New York Submits $13 Billion Medicaid Waiver Amendment To CMS With Health Equity Regional Organizations & Social Determinants Of Health Networks

On September 8, 2022, the New York Department of Health (DOH) submitted a Medicaid waiver amendment to the Centers for Medicare & Medicaid Services (CMS). The state requested $13.5 billion over five years to fund the waiver, which includes two new provider organization types: Health Equity Regional Organizations (HEROs) and Social Determinants of Health Networks (SDHNs). It also funds value-based payment (VBP) initiatives.

Health Equity Regional Organizations

HEROs will build coalitions with managed care plans, local health departments, hospitals and health systems, community-based providers; providers of long-term services and supports (LTSS), including those who serve individuals . . .