Spreadsheet: 2011-10-01_mrt_project_mgmt_workplan
Sheet: Cancelled

[NAME]: |  |  |  |  | Description | Savings Target ($millions)
 | PROPOSALS NOT INCLUDED IN ENACTED BUDGET:
MRT # 15-D |  |  |  |  | Project Name:  Increase the Number of Immunizations that a Pharmacist May Administer                                                              Division Lead: DFPP Team Lead: [NAME]:  This proposal will allow pharmacists to administer all vaccines recommended by the CDC for patients ages 11 and above. | -30.2
MRT#18 |  |  |  |  | Project Name:  Eliminate Spousal Refusal Division Lead: DCE Team Lead: [NAME] Description:  Eliminate the loophole that allows legally responsible relatives to refuse to financially support their applying spouse, or child to obtain Medicaid. | -28.3
MRT # 41 |  |  |  |  | Project Name:  New York State Public Health Service Corps Division Lead: Primary Care Team Lead:  [NAME] Additional Staff: Caleb Wistar/Barry Gray Description:  Implement the New York State Public Health Service Corps | 1
MRT# 104 |  |  |  |  | Project Name:  Medicaid Co-payment Changes Division Lead: DFPP Team Lead: [NAME] (MA)  Add'l staff:  [NAME] (MA), [NAME] (CHP), [NAME] (FHP) Description:  Ensure Consumer Protection and Promote Personal Responsibility | -7.5
MRT# 121 |  |  |  |  | Project Name:  Public Nursing Homes Corporation Division Lead: Team Lead: [NAME]  Add'l Staff:  [NAME], [NAME], [NAME]:  This proposal would establish a State authority/public benefit corporation that counties with nursing homes would have the option to join. | 0
MRT # 147 |  |  |  |  | Certain initiatives from MRT # 145 were rejected:  Reinstate Industrial Development Agency (IDA) Financing Temporary suspension of NCQPA by Article 28 facilities Death and Felony Crime Reporting
MRT# 264 |  |  |  |  | Project Name:  Apply a surcharge to Physician Office Based Surgery and Radiology Services Division Lead: DHCF Team Lead: [NAME] Staff:  [NAME], [NAME] Description:  Implement a broad based and uniform surcharge on surgery and radiology services provided by phyisicians in office-based settings, including non-licensed urgent care centers, utilizing CPT codes. | ($8 M)
CANCELLED PROPOSALS:
MRT # 154 - 1 |  |  |  |  | PECOS - Require Medicare Enrollment for All Ordering Physicians of Home Health Service Project Lead: [NAME] ([NAME]) Description:  [NAME] that physicians who order services for individuals that are enrolled in both Medicare and Medicaid (dual eligible’s) be enrolled in Medicare consistent with Medicare Provider Enrollment, Chain and Ownership system (PECOS) requirements.  PECOS requirements authorize the denial of Medicare claims for physicians who order services (home care, pharmacy, durable medical equipment and radiology) for dual eligible’s who are not enrolled as a Medicare provider.  In these cases, Medicaid would be required to pay the entire claim as the payor of last resort.  Accordingly, this proposal is necessary to ensure appropriate Medicare billing, thereby avoiding future increased Medicaid costs.
MRT # 154-6 |  |  |  |  | Expand RRP -  Expand the Restricted Recipient Program Project Lead: [NAME] Project Description: Define triggers that create mandatory restriction for recipients without existing full clinical reviews; automatically authorize recipient restriction for recipients who possess multiple (two or more) Medicaid identification cards and use or attempt to use such cards as well as present a forged or altered prescription; authorize recipient restriction for managed care enrollees for pharmacy/dental/other restriction categories; and extend the initial restriction period from 24 to 36 months, and extend the second, third and any additional restriction periods. | -2.2
MRT # 154-7 |  |  |  |  | Card Swipe Pharmacy- Mandate Participation in the Cardswipe Program for Pharmacies Billing in Excess of $1M in 2010 Who Have Not Submitted A Compliance Certification Project Lead:  [NAME] Project Description:   [NAME] all pharmacies billing Medicaid in excess of $1M who have not filed a Compliance Certificate with the Bureau of Compliance to participate in the OMIG Cardswipe Program (landline) with a Vx570 terminal supplied by the department.   With the impending transition of pharmacy coverage to the managed care arena, the card swipe expansion is redirected to the deployment of mobile card swipe terminals to transportation providers and private duty nurses.  It is anticipated that between 1000 and 1250 mobile terminals will be deployed during SFY 11-12, yielding the anticipated cost avoidance. | -3.99
MRT#1116 |  |  |  |  | Project Name:  Apply 60 Month Look Back Period to Non-Institutional Long Term Care Division Lead: Coverage and Enrollment Team Lead: [NAME] Description:  Apply 60 month look back period for transfer of assets to non-institutional long term care applicants with spousal impovershment protections. | 0