VBP Roadmap Proposed Updates

On May 14th, New York State released proposed revisions to the Value-Based Payment (VBP) Roadmap for Year 5 of the Delivery System Reform Incentive Payment (DSRIP) program. The Roadmap outlines the State’s plan for 80% of Medicaid managed care payments to be made through VBP arrangements by the end of the DSRIP waiver period in 2020. The State is seeking public comment on the proposed updates to the Roadmap, after which the State will submit the revised Roadmap to the Centers for Medicare and Medicaid Services (CMS) for approval. The State requests comments on changes related to the following topic areas:

  • Children’s VBP Arrangement
  • Managed Long Term Care (MLTC)
  • Network Integration
  • Federally Qualified Health Centers (FQHCs)
  • Quality Measures
  • Social Determinants of Health (SDH)

An overview of these proposed changes as well as a redlined version of the VBP Roadmap are attached. Questions and comments on the proposed changes may be submitted to vbp@health.ny.gov until May 28th.