LeadingAge NY's written comments called for targeted funding and strategies to support older adults and the long term care providers that serve them, including investments in quality, workforce, and affordable housing with services. DOH posted slides and a recording of the waiver hearings.

Under the proposed 1115 waiver, the value-based payment framework described in the Roadmap will drive a substantial investment in the State's health system.

LeadingAge NY presented comments focusing on the draft waiver's startling omission of the needs of older adults and meaningful investment in the long term care system.

The waiver would invest $13.5 billion over five years in the health care system to address health disparities and health care delivery issues. Virtual public hearings will be held on April 28^th and May 3^rd. Written comments are due by May 13^th.

Following up on a prior letter criticizing the omission of LTC from the State's $17 billion Medicaid waiver concept paper, LeadingAge NY wrote to the State's Medicaid Director recommending specific modifications to address the needs of older adults and strengthen the LTC system.

CMS approval of the waiver amendment is needed to implement the new activities of daily living eligibility requirements imposed under the 2020-21 State Budget and to allow new dually eligible Medicare Advantage beneficiaries to remain enrolled in their mainstream Medicaid managed care plan.

CMS rejected the State's application seeking $8 billion over a four-year period, including unspent funds from the existing waiver and an additional $7.3 billion reinvestment of savings generated under the waiver.