8 | Publish regulations in state register
 |  | 8 | 8 | 8 | Respond to public comment
 | 2011-07-20 00:00:00 | P | P | P | Governor signed Chapter 168 of Laws of 2011
 | 2011-08-20 00:00:00 | P | P | P | Draft DAL for Executive Review
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | Promulgate regulations
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | Issue final DAL
 |  |  |  |  | Part C Eliminate restrictions on nursing practices in ACFs. |  |  |  | Additional steps dependent on workgroup recommendations.
 | 2011-04-28 00:00:00 | P | P | P | Discussed the concept of nursing in ACFs with the Division of Legal Affairs
 | 2011-05-11 00:00:00 | P | P | P | Meeting scheduled with State Education Department representatives to discuss medications in ACFs
 | 5/20/2011 6/20/11 11/15/11 | 8 | 8 | 8 | DAL to draft cncept paper proposal re: ACF limited LHCSAs |  |  |  | Tied to workgroup recommendations
 | 6/15/2011 7-1-11 11/30/11 | 8 | 8 | 8 | Complete review of ACF Regulations and identify necessary amendments |  |  |  | Tied to workgroup recommendations
 |  |  |  |  | Part D  Allow LPNs to complete assessments in LTC settings |  |  |  | Additional steps dependent on workgroup recommendations.
 | 2011-04-15 00:00:00 | P | P | P | Convene internal meetings to determine next steps for revising scope of practice
 | 2011-05-15 00:00:00 | P | P | P | Identify stakeholders with representatives of State Education Department; New York State Nurses Association and other interested stakeholders; identify areas in statutes, regulations and policies that would require change and formulate recommendations on scope of practice
 |  |  |  |  | Part E Extend the use of medication aides into nursing homes |  |  |  | Additional steps dependent on workgroup recommendations.
 | 5/15/2011 7-15-11 11-1-11 | 8 | 8 | 8 | Identify areas in statutes, regulations and policies that would require change |  |  |  | Tied to workgroup recommendations
 | 5/15/2011 7-15-11 | 8 | 8 | 8 | Develop agenda and timeline for meetings with SED and industry on proposed changes |  |  |  | To be handled within workgroup
 | 9/1/2011 10-1-11 11/15/11 12/15/11 | 8 | 8 | 8 | Draft changes to SED statute after workgroup discussions and consensus is reached |  |  |  | Tied to workgroup recommendations
 |  |  |  |  | Part F Expand the scope of practice of home health aides to include the administration of pre-poured medications to both self-directing and non-self directing individuals |  |  |  | Additional steps dependent on workgroup recommendations.
 | 2011-04-15 00:00:00 | P | P | P | Convene internal meetings to determine next steps for revising scope of practice
 | 2011-05-15 00:00:00 | P | P | P | Identify stakeholders with representatives of State Education Department; New York State Nurses Association and other interested stakeholders; identify areas in statutes, regulations and policies that would require change and formulate recommendations on scope of practice
MRT #209 |  |  |  |  | Project Name:  Expand Hospice Division Lead: OLTC Team Lead: [NAME] Gray Add'l Staff:  Jackey [NAME], [NAME] Description:  This proposal will expand hospice:  Expand concurrent hopsice and curative care to Medicaid adults; Expand definition of terminal illness to 12 months; Integrate hospice into medical home and ACO projects | 0
 | 2011-03-25 00:00:00 | P | P | P | Request data to determine the number of dual eligibles, i.e. Medicare and Medicaid over age 18 that access hospice benefits; to determine the current length of stay for hospice; determine the number of Medicaid only individuals that access hospice
 | 2011-05-05 00:00:00 | P | P | P | Request DLA to review the proposal in terms of Social Security Act issues
 | 2011-05-15 00:00:00 | P | P | P | Contact the CMS Central Office to clarify rules regarding election of hospice benefit and the continuation of curative treatment in adults
 | 2011-05-24 00:00:00 | P | P | P | Discuss components of the proposal with the Hospice and Palliative Care Association of NYS
 | 2011-07-01 00:00:00 | P | P | P | Evaluate research to determine how to implement the expansion of the definition of terminal illness to 12 months if possible
 | 2011-08-01 00:00:00 | P | P | P | Conclude discussions with CMS and hospice association and make determination on implementing expansion of definition of terminal illness to 12 months
 | 4/1/11  9/1/11 9/15/11 9/30/11 10/7/11 | P | P | P | Perform fiscal analysis to determine the impact from extending definition of terminal illness to 12 months
 | 9/15/2011 10/15/11 | P | P | P | Draft Federal Notice for SPA change
 | 9/28/2011 9/30/11 10/30/11 11/22/11 | P | P | P | Submit Federal Notice to be published on 12/7/2011
 | 12/15/11 9/15/11 9/30/11 10/30/11 12/15/2011 | 8 | 8 | 8 | Submit draft state plan amendment to CMS
 | 6/1/2011 8-1-11 9-1-11 10-1-11 | P | P | P | Initiate research on the medical home model of care delivery in NYS and specifically as it relates to the Affordable Care Act and end of life care.  Health care reform legislation authorizes the Department of Health and Human Services (HHS) to test medical homes among other new care-delivery models. Supporters hope patient-centered medical homes will help refocus the U.S. health care system on the benefits of primary care.
 | 6/1/2011 8-1-11 9-1-11 10-1-11 | P | P | P | Initiate research on the ACO and its success in NYS and applicability to hospice in particular.  The accountable care organization has been a model for health care reform, yet its success has been limited to a handful of health care systems across the country. The accountable care organization model has recently taken on far greater significance since being introduced as one of Medicare’s pilot programs in the Senate’s health reform bill.
 | 2011-10-06 00:00:00 | P | P | P | [NAME] revised hospice regulations
 | 10/12/2011 1/15/2012 | 8 | 8 | 8 | Prepare notice to state register for publication of regulations
 | 11/28/2011 3/15/2012 | 8 | 8 | 8 | Prepare response to public comments
 | 12/8/2011 04/05/2012 | 8 | 8 | 8 | Present regulations to PHHPC Codes Committee for recommendation and to full Council for adoption
 | 12/1/2011 03/01/2012 | 8 | 8 | 8 | Revise billing methodolgy and payment rules for implementation
 | 12/28/2011 04/28/2012 | 8 | 8 | 8 | Publish notice of adoption to State Register
 | 1/15/2012 04/10/2012 | 8 | 8 | 8 | Draft DAL
 | 2/15/2012  04/15/2012 | 8 | 8 | 8 | Post DAL
 | 1/1/2012 4/1/12 05/01/2012 | 8 | 8 | 8 | Implement expanded hospice benefit in NYS
 | TBD | 8 | 8 | 8 | Encourage NYS hospices to apply to participate in CMS's 15 three-year demonstration projects to evaluate impact of concurrent hospice and curative care for adults when available.  Demonstration in design phase and presently not funded.  Anticipated project date not known.
MRT #217 |  |  |  |  | Project Name:  Create an Office for Development of Patient-Centered Primary Care Initiatives Division Lead: Primary Care Team Lead: [NAME] Description:  Create a dedicated Office of Primary Care | 0
 |  |  |  |  | Office of Patient Centered Primary Care Initiatives
 | 2011-04-29 00:00:00 | P | P | P | Meet with external stakeholders to discuss and obtain feedback re:  initial proposed office framework
 | 4/1/2011 5/1/2011 | P | P | P | Convene internal DOH workgroup to discuss and develop initial proposed office frame-work/structure
 | 2011-06-15 00:00:00 | P | P | P | Draft plan based on feedback.  Circulate to internal workgroup for comments.
 | 4-15-11 6/30/2011 7/15/11 1/15/12 | 8 | 8 | 8 | [NAME] internal workgroup to discuss legal and implementation issues-redraft plan. |  |  |  | Office on hold due to other initiatives; to be revisited in Jan 2012
 | 5/1/2011 7-15-11 1-15-12 | 8 | 8 | 8 | Prepare initial office creation plan-circulate and obtain clearances.
 |  |  |  |  | Advisory group on primary care objectives and patient centered medical homes
 | 5/15/2011 7-30-11 9-15-11 10-7-11 1-15-12 | 8 | 8 | 8 | Create Commissioner's stakeholder work group consisting of payor and provider participants and stakeholders.
 | 5/15/2011 7-30-11 9-15-11 10-7-11 2-14-12 | 8 | 8 | 8 | Meet with external stakeholders. |  |  |  |  | Maintenance
 | 6/15//2011 8-1-11 9-30-11 10-15-11 3-31-12 | 8 | 8 | 8 | Rework plan based on stakeholder input.
 | 6/30/2011 8-15-11 10-15-11 4-30-12 | 8 | 8 | 8 | Finalize plan and obtain clearances.
 | 7/2/2011 8-17-11 10-15-11 4-30-12 | 8 | 8 | 8 | Prepare statewide primary care needs assessment to help facilitate expansion of primary care.
 | 7/3/2011 8-31-11 10-30-11 5-30-12 | 8 | 8 | 8 | Finalize needs assessment.
 | 7/4/2011 9-1-11 11-1-11 6-30-12 | 8 | 8 | 8 | Develop statewide primary care growth strategy to plan for expansion of patient-centered medical home settings and 2014 Affordable Care Act reforms.
MRT # 243 |  |  |  |  | Project Name:  Accountable Care Organizations   Division Lead: DHCF Team Lead: [NAME] Add'l Staff: [NAME]:  Ensure that every Medicaid member is enrolled in Care Coordination for improving quality of care, efficiencient delivery of services, while generating cost savings. | 0
 |  |  |  |  | ADMINISTRATIVE
 | 2011-05-06 00:00:00 | P | P | P | Internal discussion on DOH comments on proposed federal ACO rule. |  |  |  | Draft of comments from DHCF completed
 | 2011-06-06 00:00:00 | P | P | P | Comments due to CMS |  |  |  | DHCF comments provided to Gov't Affairs office 5/31/11
 | 9/30/2011 10/31/2011 6/30/12 | 8 | 8 | 8 | Federal Public Notice publication
 | 9/30/2011 10/31/2011 6/30/12 | 8 | 8 | 8 | Regulations (required by enacted statute) |  |  |  | Must have [NAME] for: ACO certification criteria; quality standards; reporting requirements.
 | 12/31/2011 6/30/12 | 8 | 8 | 8 | Waiver Application to CMS |  |  |  | May need waiver of SSA 1915 requirements for statewideness; freedom of choice.
 | 12/31/2011 6/30/12 | 8 | 8 | 8 | State Plan Amendment to CMS
 |  |  |  |  | [NAME] AND DEVELOPMENT
 | 2011-04-14 00:00:00 | P | P | P | Review and summarize enacted state statute
 | 2011-04-14 00:00:00 | P | P | P | Review proposed federal rule on Medicare based ACOs/ [NAME] for [NAME]
 | 2011-04-15 00:00:00 | P | P | P | Provide ACO Briefing Paper for Commissioner
 | 2011-03-18 00:00:00 | P | P | P | Contact HANYS and Greater NY for feedback on proposal
 | 2011-03-18 00:00:00 | P | P | P | Conference call with Bronx Project (Montefiore) on their interest, ideas, and concerns
 | 2011-04-30 00:00:00 | P | P | P | Research ACOs prototypes: Buffalo area informal ACO, Rural Health Network
 | 2011-04-30 00:00:00 | 8 | 8 | 8 | Review Kaiser Foundation reports for ACO information
 | 2011-05-17 00:00:00 | P | P | P | Begin ongoing discussions with HANYS and Greater NY for hospital interest
 | 2011-05-24 00:00:00 | P | P | P | Conference call with Chemung County on their interest and ideas for creating an ACO with the current Medical Home as the center
 | 2011-05-31 00:00:00 | P | P | P | Research ACOs in other states - Colorado, Massachusetts, North Carolina, Vermont, California Kaiser Network; summarize by state |  |  |  | See document On The Road to Better Value: State Role in Promoting ACOs (National Academy for State Health Policy) from K.L.
 | 2011-12-31 00:00:00 | 8 | 8 | 8 | Review Final Federal Rule on Medicare based ACOs/ [NAME]
 | 6/30/2011 9/30/2011 10/31/2011 3/31/12 | 8 | 8 | 8 | Research implications of Risk to providers/ Reserve requirements
 | 9/30/2011 10/31/2011 3/31/12 | 8 | 8 | 8 | Develop ACO cerification criteria |  |  |  | required by statute; to be defined through regulation
 | 9/30/2011 10/31/2011 3/31/12 | 8 | 8 | 8 | Develop quality standards |  |  |  | required by statute; to be defined through regulation
 | 9/30/2011 10/31/2011 3/31/12 | 8 | 8 | 8 | Develop reporting requirements |  |  |  | required by statute; to be defined through regulation
 | 12/31/2011 3/31/12 | 8 | 8 | 8 | Develop accountability standards
 |  |  |  |  | LEGAL ISSUES
 | 2011-04-30 00:00:00 | P | P | P | Contact legal staff to clarify any  legal issues: anti trust implications, legal structure needed for ACO billing on behalf of all participating providers
 | 2011-04-30 00:00:00 | P | P | P | Contact legal staff to clarify any legal issues related to patient rights and responsibilities
 | 2012-03-31 00:00:00 | 8 | 8 | 8 | Review (in correlation with NY laws and regulations) CMS/OIG joint interim final rule addressing civil monetary penalties/anti-kickback/physician self-referral.
 | 2012-03-31 00:00:00 | 8 | 8 | 8 | Review (in correlation with NY laws and regulations) IRS interim final rule on tax-exempt organizations.
 | 2012-03-31 00:00:00 | 8 | 8 | 8 | Review (in correlation with NY laws and regulations) the proposed Statement of Antitrust Enforcement Policy from FTC and DOJ
 | 2012-03-31 00:00:00 | 8 | 8 | 8 | Review NY business organization options and applicability to NY ACO development.
 | 2012-03-31 00:00:00 | 8 | 8 | 8 | Review patient rights and application to federal/state ACO programs.
 |  |  |  |  | INTERNAL DISCUSSIONS
 | 5/30/2011 9/30/2011 10/31/2011 3/31/12 | 8 | 8 | 8 | Advantages / Disadvantages to entering into a three year agreement with CMS to implement ACOs.
 | 5/30/2011 9/30/2011 10/31/2011 3/31/12 | 8 | 8 | 8 | Determine whether to pursue federal health care reform ACO programs/demonstrations or establish independent New York Medicaid ACOs.
 | 5/30/2011 9/30/2011 10/31/2011 3/31/12 | 8 | 8 | 8 | Discussions regarding who is the ACO leader:  hospital, physician, medical home
 | 6/30/2011 9/30/2011 10/31/2011 3/31/12 | 8 | 8 | 8 | Identify target population: fee for service and/or managed care; geographic region
 | 5/30/2011 9/30/2011 10/31/2011 3/31/12 | 8 | 8 | 8 | Determination on pros and cons of mandatory or voluntary participation on part of providers and enrollees
 | 5/30/2011 9/30/2011 10/31/2011 3/31/12 | 8 | 8 | 8 | Discussions on limiting program to a specific geographic area
 | 6/30/2011 9/30/2011 10/31/2011 3/31/12 | 8 | 8 | 8 | Identify services: 'all' or do we exclude mental hygiene and LTC
 | 6/30/2011 9/30/2011 10/31/2011 3/31/12 | 8 | 8 | 8 | Discuss with Division of Policy and Planning and department medical directors the relationship of ACOs to Medical Homes and Health Homes
 | 6/30/2011 9/30/2011 10/31/2011 3/31/12 | 8 | 8 | 8 | Contact managed care to identify and discuss possible partial capitation issues
 |  |  |  |  | COMMUNICATION WITH STAKEHOLDERS
 | 6/30/2011 9/30/2011 10/31/2011 5/31/12 | 8 | 8 | 8 | Contact associations for primary care providers, including physician's groups, for interest in participating
 | 12/31/2011 6/30/12 | 8 | 8 | 8 | Article for the Medicaid Update once more details are available
 | 12/31/2011 6/30/12 | 8 | 8 | 8 | Q and As for Department WEB site
 |  |  |  |  | QUALITY MEASURES
 | 12/31/2011 3/31/12 | 8 | 8 | 8 | Research National Committee for Quality Assurance Standard
 | 12/31/2011 3/31/12 | 8 | 8 | 8 | Work with Division of Quality and Evaluation to establish quality and cost measurement tools as well as a system for tracking savings
 | 12/31/2011 3/31/12 | 8 | 8 | 8 | Meet with department medical directors on ideas for quality improvements while promoting efficiencies
 | 12/31/2011 3/31/12 | 8 | 8 | 8 | Appropriate data base for all payer quality measures (SPARCS)
 |  |  |  |  | EMEDNY SYSTEM ISSUES
 | 12/31/2011 10/1/12 | 8 | 8 | 8 | Meet with Division of Information Technology to determine how to distribute and track payments to a central organization rather than individual providers
 | 12/31/2011 10/1/12 | 8 | 8 | 8 | Develop and Submit Evolution Project if required
 |  |  |  |  | PAYMENT / REIMBURSEMENT
 | 12/31/2011 10/1/12 | 8 | 8 | 8 | Work with Division of Health Care Financing reimbursement staff on possible rate setting issues related to hospital inpatient
 | 12/31/2011 10/1/12 | 8 | 8 | 8 | Work with Division of Health Policy and Planning staff on possible rate setting issues related to physicians and APG outpatient
MRT# 889 |  |  |  |  | Project Name:  Redesign NYS Bed Hold Policy for Nursing Homes Division Lead:  OLTC Team Lead: [NAME] Staff: [NAME], [NAME], [NAME]:  [NAME] the nursing home bed hold policy for all Medicaid recipients over 21 to recalibrate Medicaid benefits and reimbursement rates, and to meet the Medicaid savings target as proposed. | 0
 | 2011-03-10 00:00:00 | P | P | P | Meet with Internal Stakeholders to review options to implement proposal.
 | 2011-03-11 00:00:00 | P | P | P | Submit Federal Public Notice for MRT 889
 | 2011-05-13 00:00:00 | P | P | P | [NAME] and submit SPA.
 | 2011-08-02 00:00:00 | P | P | P | Confer with CMS on draft SPA submitted for MRT#889
 | 2011-08-18 00:00:00 | P | P | P | Submit implementation options to Department Executives.
 | 8/15/2011  8-30-11 | P | P | P | Submit draft policy recommendations to Department Executives on specific implementation options.
 | 7/15/2011 8/30/11 | P | P | P | Identify regulatory and systems requirements necessary to implement the recommendations of the proposal |  |  |  |  | Maintenance
 | with | 8 | 8 | 8 | Repeal existing nursing home Reserved Bed Day Payment regulations.
 | 10-1-11              11/15/2011 | 8 | 8 | 8 | Communicate policy requirements to Stakeholders through a Dear Administrator Letter and Dear CEO letter.  Post Questions and Answers and provider communication to the public website.
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | Effective date of legislation
MRT #990 |  |  |  |  | Project Name:  Explore the Establishment of Reimbursement Rates to Support Efforts to Address Health Disparities Division Lead: Division of Financial Planning and Policy (DFPP); [NAME], Director Team Lead: Hope Plavin  Add'l staff: [NAME], [NAME] Description:  Explore enhanced reimbursement rates for culturally competent care | 0
 |  |  |  |  | Establishment of Reimbursement Rates
 | 5/15/2011  5/1/2011 | P | P | P | Discuss initiative with the Office of Public Health to determine activities necessary to support culturally competent care that address health disparities |  |  |  | Meetings with OPH and CCH on 5/5, 5/9.  DFPP will  contact CMS and  FMG regarding FMAP and reporting  considerations.
 | 5/15/2011  5/1/2011 | P | P | P | Identify availability of information on cultural competency and training opportunities for health care providers
 | 5/29/2011  5/15/2011  6/15/2011 | P | P | P | Meet with stakeholders |  |  |  | [NAME] meeting delayed pending results of Subcommittee meeting.
 | 5/15/2011 6/15/11 | P | P | P | Identify costs associated with incorporating cultural competency in health care settings
 | 2011-06-15 00:00:00 | P | P | P | Identify certification requirements for medical language interpretation services.
 | 2011-06-15 00:00:00 | P | P | P | Identify barriers to medical language interpreter certification.
 | 7/15/2011 9/1/11 | P | P | P | Review CHIPRA regulations and explore the possibility of 75% FMAP
 | 6/1/2011 6/29/11 7/29/11 9/1/11 11/1/11 | 8 | 8 | 8 | Determine whether enhanced reimbursement for Medical Language Interpreting Services is appropriate and, if so, the amount of enhancing reimbursement for Medical Language Interpreting Services. |  |  |  | These tasks will be on hold until the recommendations from the Health Disparities work group are finalized (11/1/11).
 | 6/30/2011 7/29/11 9/1/11 11/15/11 | 8 | 8 | 8 | Pending a coverage decision on Medical Language Interpreting Services, determine policy and monitoring protocols related to enhanced reimbursement for these services to support culturally competent care.
 | 7/5/2011 8/15/11 9/1/11 11/15/11 | 8 | 8 | 8 | If enhancing reimbursement, determine payment methodology
 | 9/15/2011 9/1/2011 11/30/11 | 8 | 8 | 8 | Notify providers of available enhancement and billing guidance.
 | 2011-09-15 00:00:00 | 8 | 8 | 8 | Complete system changes.
 | 10/15/2011 10/1/2011 12/15/11 | 8 | 8 | 8 | Implement enhancement.
 |  |  |  |  | MRT Health Disparities Work Group
 | 2011-08-01 00:00:00 | P | P | P | Announce work group membership
 | 2011-08-09 00:00:00 | P | P | P | Initial work group meeting - Albany
 | 2011-09-16 00:00:00 | P | P | P | Second work group meeting - NYC
 | 2011-10-03 00:00:00 | P | P | P | Third work group meeting - Albany/NYC
 | 2011-10-12 00:00:00 | P | P | P | Fourth work group meeting - location TBD
 | 2011-11-01 00:00:00 | P | P | P | Final recommendations submitted to the full MRT
MRT#1032 |  |  |  |  | Project Name:  Establish a Housing Disregard as Incentive to Join Managed [NAME] care (MLTC) Division Lead: Coverage and Enrollment Team Lead: [NAME] Description:  Provide nursing home residents who are discharged back to the community with a housing disregard if they join a MLTC plan. | 0
 |  |  |  |  | Policy and Procedure
 | 7/30/2011 8/15/11 8-30-11 9/30/11 10-21-11 11/21/11 | 8 | 8 | 8 | Complete review of policy issues |  |  |  | Meeting is being set up with Exec. Chamber to discuss policy review.
 | 12/1/2011 12/27/11 | 8 | 8 | 8 | Submit draft ADM for clearance
 | 2012-03-01 00:00:00 | 8 | 8 | 8 | Issue ADM - effective 04/02/2012
 |  |  |  |  | 1115 Waiver
 | 7/30/2011 9/23/11 10/21/11 11/21/11 12/1/11 | 8 | 8 | 8 | Submit draft Waiver to CMS for informal review
 | 7/30/2011 9/23/11 10/21/11 11/21/11 12/1/11 | 8 | 8 | 8 | Submit draft Waiver for DOH clearance
 | 10/31/2011 11/30/11 1/15/12 | 8 | 8 | 8 | Finalize and submit Waiver to HCRA
 | 2012-03-01 00:00:00 | 8 | 8 | 8 | Submission of Waiver to CMS
 |  |  |  |  | Systems Updates
 | 2011-04-01 00:00:00 | P | P | P | Submit System Change Request
 | 8/5/2011 9/23/11 10/14/11 12/1/11 1/1/12 | 8 | 8 | 8 | Finalize system change requirements
 | 8/30/2011 10/31/11 12/15/11 1/15/11 | 8 | 8 | 8 | Finalize System Action Request
 |  |  |  |  | CNS
 | 2012-04-27 00:00:00 | 8 | 8 | 8 | Development/coding changes
 | 2012-06-08 00:00:00 | 8 | 8 | 8 | Unit testing
 | 2012-06-15 00:00:00 | 8 | 8 | 8 | User Acceptance
 |  |  |  |  | MBL
 | 2012-04-27 00:00:00 | 8 | 8 | 8 | Development/coding changes
 | 2012-06-08 00:00:00 | 8 | 8 | 8 | Unit testing
 | 2012-06-15 00:00:00 | 8 | 8 | 8 | User Acceptance
 |  |  |  |  | WMS
 | 2012-04-27 00:00:00 | 8 | 8 | 8 | Development/coding changes
 | 2012-06-08 00:00:00 | 8 | 8 | 8 | Unit testing
 | 2012-06-15 00:00:00 | 8 | 8 | 8 | User Acceptance
 | 06/2012 (12.2 Migration) | 8 | 8 | 8 | Migrate system changes
 | 2012-06-20 00:00:00 | 8 | 8 | 8 | Implementation
MRT# 1172 |  |  |  |  | Project Name: Nursing Home Sprinkler Loan Pool Division Lead: [NAME]   Team Lead: [NAME] Description: Assist NHs with Developing Financing Mechanism to Satisfy Federal Sprinkler Mandate, Effective August 13, 2013 | 0 |  |  |  | Maintenance
 | 2011-04-21 00:00:00 | P | P | P | Follow up meeting on conference calls and discussions held in Mid March with DASNY, NYAHSA and DOH to determine the potential financing vehicles/structures available to NHs to meet Federal Mandate
 | 2011-05-15 00:00:00 | P | P | P | Exchange information with Industry Associations identifying sprinkler needs and costs by facility and sponsor, continue to determine if there are lenders willing to finance NH sprinklers, and/or if there are sprinkler vendors interested in large pooled financings
 | 5/25/2011 6-2-11 | P | P | P | Internal meeting to discuss next steps.
 | 6/14/2011 6/24/11 | P | P | P | Follow up meeting with DOH, DASNY and Associations
 | 8-1-11 8-19-11 | P | P | P | Work with DASNY and associations to develop informational materials (reimbursement methodology, financial condition of NHs) for vendors and lenders, meet with potential banks
 | 2011-08-23 00:00:00 | P | P | P | Provide association list of NHs that have submitted CON to determine if they have secured financing
 | 9/2/2011  9/7/11 | P | P | P | Provide association list of NHs that have not submitted CON and are not sprinkler compliant to determine if they have secured financing
 | 9/8/2011  9/19/11 | P | P | P | Meet with associations to discuss lists and potential options for financially struggling nursing homes that cannot secure financing
 | 2011-09-29 00:00:00 | P | P | P | Industry associations will use the lists to survey homes to determine which homes have secured resources/financing, for homes financing who are the lenders and what are the terms of the financings, who are the anticipated vendors/installers of sprinkler equipment - reach out to National Association and other states
 | 2011-10-12 00:00:00 | P | P | P | Industry Association survey completed
 | 10/21/2011 10/31/11 | P | P | P | Between 10/14 and 10/31 conduct follow up to survey responses (if necessary)
 | 2011-11-01 00:00:00 | P | P | P | Summarize and evaluate survey data and formulate options
 | 2011-11-29 00:00:00 | 8 | 8 | 8 | Follow-up meeting on options for homes that cannot independently secure financing
MRT #1427 |  |  |  |  | Project Name:  CDPAP and Managed Care Division Lead: OLTC/DHCBS Team Lead: [NAME]:  Include of Consumer Directed Services in Managed Long Term Care Benefit (A) & Promulgate CDPAP regulations (B) | 0
 |  |  |  |  | Part A CDPAP in MLTC
 | 2011-03-15 00:00:00 | P | P | P | OHIP to review implementing regulations to determine if change is required
 | 4/15/2011 10-15-11 11/1/11 1/1/12 | 8 | 8 | 8 | OHIP to draft regulatory changes, if necessary
 | 5/1/2011 11/1/2011 11/15/11 2/1/12 | 8 | 8 | 8 | OHIP to develop assessment and authorization process for MC plans
 | 5/1/2011 11/1/2011 11/15/11 2/15/12 | 8 | 8 | 8 | OHIP to review and make changes to existing MC contracts as necessary
 | 6/1/2011 12/1/2011 3/1/12 | 8 | 8 | 8 | Develop contracting procedure for MA plans and Fiscal Intermediaries
 |  |  |  |  | Part B Promulgate CDPAP Regulations
 | 2010-09-01 00:00:00 | P | P | P | Develop CDPAP regulations
 | 2010-09-29 00:00:00 | P | P | P | Publish draft regulations
 | 2010-11-15 00:00:00 | P | P | P | Public comments submitted
 | 2011-01-20 00:00:00 | P | P | P | Proposed revisions forwarded for consideration
 | 2011-03-21 00:00:00 | P | P | P | Review draft regulations for potential changes based on inclusion of benefit in MC
 | 2011-03-23 00:00:00 | P | P | P | Make regulatory changes and forward to GORR for publication
 | 2011-04-01 00:00:00 | P | P | P | Promulgate final reg
MRT #1451 |  |  |  |  | Project Name: Establish Various MRT Workgroups Division Lead:  Team Lead: [NAME]: Establish various workgroups to focus discussion on major reform issues.  Workgroups will include:  Payment Reform, Basic Benefit Review, Program Streamlining and State/Local Responsibility, Supportive Housing, Managed Long Term Care Implemenation and [NAME], Behavioral Health Reform, Workforce Flexibility and Change of Scope Practice, Medical Malpractice and Health Disparities | 0
 | 2011-03-21 00:00:00 | P | P | P | Solicit participation of MRT members through email
 | 2011-04-08 00:00:00 | P | P | P | [NAME] lead for each of the nine subcommittees
 | 2011-04-18 00:00:00 | P | P | P | Distribute draft subcommittee charges to DOH leads
 | 2011-04-22 00:00:00 | P | P | P | Meet with State subcommittee leads to determine process for engaging outside stakeholders & calendar of meetings
 | 2011-05-05 00:00:00 | P | P | P | Deadline for MRT members to identify subcommittees they would like to participate in
 | 2011-05-25 00:00:00 | P | P | P | Kickoff meeting with internal staff on initial three workgroups:  Behavioral health reform, MLTC, Program Streamlining and State/Local
 | 2011-06-15 00:00:00 | P | P | P | DOH subcommittee leads to present [NAME] with list of outside stakeholders to participate in subcommittee, determined in consultation with subcommittee chairs
 | 2011-06-15 00:00:00 | P | P | P | Biweekly meetings with [NAME] and State subcommittee leads to commence.
 | 2011-06-15 00:00:00 | P | P | P | Invitations to initial three workgroup members to be sent
 | 2011-06-20 00:00:00 | P | P | P | Work group membership and meeting dates to be posted to web
 | 2011-06-25 00:00:00 | P | P | P | First workgroup meeting.  Workgroups will meet a minimum of 2-3 times between June and October. |  |  |  |  | Maintenance
 | 2011-07-15 00:00:00 | P | P | P | Decision made on second round of workgroups to begin; dates set for invitations and meetings.
 | 2011-07-21 00:00:00 | P | P | P | Health Systems Redesign:  Brooklyn work group begins; hearings scheduled for 8/28 and 9/21
 | 8/1/2011 8-25-11 | P | P | P | Decision made on third round of workgroups to begin; dates set for invitations and meetings.
 | 2011-11-01 00:00:00 | P | P | P | Recommendations from phase 1 workgroups presented to MRT
 | 2011-12-13 00:00:00 | 8 | 8 | 8 | Recommendations from phase 2 & 3 workgroups presented to MRT
 | 2011-12-31 00:00:00 | 8 | 8 | 8 | MRT to report to Governor [NAME] and forward approved work group recommendations
MRT # 1458 |  |  |  |  | Project Name:  Care Management Population & Benefit Expansion, Access to Services, and Consumer Rights Division Lead: DMC Team Lead: [NAME] Additional Staff:  [NAME], [NAME] Description:  Omnibus Medicaid Managed Care initiatives, eliminates many exempt/excluded populations, expands the benefit package, promotes access to services, and ensures consumer rights | -12
 | Att. 1 |  |  |  | Attachment 1 - Expand Managed care Enrollment for non-dual eligibles and modify mainstream benefit package
 |  |  |  |  | Rates
 | See MRT # 6 |  |  |  | Rate Implementation
 |  |  |  |  | DMC Implementation
 | 2011-03-11 00:00:00 | P | P | P | [NAME] accompanying legislation for review
 | 2011-03-14 00:00:00 | P | P | P | Assess systems impact internally and discussed with EB/EC systems staff |  |  |  |  | Maintenance
 | 2011-03-20 00:00:00 | P | P | P | [NAME] accompanying waiver changes for proposal to CMS
 | 2011-03-21 00:00:00 | P | P | P | Internal meeting regarding personal care benefit change / MCO contracting issues
 | 2011-03-24 00:00:00 | P | P | P | Meet with Health Plan Associations to discuss proposal impact
 | 2011-04-11 00:00:00 | P | P | P | Meet with enrollment broker to discuss proposal impact
 | 2011-04-13 00:00:00 | P | P | P | Conference Call with LDSS to discuss changes
 | 2011-04-20 00:00:00 | P | P | P | CMS waiver changes sent to CMS
 | 2011-04-20 00:00:00 | P | P | P | Tribal notice sent
 | 2011-04-21 00:00:00 | P | P | P | Begin weekly meetings with systems staff
 | 2011-04-25 00:00:00 | P | P | P | Finalize recipient restriction policy for enforcing restrictions on carved out services
 | 2011-04-27 00:00:00 | P | P | P | MMC Contract to CMS for approval
 | 2011-04-27 00:00:00 | P | P | P | Public Notice Issued for waiver amendment
 | 2011-04-30 00:00:00 | P | P | P | Notify MCO's of personal care contracting requirements
 | 2011-04-30 00:00:00 | P | P | P | Deliver systems change SA /EP to WMS/eMedNY for implementation
 | 2011-04-30 00:00:00 | P | P | P | Meet with Enrollment Broker Contractor to review changes made and training needs for call center and outreach staff
 | 2011-05-04 00:00:00 | P | P | P | Meet with managed care plans regarding personal care benefit transition and restricting recipients within MMC
 | 2011-05-11 00:00:00 | P | P | P | MMCARP meeting review of changes
 | 2011-06-15 00:00:00 | P | P | P | Identify excluded/exempt populations in FFS (for Rates)
 | 5/30/2011 6-6-11 6-20-11 | P | P | P | Review and approve MCO subcontracts for personal care benefit
 | 5/10/2011 5-30-11 6-6-11 7-1-11 | P | P | P | Draft MMC statewide contract amendment including new benefit package language effective 7-1-2011 8-1-2011
 | 5/25/2011 6-15-11 7-1-11 | P | P | P | Notify current managed care recipients of personal care of benefit change
 | 7/20/2011 7/27/11 | P | P | P | Train enrollment broker on population expansions
 | 8/1/2011 9/1/11 | P | P | P | Train local social services districts and EB/EC staff on populations being added
 | 2011-09-01 00:00:00 | P | P | P | Medicaid Update article released
 | 2011-09-01 00:00:00 | P | P | P | Outreach completed for providers, plans, advocacy groups, etc.
 | 2011-09-07 00:00:00 | P | P | P | Training completed for Fair Hearings staff
 | 9/1/2011 9/20/11 9/25/11 | P | P | P | Waiver negotiations complete
 | 9/1/2011 9/10/11 9-25-11 10/1/11 | P | P | P | Distribute new materials to LDSS/other stakeholders
 | 2011-10-01 00:00:00 | P | P | P | Implementation
 | 6/20/2011 9-1-11 10-1-11 10-14-11 10-31-11 11-30-11 | 8 | 8 | 8 | CMS approval of MMC/NYC contract terminations and MMC amendments
 | 2011-12-14 00:00:00 | 8 | 8 | 8 | Finalize all rate adjustments effective 10/1/11 (benefit package changes, excluded/exempt populations, inpatient changes, etc)
 | 2011-12-16 00:00:00 | 8 | 8 | 8 | Submit Rates to DOB and CMS for approval
 | 2011-12-16 00:00:00 | 8 | 8 | 8 | Mercer rate certification letter
 | 2012-01-13 00:00:00 | 8 | 8 | 8 | CMS and DOB Approval
 | 2012-01-20 00:00:00 | 8 | 8 | 8 | Mail rates to plans and submit rates to eMedNY for posting after CMS approval and all needed changes have been made to 1115 waiver
 | Att. 2 |  |  |  | Attachment 2 - Access to Benefits and Consumer Protections
 | 2011-03-24 00:00:00 | P | P | P | Meet with Health Plan Associations to discuss proposal impact
 | 2011-04-15 00:00:00 | P | P | P | Review MCO benefits denial model notices for changes
 | 2011-04-30 00:00:00 | P | P | P | Review model managed care handbooks for information regarding benefits coverage
 | 2011-05-11 00:00:00 | P | P | P | MMCARP meeting review of changes
 | 4/30/2011 5/25/2011 6-1-11 6-20-11 | P | P | P | Distribute new model language to plans for benefits denial notices
 | 5/20/2011 6-9-11 | P | P | P | Distribute to plans amended handbook language for eratta sheets
 | 2011-07-01 00:00:00 | P | P | P | Implementation of updated notices
 | 5/30/2011 7-1-11 7-30-11 9/1/11 | P | P | P | Review with plans changes to covered benefits and expanded consumer information necessary for new chronic populations to navigate system
 | 2011-09-01 00:00:00 | P | P | P | Outreach completed for providers, plans, advocacy groups, etc.
 | Att. 3 |  |  |  | Attachment 3 - Streamline Managed care Eligibility Process
 | 2011-03-11 00:00:00 | P | P | P | [NAME] accompanying legislation for review
 | 2011-03-14 00:00:00 | P | P | P | Assess systems impact internally and discussed with EB/EC systems staff
 | 2011-03-20 00:00:00 | P | P | P | [NAME] accompanying waiver changes for proposal to CMS
 | 2011-03-21 00:00:00 | P | P | P | Internal meeting with OHIP eligibility and FE oversight staff regarding choice period
 | 2011-03-24 00:00:00 | P | P | P | Meet with Health Plan Associations to discuss proposal impact
 | 2011-04-04 00:00:00 | P | P | P | Develop managed care contract change
 | 2011-04-08 00:00:00 | P | P | P | Meet with systems staff to ensure timing of changes.
 | 2011-04-20 00:00:00 | P | P | P | Review available informational materials for necessary changes
 | 2011-04-27 00:00:00 | P | P | P | Public Notice Issued for waiver amendment
 | 2011-04-30 00:00:00 | P | P | P | Meet with Enrollment Broker Contractor to review changes made and training needs for call center and outreach staff
 | 2011-05-05 00:00:00 | P | P | P | [NAME]/approve changes to program materials for printing (brochures, enrollment forms,etc)
 | 2011-05-06 00:00:00 | P | P | P | Finalize system change requirements
 | 2011-05-11 00:00:00 | P | P | P | MMCARP meeting review of changes
 | 2011-05-13 00:00:00 | P | P | P | Deliver systems change EP to eMedNY for implementation |  |  |  |  | Maintenance
 | 2011-05-13 00:00:00 | P | P | P | System specifications submitted to WMS (SA)
 | 2011-07-15 00:00:00 | P | P | P | WMS Systems changes testing begins
 | 7/20/2011 7/27/11 | P | P | P | Train enrollment broker on choice period changes
 | 8/1/2011 9/1/11 | P | P | P | Train local social services districts and EB/EC staff on choice period changes
 | 2011-09-01 00:00:00 | P | P | P | Medicaid Update article released
 | 2011-09-07 00:00:00 | P | P | P | Training completed for Fair Hearings staff
 | 2011-09-15 00:00:00 | P | P | P | Outreach completed for providers, plans, advocacy groups, etc.
 | 9/1/2011 9/10/11 9/25/11 | P | P | P | Distribute new materials to LDSS/other stakeholders
 | 2011-10-01 00:00:00 | P | P | P | Implementation
MRT #1462 |  |  |  |  | Project Name:  Long Term Care Insurance Proposals Division Lead: OLTC Team Lead: [NAME] Add'l Staff:  [NAME]:  Various strategies to promote use of private LTC insurance | 0
 |  |  |  |  | Part A- Create Additional Plan Option for the Partnership for LTC
 | 2011-04-25 00:00:00 | P | P | P | Confirm passage of budget language/ Draft 2-4-100 Proposal
 | 2011-05-10 00:00:00 | P | P | P | Solicit comment and seek approval of the PLTC E -Board
 | 6/1/2011 7-1-11 | P | P | P | Draft State Plan Amendment
 | 7-1-11 8-1-11 8/5/11 | P | P | P | Submit State Plan Amendment |  |  |  | Submitted to State Plan Coordinator
 | 2011-09-01 00:00:00 | P | P | P | Collaborate with SID for implementation
 | 2011-12-01 00:00:00 | 8 | 8 | 8 | Inform insurers and the public of new option
 |  |  |  |  | Part B Strategies to incent purchase of LTC insurance
 | 2011-07-01 00:00:00 | P | P | P | Review Federal Tax Law to assess implication for use of IRA/401k and other tools without penalty
 | 8/1/2011 9/1/11 10/1/11 12/1/11 | 8 | 8 | 8 | Develop Program [NAME] for 500 person demo of pre-tax LTC savings accounts
 | 11/1/2011 12/1/11 | 8 | 8 | 8 | Review legal implication of Use of Accelerated death benefit
 | 2011-12-01 00:00:00 | 8 | 8 | 8 | Investigate possible use of reverse mortgage to pay for LTC insurance
 |  |  |  |  | Part C  Creation of LTC Insurance Marketing Fund and Campaign
 | 2011-05-15 00:00:00 | P | P | P | Review Marketing Fund Proposal with E-Board
 | 2011-06-01 00:00:00 | 8 | 8 | 8 | Draft Marketing Fund Proposal
 | 2011-08-01 00:00:00 | 8 | 8 | 8 | Present Proposal to E-Board for feedback
 | 8/1/2011 9/1/11 9/10/11 10/7/11 11/10/11 | P | P | P | Convene E-Board Marketing Sub-Committee
 | 9/1/2011 10/1/11 10/7/11 11/10/11 | P | P | P | Solicit commitment from insurers
 | 10/1/2011 11/1/11 11/10/11 | P | P | P | Convene LTC Insurance Marketing Partners
 | 12/1/2011 1/1/12 | 8 | 8 | 8 | Contract for campaign development
MRT #4648 |  |  |  |  | Project Name:  Family Planning Benefit Program (FPBP) as a State Plan Service Division Lead: DCE Team Lead: [NAME] Description:  Transition FPBP from 1115 Waiver to State Plan | 0
 |  |  |  |  | PART 1
 |  |  |  |  | Transition FPBP from 1115 Waiver to State Plan
 |  |  |  |  | Policy and Procedure
 | 2011-06-01 00:00:00 | P | P | P | Complete preliminary review of policy issues
 | 2012-03-01 00:00:00 | 8 | 8 | 8 | Submit draft Administrative Directive (ADM) for clearance
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | Take necessary steps to discontinue FPBP in 1115 Waiver
 | 2012-06-01 00:00:00 | 8 | 8 | 8 | Issue ADM
 |  |  |  |  | State Plan
 | 2011-05-05 00:00:00 | P | P | P | Submit draft SPA 11-40 for DOH clearance
 | 2011-05-13 00:00:00 | P | P | P | Finalize and submit SPA 11-40 to HCRA Operations and Financial Analysis
 |  |  |  |  | System Updates
 |  |  |  |  | MBL/WMS/HEART
 | 2011-04-11 00:00:00 | P | P | P | Submit System Change Request Form
 | 6/1/2011 7-1-11 9-1-11 1/9/12 | 8 | 8 | 8 | Finalize system change requirements
 | 6/15/2011 7-15-11 10-1-11 2/7/12 | 8 | 8 | 8 | Finalize System Action Request
 | 2012-04-27 00:00:00 | 8 | 8 | 8 | Development/coding changes
 | 2012-06-08 00:00:00 | 8 | 8 | 8 | Unit testing
 | 2012-06-15 00:00:00 | 8 | 8 | 8 | User Acceptance
 |  |  |  |  | eMedNY
 | 2011-04-25 00:00:00 | P | P | P | Submit emedNY evolution project
 | 2011-05-31 00:00:00 | P | P | P | Finalize eMedNY evolution project
 |  |  |  |  | PART 2
 |  |  |  |  | Presumptive Eligibility for FPBP
 |  |  |  |  | Policy and Procedure
 | 2011-06-01 00:00:00 | P | P | P | Complete preliminary review of policy issues
 | 7/1/2011 12/1/2011 | 8 | 8 | 8 | Develop and submit Regulations
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | Revise online training for FPBP providers and training for LDSS staff
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | [NAME] of Understanding with FPBP providers and for clearance
 | 2012-02-01 00:00:00 | 8 | 8 | 8 | Submit draft letter to FPBP providers for clearance
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | Develop PE screening form for providers/Revise FPBP appllication
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | Submit draft Administrative Directive (ADM) for clearance
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | Mail letters and MOU to FPBP providers
 | 2012-06-01 00:00:00 | 8 | 8 | 8 | Issue ADM
 |  |  |  |  | State Plan
 | 2011-05-05 00:00:00 | P | P | P | Submit draft SPA 11-40 for DOH clearance
 | 2011-05-13 00:00:00 | P | P | P | Finalize and submit SPA 11-40 to HCRA Operations and Financial Analysis
 |  |  |  |  | Website
 | 2012-06-01 00:00:00 | 8 | 8 | 8 | Post information about presumptive eligiblitiy for Family Planning services
 |  |  |  |  | System Updates
 |  |  |  |  | MBL/WMS/HEART
 | 2011-04-11 00:00:00 | P | P | P | Submit System Change Request Form
 | 6/1/2011 7-1-11 9-1-11 1/9/12 | 8 | 8 | 8 | Finalize system change requirements
 | 6/15/2011 7-15-11 10-1-11 2/7/12 | 8 | 8 | 8 | Finalize System Action Request
 | 2012-04-27 00:00:00 | 8 | 8 | 8 | Development/coding changes
 | 2012-06-08 00:00:00 | 8 | 8 | 8 | Unit testing
 | 2012-06-15 00:00:00 | 8 | 8 | 8 | User Acceptance
 | 2012-06-18 00:00:00 | 8 | 8 | 8 | Migrate system change
 |  |  |  |  | CNS
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | Finalize and submit CNS notices
 | 2012-04-27 00:00:00 | 8 | 8 | 8 | Development/coding changes
 | 2012-06-08 00:00:00 | 8 | 8 | 8 | Unit testing
 | 2012-06-15 00:00:00 | 8 | 8 | 8 | User Acceptance
 |  |  |  |  | PART 3
 |  |  |  |  | Automate Enrollment of Post-Partum women into Family Planning Benefit Program or Family Planning Extension Program
 |  |  |  |  | Policy and Procedure
 | 2011-06-01 00:00:00 | P | P | P | Complete preliminary review of policy issues
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | Submit draft ADM for clearance
 | 2012-06-01 00:00:00 | 8 | 8 | 8 | Issue ADM
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | Coordinate with Bureau of Maternal and Child Health to draft and clear Medicaid Update article for Family Planning Providers
 | 2012-04-01 00:00:00 | 8 | 8 | 8 | Coordinate with Bureau of Maternal and Child Health to draft letter to Family Planning providers
 | 2012-06-01 00:00:00 | 8 | 8 | 8 | Issue Medicaid Update article for Familiy Planning Providers
 | 2012-06-01 00:00:00 | 8 | 8 | 8 | Mail letter to FPBP providers
 |  |  |  |  | System Updates
 |  |  |  |  | MBL/WMS/HEART
 | 2011-04-11 00:00:00 | P | P | P | Submit System Change Request Form
 | 6/1/2011 7-1-11 9-1-11 1/9/12 | 8 | 8 | 8 | Finalize system change requirements
 | 6/15/2011 7-15-11 10-1-11 2/7/12 | 8 | 8 | 8 | Finalize System Action Request
 | 2012-04-27 00:00:00 | 8 | 8 | 8 | Development/coding changes
 | 2012-06-08 00:00:00 | 8 | 8 | 8 | Unit testing
 | 2012-06-15 00:00:00 | 8 | 8 | 8 | User Acceptance
 | 2012-06-18 00:00:00 | 8 | 8 | 8 | Migrate system change
 |  |  |  |  | eMedNY
 | 2011-04-25 00:00:00 | P | P | P | Submit emedNY evolution project
 | 2011-05-31 00:00:00 | P | P | P | Finalize eMedNY evolution project
 |  |  |  |  | CNS
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | Finalize and submit CNS notices
 | 2012-04-27 00:00:00 | 8 | 8 | 8 | Development/coding changes
 | 2012-06-08 00:00:00 | 8 | 8 | 8 | Unit testing
 | 2012-06-15 00:00:00 | 8 | 8 | 8 | User Acceptance
 | 2012-07-01 00:00:00 | 8 | 8 | 8 | Implementation (12.2)
MRT # 4651-A |  |  |  |  | Project Name:  Global Spending Cap & 2% Across the Board Reductions Division Lead: [NAME]  Team Lead: [NAME] Staff: [NAME] Description:  Periodically monitors Medicaid spending and implements Savings Allocation Plans (if needed), which are designed  to bring projected spending in line with a cap (aka Global Spending [NAME]) of approximately 4% growth per year.
 | 2011-03-30 00:00:00 | P | P | P | Issue a Federal Public Notice
 | 2011-03-30 00:00:00 | P | P | P | Consulted within the Department and with the Division of Budget (DOB) to develop a model that will track Medicaid expenditures by industry sector (i.e., inpatient outpatient, freestanding clinic, nursing homes, etc) that make up and coincide with the approximately $15 billion State spending cap.
 | 2011-04-01 00:00:00 | P | P | P | Map data warehouse extraction using MARS detcat codes to the same sectors agreed upon with DOB to gain confidence that monthly extractions are appropriately being input into the model.
 | 2011-04-01 00:00:00 | P | P | P | Model monthly cash flow for online (claims) expenditures using historical experience (2009-10) adjusted for known anomalies (ie. Retroactive rate packages) within each sector.
 | 2011-04-05 00:00:00 | P | P | P | Test receipt of data from data warehouse and the input/output of the established model.
 | 2011-04-11 00:00:00 | P | P | P | Model monthly cash flow for offline expenditures in consultation with DOB's internal cash flow attributed to each sector. |  |  |  |  | Maintenance
 | 2011-04-15 00:00:00 | P | P | P | Model monthly cash flow for each MRT proposal by industry sector.
 | 2011-04-15 00:00:00 | P | P | P | Combine monthly cash flows for online, offline and MRT proposals into one model.
 | 2011-04-19 00:00:00 | P | P | P | Brief DOH Executive Staff on cap reporting documents.
 | 2011-04-22 00:00:00 | P | P | P | Review and get agreement upon a format for reporting monthly.  Discussion will include the format of the cash flow and any accompanying charts.
 | 2011-04-22 00:00:00 | P | P | P | Discuss and get agreement on any additional/supplemental reports to be posted.
 | 2011-05-05 00:00:00 | P | P | P | Brief the Hospital Associations regarding data sources and calculations used in the development of the Medicaid global spending cap cash flow. |  |  |  | Shared all data files with HANYS and GNY on 5/06/11
 | 2011-05-16 00:00:00 | P | P | P | Receive April's data feed (online and offline) and and input into the model.
 | 2011-05-23 00:00:00 | P | P | P | Complete Q&A of the model output and the data feed and complete a variance analysis.
 | 5/16/2011 5/26/11 6/2/2011 | P | P | P | Brief Legislative staff on cap reporting documents.
 | 5/27/2011 5/31/11 6/3/2011 | P | P | P | Post reports to the website.
 | 2011-06-16 00:00:00 | P | P | P | Receive May's data feed (online and offline) and and input into the model. |  |  |  |  | Maintenance
 | 2011-06-24 00:00:00 | P | P | P | Complete Q&A of the model output and the data feed and complete a variance analysis.
 | 6/30/2011 7/8/2011 | P | P | P | Post reports to the website.
 | 2011-07-15 00:00:00 | P | P | P | Receive June's data feed (online and offline) and and input into the model.
 | 2011-07-22 00:00:00 | P | P | P | Complete Q&A of the model output and the data feed and complete a variance analysis.
 | 7/29/2011 8/5/2011 | P | P | P | Post reports to the website.
 | 2011-08-15 00:00:00 | P | P | P | Receive July's data feed (online and offline) and and input into the model.
 | 2011-08-22 00:00:00 | P | P | P | Complete Q&A of the model output and the data feed and complete a variance analysis.
 | 2011-09-12 00:00:00 | P | P | P | Post reports to the website.
 | 2011-09-16 00:00:00 | P | P | P | Receive August's data feed (online and offline) and and input into the model. |  |  |  |  | Maintenance
 | 2011-09-23 00:00:00 | P | P | P | Complete Q&A of the model output and the data feed and complete a variance analysis.
 | 9/30/11 10/05/11 | P | P | P | Post reports to the website.
 | 2011-10-15 00:00:00 | P | P | P | Receive September's data feed (online and offline) and and input into the model.
 | 2011-10-22 00:00:00 | P | P | P | Complete Q&A of the model output and the data feed and complete a variance analysis.
 | 10/31/2011 11/14/11 | P | P | P | Post reports to the website.
 | 2011-11-16 00:00:00 | P | P | P | Receive October's data feed (online and offline) and and input into the model.
 | 2011-11-23 00:00:00 | 8 | 8 | 8 | Complete Q&A of the model output and the data feed and complete a variance analysis.
 | 2011-11-30 00:00:00 | 8 | 8 | 8 | Post reports to the website.
 | 2011-12-16 00:00:00 | 8 | 8 | 8 | Receive November's data feed (online and offline) and and input into the model. |  |  |  |  | Maintenance
 | 2011-12-23 00:00:00 | 8 | 8 | 8 | Complete Q&A of the model output and the data feed and complete a variance analysis.
 | 2011-12-30 00:00:00 | 8 | 8 | 8 | Post reports to the website.
 | 2012-01-16 00:00:00 | 8 | 8 | 8 | Receive December's data feed (online and offline) and and input into the model.
 | 2012-01-23 00:00:00 | 8 | 8 | 8 | Complete Q&A of the model output and the data feed and complete a variance analysis.
 | 2012-01-31 00:00:00 | 8 | 8 | 8 | Post reports to the website.
 | 2012-02-15 00:00:00 | 8 | 8 | 8 | Receive January's data feed (online and offline) and and input into the model.
 | 2012-02-22 00:00:00 | 8 | 8 | 8 | Complete Q&A of the model output and the data feed and complete a variance analysis.
 | 2012-02-29 00:00:00 | 8 | 8 | 8 | Post reports to the website.
 | 2012-03-16 00:00:00 | 8 | 8 | 8 | Receive February's data feed (online and offline) and and input into the model.
 | 2012-03-23 00:00:00 | 8 | 8 | 8 | Complete Q&A of the model output and the data feed and complete a variance analysis.
 | 2012-03-30 00:00:00 | 8 | 8 | 8 | Post reports to the website.
 | 2012-04-16 00:00:00 | 8 | 8 | 8 | Receive March's data feed (online and offline) and and input into the model.
 | 2012-04-23 00:00:00 | 8 | 8 | 8 | Complete Q&A of the model output and the data feed and complete a variance analysis.
 | 2012-04-30 00:00:00 | 8 | 8 | 8 | Post reports to the website.
 |  | 8 | 8 | 8 | SFY 12-13 Monthly reporting will fall on the same monthly schedule as 2011-12.
MRT # 4651-B |  |  |  |  | Project Name:  2% Across the Board Reductions Division Lead: [NAME]  Team Lead: Shaneeva Norbi Add'l Staff: [NAME], [NAME], [NAME] Description:  This proposal implements a 2% Across the Board Reduction to most Medicaid payments | -345 |  |  | Shaneeva Norbi
 | General process for Implementation
 | 2011-03-30 00:00:00 | P | P | P | Publish the Federal Public Notice based on the Executive Budget language.
 | 2011-04-27 00:00:00 | P | P | P | Publish a clarifying Federal Public Notice based on the Enacted Budget and negotiated alternatives by sector.
 | 2011-05-31 00:00:00 | P | P | P | Finalize list of included/excluded services for purposes of the State Plan Amendment |  |  |  | This information is needed to complete the State Plan Amendment
 | 2011-04-21 00:00:00 | P | P | P | Submit a draft of the Hospital Inpatient State Plan Amendment to CMS for the across the board actions
 | 2011-08-18 00:00:00 | P | P | P | Receive CMS Approval of Hospital Inpatient State Plan Amendment
 | 6/3/2011 6/13/2011 | P | P | P | Submit a draft of the Outpatient services State Plan Amendment to CMS and if needed any plans for alternatives identified by the sectors (several sectors are included in this state plan amendment, please see list below where asterisked *).
 | 9/19/2011 09/30/2011 10/28/2011 11/14/2011 | 8 | 8 | 8 | Receive CMS Approval of Outpatient Services State Plan Amendment. Date may need to be modified dependent on CMS. (several sectors are included in this state plan amendment please see list below where asterisked*). |  |  |  | Per weekly meeting with CMS we are close to obtaining approval 11/9/11
 | Provider notification strategy
 | 6/8/2011 6/15/2011 9/01/2011 09/19/2011 09/28/2011 10/20/2011 | P | P | P | Develop language for provider notification (i.e Medicaid update, email blast, website informational documents etc.)
 | 2011-10-24 00:00:00 | P | P | P | Initiate development and design of DOH 2% website
 | 2011-10-28 00:00:00 | P | P | P | Finalize language for provider notification
 | 6/13/2011 6/21/2011 09/15/2011 11/3/2011 | P | P | P | Notify provider communities through email blasts, Medicaid Update, eMedNY website etc...
 | 2011-11-03 00:00:00 | P | P | P | 2% Website goes live, post all necessary materials
 | 2% ATB Evolution project
 | 6/20/2011 6/27/2011 | P | P | P | Submit draft Evolution Project Request for changes that will be made to the system to effectuate the inclusions/exclusions to the across the board reduction. |  |  |  | The Division on Planning and Policy is the lead for the Evolution Project.
 | 10/1/2011 11/1/2011 11/03/2011 | P | P | P | Implementation of Evolution Project Request for changes that will be made to the system to effectuate the inclusions/exclusions to the across the board reduction moving forward |  |  |  | The Division on Planning and Policy is the lead for the Evolution Project.
 | 2011-10-19 00:00:00 | P | P | P | Begin retroactive adjustment calculation back to the effective date according to law for the across the board reduction- (effective for dates of service on and after April 1, 2011) |  |  |  | DOIT
 | 2011-11-03 00:00:00 | P | P | P | Prospective implementation of 2% reduction begins |  |  |  | DOIT
 | 2011-11-14 00:00:00 | 8 | 8 | 8 | Discuss and finalize set up of retroactive adjustment recoupment strategy
 | 2011-11-21 00:00:00 | 8 | 8 | 8 | Release provider notification update on retroactive adjustment recoupment (i.e Medicaid update, website update etc.)
 | Path of participation by [NAME] (alternative proposal accepted or rejected)
 | Work plan is expected to be expanded as implementation continues
 |  |  |  |  | Inpatient*
 |  | P | P | P | Industry did not propose an alternative to the across the board, therefore 2% reduction applies.
 | 2011-04-21 00:00:00 | P | P | P | Submit SPA as a draft  to CMS ( Hospital Inpatient)
 | 9/19/2011 09/30/2011 10/28/2011 11/14/2011 | 8 | 8 | 8 | CMS Approval
 | 09/20/2011 09/30/2011 11/1/2011 11/03/2011 | P | P | P | IMPLEMENTED savings being realized prospectively as of November 3
 |  |  |  |  | Hospital Based Outpatient*
 |  | P | P | P | Industry did not propose an alternative to the across the board, therefore 2% reduction applies.
 | 6/3/2011 6/13/2011 | P | P | P | Submit SPA as a draft to CMS (Outpatient Services)
 | 9/19/2011 09/30/2011 10/28/2011 11/14/2011 | 8 | 8 | 8 | CMS Approval
 | 09/20/2011 09/30/2011 11/1/2011 11/03/2011 | P | P | P | IMPLEMENTED savings being realized prospectively
 |  |  |  |  | Freestanding Clinic* |  |  |  | The Division on Planning and Policy
 |  | P | P | P | Alternative proposal accepted to generate commensurate savings through a reduction to the APG base rates, which will occur only after the unpaid APG investment is approved by CMS
 | 6/3/2011 6/13/2011 | P | P | P | Submit SPA as a draft to CMS (Outpatient Services)
 | 9/19/2011 09/30/2011 10/28/2011 11/14/2011 | 8 | 8 | 8 | CMS Approval
 | 09/20/2011 09/30/2011 11/1/2011 11/03/2011 | P | P | P | IMPLEMENTED savings being realized prospectively
 |  |  |  |  | In-State Nursing Home
 | 2011-03-31 00:00:00 | P | P | P | Alternative proposal accepted to generate commensurate savings through an increase of the cash assessment accepted.
 | 2011-03-31 00:00:00 | P | P | P | Complete provider impact
 | 2011-03-31 00:00:00 | P | P | P | DOB approval
 | 2011-04-15 00:00:00 | P | P | P | Discuss and finalize set up of system change with the Office of Pool Administrator  (OPA)
 | 2011-04-18 00:00:00 | P | P | P | OPA system updated to accept new reports with increased cash assessment
 | 2011-04-28 00:00:00 | P | P | P | Notify provider communities through dear administrator letter
 | 2011-05-16 00:00:00 | P | P | P | First receipt of increase
 | 2011-05-17 00:00:00 | P | P | P | IMPLEMENTED savings being realized
 |  |  |  |  | Out of State Nursing Home
 |  |  |  |  | 2% reduction applies.
 | 2011-08-05 00:00:00 | P | P | P | Submit SPA 11-49 as a draft to CMS
 | 9/19/2011 09/30/2011 10/28/2011 11/14/2011 | P | P | P | CMS Approval (received approval 9/23/2011)
 | 09/20/2011 09/30/2011 11/3/2011 | P | P | P | IMPLEMENTED savings being realized (waiting for the NI SPA approval for implementation to commence)
 |  |  |  |  | Personal Care*
 |  | P | P | P | Industry did not propose an alternative to the across the board, therefore 2% reduction applies.
 | 6/3/2011 6/13/2011 | P | P | P | Submit SPA as a draft to CMS (Outpatient Services)
 | 9/19/2011 09/30/2011 10/28/2011 11/14/2011 | 8 | 8 | 8 | CMS Approval
 | 09/20/2011 09/30/2011 11/1/2011 11/03/2011 | P | P | P | IMPLEMENTED savings being realized prospectively
 |  |  |  |  | Home Health
 |  | P | P | P | CHHA*- Industry proposal rejected, therefore 2% reduction applies
 | 6/3/2011 6/13/2011 | P | P | P | Submit SPA as a draft to CMS (Outpatient Services)
 | 9/19/2011 09/30/2011 10/28/2011 11/14/2011 | 8 | 8 | 8 | CMS Approval
 | 09/20/2011 09/30/2011 11/1/2011 11/03/2011 | P | P | P | IMPLEMENTED savings being realized prospectively
 |  | P | P | P | LTHHCP- Alternative proposal accepted to generate commensurate savings through an increase of the cash assessment accepted.
 | 2011-03-31 00:00:00 | P | P | P | Complete provider impact
 | 2011-03-31 00:00:00 | P | P | P | DOB approval
 | 2011-04-15 00:00:00 | P | P | P | Discuss and finalize set up of system change with the Office of Pool Administrator  (OPA)
 | 2011-04-18 00:00:00 | P | P | P | OPA system updated to accept new reports with increased cash assessment
 | 2011-06-01 00:00:00 | P | P | P | Notify provider communities through dear administrator letter
 | 2011-06-20 00:00:00 | P | P | P | First receipt of increase
 |  | P | P | P | IMPLEMENTED savings being realized
 |  |  |  |  | Home Nursing*
 |  | P | P | P | Industry did not propose an alternative to the across the board, therefore 2% reduction applies.
 | 6/3/2011 6/13/2011 | P | P | P | Submit SPA as a draft to CMS (Outpatient Services) |  |  |  | DRS/OLTC- Warner
 | 9/19/2011 09/30/2011 10/28/2011 11/14/2011 | 8 | 8 | 8 | CMS Approval
 | 09/20/2011 09/30/2011 11/1/2011 11/03/2011 | P | P | P | IMPLEMENTED savings being realized prospectively
 |  |  |  |  | Assisted Living Programs
 |  | P | P | P | Alternative proposal accepted to generate commensurate savings through a reduction of the state only funding of 'EQUAL'.
 |  | P | P | P | Official letter from industry
 | 2011-06-28 00:00:00 | P | P | P | Complete impact by provider
 |  | P | P | P | Discuss and finalize set up of system change
 | 2011-07-22 00:00:00 | P | P | P | Finalize Pay List Revision
 | 2011-08-22 00:00:00 | P | P | P | Implement reduction of EQUAL checks
 |  | P | P | P | IMPLEMENTED savings being realized
 |  |  |  |  | Managed Long Term Care
 |  | P | P | P | Alternative proposal accepted to generate commensurate savings through reducing premium levels
 | 10/28/2011 11/30/2011 | 8 | 8 | 8 | Calculate revised premium rates
 | 11/4/2011 12/02/2011 | 8 | 8 | 8 | Submit rates to DOB for approval
 | 11/18/2011 12/10/2011 | 8 | 8 | 8 | DOB approval
 | 12/2/2011 12/10/2011 | 8 | 8 | 8 | Mercer rate certification letter
 | 12/9/2011 12/15/2011 | 8 | 8 | 8 | Send rates to CMS for approval
 | 12/16/2011 [NAME] | 8 | 8 | 8 | Mail/post rates after CMS approval
 |  | 8 | 8 | 8 | IMPLEMENTED savings being realized
 |  |  |  |  | Managed Care/ FHP
 |  | P | P | P | Alternative proposal accepted to generate commensurate savings through reducing premium levels
 |  |  |  |  | For further information on the implementation of the Managed Care alternative to generate savings through reducing premium levels please see MRT project plan # 6
 | 2011-09-01 00:00:00 |  |  |  | Calculate revised premium rates
 | 8/1/2011 08/15/2011 08/25/2011 09/01/11 |  |  |  | Implement all changes to rates effective 4/1/11 (marketing, trend reduction, surplus reduction, inpatient changes, etc) and add pharmacy to 10/1/11 rates
 | 08/15/2011 08/25/2011 09/01/11 |  |  |  | Submit rates to DOB for approval
 | 2011-09-12 00:00:00 |  |  |  | DOB approval
 | 2011-09-26 00:00:00 |  |  |  | Mercer rate certification letter
 | 2011-10-24 00:00:00 |  |  |  | Mail/post rates after CMS approval and all needed changes have been made to model contract and 115 waiver (see MRT #1458)
 |  | 8 | 8 | 8 | IMPLEMENTED savings being realized
 |  |  |  |  | Pharmacy*
 |  | P | P | P | Interactions amongst existing proposals and other pharmacy programs will generate commensurate savings, resulting in 1% or less in ATB cuts.
 | 6/3/2011 6/13/2011 | P | P | P | Submit SPA as a draft to CMS (Outpatient Services)
 | 9/19/2011 09/30/2011 10/28/2011 11/14/2011 | 8 | 8 | 8 | CMS Approval
 | 7/01/2011 8/01/2011 9/01/2011 9/30/2011 11/1/2011 11/03/2011 | P | P | P | Program and Data Analysis staff will identify the retroactive adjustment for period April 1, 2011 through ATB reduction implementation date.
 | 7/01/2011 8/01/2011 9/01/2011 9/30/2011 11/1/2011 11/03/2011 | P | P | P | Retroactive amounts will be prorated and added to prospective adjustments over the remainder of the SFY.
 |  | P | P | P | Adjustments will be applied by CSC and will appear as a separate line item on invoices for the remainder of the SFY.
 | 09/20/2011 09/30/2011 11/1/2011 11/03/2011 | P | P | P | IMPLEMENTED savings being realized prospectively as of November 3
 |  |  |  |  | Physicians |  |  |  | The Division on Planning and Policy
 |  | P | P | P | Office place of service - Alternative proposal accepted to generate commensurate savings for office based physicians through an reduction in radiology fees.
 | 2011-07-01 00:00:00 | P | P | P | Fee reduction processed
 |  | P | P | P | IMPLEMENTED savings being realized
 |  | P | P | P | All other places of service*-  Industry did not propose an alternative to the across the board, therefore 2% reduction applies.
 | 6/3/2011 6/13/2011 | P | P | P | Submit SPA as a draft to CMS (Outpatient Services)
 | 9/19/2011 09/30/2011 10/28/2011 11/14/2011 | 8 | 8 | 8 | CMS Approval
 | 09/20/2011 09/30/2011 11/1/2011 11/03/2011 | P | P | P | IMPLEMENTED savings being realized prospectively
 |  |  |  |  | Other Services (Dental, Eye/X-ray, etc.)
 |  | P | P | P | Office place of service - Alternative proposal accepted to generate commensurate savings for office based physicians through an reduction in radiology fees.
 | 2011-07-01 00:00:00 | P | P | P | Fee reduction processed
 |  | P | P | P | IMPLEMENTED savings being realized
 |  | P | P | P | All other places of service*-Industry did not propose an alternative to the across the board, therefore 2% reduction applies.
 | 6/3/2011 6/13/2011 | P | P | P | Submit SPA as a draft to CMS (Outpatient Services)
 | 9/19/2011 09/30/2011 10/28/2011 11/14/2011 | 8 | 8 | 8 | CMS Approval
 | 09/20/2011 09/30/2011 11/1/2011 11/03/2011 | P | P | P | IMPLEMENTED savings being realized prospectively
 |  |  |  |  | Methadone Maintenance Treatment Programs*
 |  | P | P | P | 2% reduction applies.
 | 6/3/2011 6/13/2011 | P | P | P | Submit SPA as a draft to CMS (Outpatient Services)
 | 9/19/2011 09/30/2011 10/28/2011 11/14/2011 | 8 | 8 | 8 | CMS Approval
 | 09/20/2011 09/30/2011 11/1/2011 11/03/2011 | P | P | P | IMPLEMENTED savings being realized prospectively
MRT#4652 |  | ▲ | ▲ | ▲ | Project Name:  Reform Personal Care Services Program in NYC Division Lead: OLTC/DHCBS Team Lead: [NAME] Add'l Staff:  [NAME] and [NAME]: | -113.81
 |  |  |  |  | State Plan Amendment & Regulatory Process
 | 2011-03-17 00:00:00 | P | P | P | Review SPA, Statute and regulations related to the PCSP |  |  |  |  | Maintenance
 | 2011-04-01 00:00:00 | P | P | P | Make appropriate changes as needed to SPA, Statute and/or Regulations with DLA direction.  Follow existing process for changes. |  |  |  | No SPA required.
 | 2011-04-19 00:00:00 | P | P | P | Change in regulation 18 NYCRR 505.14 and 505.28 initiated
 | 2011-05-02 00:00:00 | P | P | P | Preliminary review of draft regulations by DLA
 | 5/20/2011 6-17-11 8-5-11 | P | P | P | Necessary changes made to draft regulations based on DLA recommendations
 | 5/13/2011 5/23/11 6-22-11 8-10-11 | P | P | P | Internal administrative review initiated after DLA preliminary review completed
 | 5/25/2011 7-6-11 8-12-11 | P | P | P | Internal review completed, package advanced to Executive Chamber
 | 6/8/2011 7-20-11 8-26-11 10/19/11 | P | P | P | Publication in State Register
 |  |  |  |  | GIS/Fair Hearings
 | 2011-04-28 00:00:00 | P | P | P | Draft of GIS limiting Level 1 services
 | 2011-04-28 00:00:00 | P | P | P | GIS enters Internal Clearance Process
 | 2011-04-13 00:00:00 | P | P | P | Conference between DOH and OTDA re: Fair Hearing rights
 | 2011-04-28 00:00:00 | P | P | P | Draft of FH reduction notice to be prepared
 | 2011-05-02 00:00:00 | P | P | P | Create FH notice as ana attachment to GIS
 | 5/20/2011 6-4-11 | P | P | P | GIS completed internal clearance process |  |  |  | GIS went out 6/3/11
 | 5/13/2011 5/24/11 6-4-11 | P | P | P | Distribution of GIS to Local Districts
 |  |  |  |  | Collaboration with HRA and HHC
 | 2011-05-06 00:00:00 | P | P | P | Conference call with HRA staff to discuss CCO model
 | 2011-05-09 00:00:00 | P | P | P | Formulate questions to be used by HRA in discussions with HHC
 | 2011-05-12 00:00:00 | P | P | P | Initiate internal clearance of OLTC questions for HRAs use
 | 5/19/2011 6-10-11 | P | P | P | Share questions and concerns with HRA for consideration and response
 | 2011-06-15 00:00:00 | P | P | P | Collaborate with HRA and HHC in establishing criteria for a care coordination model for high needs PCS recipients.
 | 4/1/2011 6-6-11 6-15-11 | P | P | P | Collaborate with HRA in developing and approving the process for moving low need CHHA cases to the PCSP
 | 9/1/2011 11/15/11 12/31/11 | 8 | 8 | 8 | Develop and issue policy directives/standards for local districts
 | 9/1/2011 12/15/11 | 8 | 8 | 8 | Provide ongoing training and monitoring of the PCSP as required
MRT #4153 |  |  |  |  | Project Name:  Expanded Pharmacy Reimbursement Controls   Division Lead: DOIT Team Lead: [NAME] Add'l Staff:  [NAME], [NAME], [NAME]:  Implement contract to enhance controls on drug utilization. | -2.3
 |  |  |  |  | Administrative
 | 2011-07-01 00:00:00 | P | P | P | Obtain  approval for contract modification |  | OSC approved the waiver at the end of August
 | 2011-06-01 00:00:00 | P | P | P | CSC agreement to work at risk
 | 2011-07-01 00:00:00 | P | P | P | HID agreement to work at risk |  |  |  | HID is refusing to work on certain aspects of this project until ther is an approved contract amendment.
 | 2011-07-01 00:00:00 | P | P | P | OSC approved contract amendment
 |  |  |  |  | Systems
 | 2011-05-05 00:00:00 | P | P | P | Reinstate EP 0719/HID project
 | 2011-05-05 00:00:00 | P | P | P | Identify interfaces with all contractors
 | 6/1/2011 6/30/11 7-18-11 | P | P | P | Requirements Definition: Functional Requirements Document |  | HID's involvement with requirements definition will not begin until 7/1/11
 | 9/1/2011 9/30/11 10/21/11 | P | P | P | System Detailed Design: Program Design Document
 | 9/30/2011 11/22/11 | 8 | 8 | 8 | Coding and Unit Test: Develop source code and systems documentation.
 | 11/15/2011 12/15/11 | 8 | 8 | 8 | Systems Integration Test: Proposed test cases to be exercised during SIT
 | 11/16/2011 12/16/11 | 8 | 8 | 8 | State approval of SIT
 | 2011-12-23 00:00:00 | 8 | 8 | 8 | Regression, Performance and User Acceptance Testing
 | 2011-12-29 00:00:00 | 8 | 8 | 8 | Implement EP0719 with enhanced clinical upfront editing function.
 |  |  |  |  | Program/Clinical
 | 2011-05-01 00:00:00 | P | P | P | Identify clinical program requirements and timelines
 | 12/29/2011 2/23/12 | 8 | 8 | 8 | Implement DURB frequency/quantity/duration recommendations
 | 2011-12-29 00:00:00 | 8 | 8 | 8 | Implement MRT 15H: PA for Previously Exempt Classes |  | savings attached to proposal 15
 | 2011-12-29 00:00:00 | 8 | 8 | 8 | Implement PA length of 12 months
 | 2011-12-29 00:00:00 | 8 | 8 | 8 | Implement MRT 15K: Limit Opioids to 4 scripts every 30 days |  | savings attached to proposal 15
 | 12/29/2011 2/23/12 | 8 | 8 | 8 | Implement PDL drugs and clinical criteria
 | 12/29/2011 2/23/12 | 8 | 8 | 8 | Implement step-therapy
 | 12/29/2011 2/23/12 | 8 | 8 | 8 | Implement CDRP clinical criteria
MRT # 4156 |  |  |  |  | Project Name:  Mitigate Negative Provider Impacts from Implementing Nursing Home Rebasing   Division Lead: DHCF Team Lead: [NAME] Add'l Staff:   Description:  Initiate a series of actions designed to minimize the negative provider impacts associated with the implementation of rebasing methodology and implement new Statewide Pricing Methodology | -6.4
Rebasing and Remediation Plan | 2011-05-26 00:00:00 | P | P | P | Conduct Joint DOH Industry Association Webinar to Review Rebasing Mitigation Plan and Schedules for Rebasing Rates, and Implementation of NH Pricing Methodology
 | 2011-06-29 00:00:00 | P | P | P | Conduct Joint DOH Industry Association Webinar on Technical Aspects of Rebasing Rates
 | 2011-06-21 00:00:00 | P | P | P | Amend SPA 11-03 Eliminate Case Mix Adjustments for January 2011 and July 2011 (SPA approved 6/21/11)
 | 2011-06-09 00:00:00 | P | P | P | Submit SPA 11-60 Uniform Rate Reduction
 | 2011-06-17 00:00:00 | P | P | P | Submit SPA to eliminate 2011 Trend Factor effective April 1, 2011 (SPA 11-65)
 | 2011-06-30 00:00:00 | P | P | P | Submit SPA 11-52 to Eliminate 2010 and 2011 FD Payments
 | On or before June 27,2011 | P | P | P | Receive approval of $210 million nursing home cap SPA #09-50 (May 6, 2011) Submit SPA #11-41  and receive approval (June 15, 2011) to implement mitigation payments, develop recoupment percentages with industry associations
 | On or before June 27, 2011 | P | P | P | Upon approval of SPA #09-50 and #11-41  process April 1, 2009, May 1, 2009, July 1, 2009, January 1, 2010, April 1, 2010 and January 1, 2011 rates, process May 1, 2011 and June 1, 2011 mitigation payments, process 2008 cash receipts assessment reconciliation, See May 26, 2011 Webinar, issue Dear Admin Letter
 | 2011-10-21 00:00:00 | P | P | P | Prepare following rates for DOB approval:  July 1, 2010 (case mix adjustments) January 1, 2011 (2011 capital rates, trend factor increase for Jan Feb Mar 2011), April 1, 2011 eliminate Trend Factor (requires CMS approval), May 1, 2011, June 1, 2011 and July 7, 2011 (prescription drug carve out)  See May 26, 2011 Webinar, Issue Dear Admin Letter
 | 2011-10-21 00:00:00 | P | P | P | Prepare following rates for DOB approval: April 1, 2011, May 1, 2011 June 1, 2011 and July 1, 2011 to implement uniform rate reduction (requires CMS approval) See May 26, 2011 Webinar, Issue Dear Admin Letter
 | 10/15/11 11/15/11 | P | P | P | Upon DOB approval, process following rates for eMedNY: July 1, 2010 (case mix adjustments) January 1, 2011 (2011 capital rates, trend factor increase for Jan Feb Mar 2011), April 1, 2011 eliminate Trend Factor (requires CMS approval), May 1, 2011, June 1, 2011 and July 7, 2011 (prescription drug carve out)  See May 26, 2011 Webinar, Issue Dear Admin Letter
 | 10/30/11 11/15/11 | P | P | P | Upon DOB approval, process following rates for eMedNY: April 1, 2011, May 1, 2011 June 1, 2011 and July 1, 2011 to implement uniform rate reduction (requires CMS approval) See May 26, 2011 Webinar, Issue Dear Admin Letter
Pricing Methodology | 8/28/2011 9/1/11 | T | T | T | Industry Associations develop NH pricing quality rate setting methodology and review with Department, develop regulations, circulate initial rates. On 9/1/11, Associations indicated, that despite their hard work and concerted efforts, they were unable to reach consensus on all the elements of a new pricing methodology.
 | 2011-09-27 00:00:00 | P | P | P | DOH meet with Associations to discuss their efforts - continue to collaborate on development of new pricing methodology.
 | 10/19/2011 11/1/11 | P | P | P | Department model, review, and discuss pricing methodology options
 | 10/20/2011 11/14/11 11/22/11 | 8 | 8 | 8 | Review and discuss with NH Associations pricing methodology
 | 11/1/2011 11/18/11 11/28/11 | 8 | 8 | 8 | Finalize pricing methodology
 | 2011-12-01 00:00:00 | 8 | 8 | 8 | On or before 12/1 submit SPA and begin drafting regulations to implement pricing methodology
 | 2011-12-15 00:00:00 | 8 | 8 | 8 | On or before 12/15 submit clarifying public notice
 | 2011-12-31 00:00:00 | 8 | 8 | 8 | On or before 12/31 publish regulations
 | 2012-01-01 00:00:00 | 8 | 8 | 8 | Implement Pricing