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Long Awaited Approval of the 1115 Waiver Amendment for NYS Medicaid – Just in Time for the New York State Executive Budget State Fiscal Year (SFY) 2025

Health Care Law Brief

The goal is for these Enhanced Services to be a covered benefit included in the MMCO premium starting in State Fiscal Year 2028. The goal by the end of this 1115(a) demonstration (March 31, 2027) is to make significant movement toward VBP strategies, multi-payor alignment (Medicare/Medicaid) and population health accountability.