DSRIP Weekly Update-Sept. 8, 2015

This week, the Office of Medicaid Inspector General (OMIG) provided updated guidance for Delivery System Reform Incentive Payment (DSRIP) program Performing Provider Systems (PPSs), which replaces prior guidance. The State has also issued additional resources and information on the regulatory relief request process.

Regulatory Waiver Requests Process Moving Forward 

The State has announced that they will continue to accept regulatory waiver requests for DSRIP projects. The requests will be processed on a quarterly basis throughout the DSRIP Demonstration Years. Time-sensitive waiver requests may be submitted outside of this current quarterly review period as well. Regulatory waiver requests may be submitted to dsrip@health.ny.gov with the subject line: Additional Regulatory Waiver Request. The information submitted must include the PPS name, DSRIP project, specific regulation to be waived, justification, impact on patient safety and other information as required in the original application. The current window for submitting regulatory requests is Sept. 15, with responses anticipated by Nov. 1, 2015.

It is requested that PPSs review the first round of waiver requests and responses before submitting a request.  Those resources can be found here. Additionally, LeadingAge NY had developed ideas for regulatory reform for our members and for the Department of Health to consider; click here to view. We encourage members to consider how this opportunity for relief may allow you to operate more efficiently to meet the objectives of DSRIP. For more information and background on the waiver process, click here. Additional questions regarding this process may be submitted to the DSRIP BML at dsrip@health.ny.gov.

Updated OMIG Guidance for DSRIP

The OMIG has posted updated guidance for DSRIP PPSs, entitled DSRIP Compliance Guidance 2015-01 Revised: Special Considerations for Performing Provider System (PPS) Leads' Compliance Programs. Click here to view the guidance, which replaces DSRIP Compliance Guidance 2015-01 that was posted on OMIG's website on April 6, 2015.

PPS Leads must meet all of the mandatory compliance program obligations set out in New York Social Services Law Section 363-d and 18 New York Code of Rules and Regulations Part 521. This guidance outlines some special considerations that should be included in these compliance programs. Member PPS partners should be aware of their responsibilities per the Compliance Plans.

Updated Information Available on DSRIP Website

• Quarterly Reporting and Payment Schedule
• The first DSRIP Quarterly report will be available here next month.
• PPS valuations that were finalized in June, along with a PowerPoint reviewing the final amounts.

Contact: Diane Darbyshire, ddarbyshire@leadingageny.org, 518-867-8828