1115 Waiver Demonstration: Conceptual Framework – A Federal-State Partnership to Address Health Disparities Exacerbated by the COVID-19 Pandemic

To achieve the overall goal of fully integrating social care and health care into the fabric of the NYS Medicaid program, while recognizing the complexity of addressing varying levels of social care needs impacting the Medicaid population, this waiver proposal is structured around four subsidiary goals:

1. Building a more resilient, flexible and integrated delivery system that reduces racial disparities, promotes health equity, and supports the delivery of social care;
2. Developing supportive housing and alternatives to institutions for the long-term care population;
3. Redesigning and strengthening health and behavioral health system capabilities to provide optimal response to future pandemics and natural disasters; and
4. Creating statewide digital health and telehealth infrastructure