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What is the 1115 Waiver?

The NYS DOH 1115 Waiver is a federal-state partnership that allows New York State to implement a managed care program for Medicaid recipients. The waiver enables New York State to provide comprehensive and coordinated healthcare through managed care organizations, invest in evidence-based programs to address health disparities, and implement innovative initiatives. The waiver has improved access to care, quality of care, reduced costs, and provided flexibility for innovative programs, ultimately benefiting the health of Medicaid recipients in New York State.

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Monthly 1115 waiver Updates

Each month, we share the latest information and updates on the 1115 Waiver and Social Determents of Health Network Initiatives that are happening in and around Central New York.

Sign up for our Network Scoop Newsletter to stay up to date on events, news and everything you need to know about the 1115 Waiver and its impact on the Central New York community.

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Monthly 1115 Waiver Webinar Series

Each month, Inclusive Alliance hosts a webinar that corvers topics around the 1115 waiver . These webinars are open to the public and aim to support all CNY community-based organizations in learning more about service system changes as a result of the pending 1115 Waiver.

We want these to be valuable to all CBO's and invite you to help shape the subject materials. Please share topics and questions you would like addressed in these monthly webinars with us at info@inclusivealliance.org 

Resources for Medicaid Eligibility Reviews

We've put together some resources for service providers to help educate and inform the community about the renewal process. Anyone in New York covered by Medicaid, Child Health Plus or the Essential Plan any time beginning March 2020 has stayed covered through continuous coverage until March 31, 2023. Every single person receiving Medicaid will be checked over the next 14 months to make sure they’re still eligible for the program that provides health care for people with low incomes or disabilities.

Medicaid in New York 2023 Conference United Hospital Fund

Medicaid in New York 2023 Conference United Hospital Fund

Slides presented by Amir Bassiri, Medicaid Director, Office of Health Insurance Programs at New York State Department of Health

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  • New York 1115 Medicaid Waiver Information Page
  • Presentation Given July 20, 2023
Medicaid in New York 2023 Conference

Summary by Healthcare writer & expert Kalin Scott

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  • Summary of the key updates shared by Medicaid Director Amir Bassiri at the United Hospital Fund of New York's annual Medicaid conference.
Medicaid in New York 2023 Conference

Key Takeaways by Manatt Healthcare Consulting

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  • Summary of the key updates shared by Medicaid Director Amir Bassiri at the United Hospital Fund of New York's annual Medicaid conference.

More Resources

DOH Medicaid Waiver Page

Visit the NYS DOH Resources for the 1115 Waiver

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  • New York 1115 Medicaid Waiver Information Page
Waiver Definitions

Getting lost in the alphabet soup of acronyms? We've got you covered!

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  • Acronyms, Definitions & More
Submitted Waiver Proposal

View the NYS Medicaid Redesign Team (MRT) Waiver Amendment

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Submitted September 2, 2022

  • New York Health Equity Reform (NYHER)
Addressing Social Needs through Medicaid

Lessons from Planning and Early Implementation of North Carolina’s Healthy Opportunities Pilots

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  • Six implementation and policy themes