Medicaid Redesign


Left to right: Lauren Tobias, State Senator Richard Gottfried and New York City Deputy Mayor Linda Gibbs deliver remarks at the Network's September 23 policy breakfast on Medicaid and supportive housing.

Upon entering office, Governor Andrew Cuomo prioritized a total overhaul of New York's Medicaid system. To spearhead this effort, the governor created a Medicaid Redesign Team (MRT) in January 2011. The Network has worked with the team since its inception to ensure that supportive housing plays an essential role in providing improved, cost-effective health care to individuals struggling with homelessness, mental illness and co-occurring health issues.

As a member of the MRT Affordable Housing Workgroup, the Network helped draft a series of recommendations to increase access to affordable housing. The Network also successfully advocated for an additional $75 million in new supportive housing capital and services funding for high-cost Medicaid users in the 2012-13 fiscal year budget and $86 million in the 2013-2014 budget. The State has also submitted an application for a Medicaid waiver from the federal government, which includes a Medicaid Supportive Housing Expansion program that will dedicate $150 million annually to expand access to supportive housing.

Below, you'll find the waiver application, the Supportive Housing Development Fund 2013-14 allocation plan and other salient documents.

2014-2015-2016 Supportive Housing Development Fund Allocation Plan

A breakdown of how the State will allocate the $260 million Supportive Housing Development Fund over two fiscal years.

2013-2014 Supportive Housing Development Fund Allocation Plan

A breakdown of how the State will allocate the $86 million Supportive Housing Development Fund.

List of MRT Contracts in NYC

A one-pager with contact information for the nonprofits providing MRT supportive housing in NYC.

Medicaid 1115 Waiver Amendment

This 152-page document is a formal application for New York to receive a Medicaid waiver from the federal government. Jump to page 57 for the chapter on the Medicaid Supportive Housing Expansion Program.

November 2012 MRT Update

On November 19, 2012, the Affordable Housing Workgroup reconvened to discuss the MRT's supportive housing initiatives. This file provides an update on the various programs.

Video: Press Conference to Announce the Waiver Submission

Video of a press conference to unveil New York’s Medicaid waiver application. Jump to 15:45 to view remarks from Network Executive Director Ted Houghton.

Video: Network Workshop on the Future of Medicaid

Full video of "Medicaid: 2013 and Beyond," a workshop at the Network’s 12th Annual New York State Supportive Housing Conference.

2012-2013 Supportive Housing Development Fund Allocation Plan

A breakdown of how the State allocated the $75 million Supportive Housing Development Fund.

A Plan to Transform the Empire State's Medicaid Program

The final report on Medicaid redesign from the New York State Department of Health. See pages 25-26 for the chapter on affordable and supportive housing.

MRT in the 2012-2013 Budget

Governor Cuomo and the New York State legislature create the nation's first supportive housing program for high-cost Medicaid users.

MRT Accepts Affordable Housing Workgroup Recommendations

On December 13, 2011, the Medicaid Redesign Team voted to accept a set of recommendations from the Affordable Housing Workgroup. Read the above press release for details.

MRT Affordable Housing Workgroup Final Recommendations

The final list of policy recommendations generated by the MRT Affordable Housing Workgroup. The document details over a dozen recommendations, including the creation of a New York/New York IV Agreement to target high-cost, high-need Medicaid users.

Barriers and Solutions Report

The Network presented this eight-page brief to the MRT Affordable Housing Workgroup on November 7, 2011. The brief outlines 16 barriers (and solutions) to reduce Medicaid spending and improve the overall quality of care in New York State via supportive housing.

Supportive Housing and Medicaid PowerPoint

The Network presented this PowerPoint presentation to the MRT Affordable Housing Workgroup on October 24, 2011. It provides an overview of supportive housing and its potential cost-saving benefits for the State's Medicaid program.

Medicaid Policy Forum

On September 23, the Network hosted a policy forum on the intersection of Medicaid and supportive housing. The event featured an all-star panel and several guest speakers. Follow the link to learn more and download presentation materials from the event.

Integrating Supportive Housing with Medicaid Redesign

On August 12, the Network met with the NYS Department of Health, Office of Mental Health, Office of Alcoholism and Substance Abuse Services and the NYC Human Resources Administration to discuss Medicaid reform and the role of supportive housing. The Network presented recommendations to the City and State on supportive housing and its integral role in the State’s new structure of Health Homes and managed care. 

Supportive Housing Health Research

A list of studies and reports on the health outcomes associated with supportive housing.

Supportive Housing Cost Research

A list of studies and reports on the cost-effectiveness of supportive housing.

MRT Official Website

The official website of the New York State Department of Health's Medicaid Redesign Team.