Significant changes in care delivery due to COVID-19 may prevent Delivery System Reform Incentive Payment (DSRIP) program providers from achieving Category B goals for Medicaid and Low-Income or Uninsured (MLIU) Patient Population by Provider (PPP), improving Category C measures (pay-for-performance measures) of health care quality, and earning related incentive payments. CMS provided guidance to all DSRIP states regarding measurement flexibilities for Calendar Year (CY) 2020 due to COVID-19’s impact on providers’ ability to achieve goals.

• Attachment J – FINAL PFM DY9-10 COVID-19 Changes  (8/10/2020) – changes based on CMS discussion and stakeholder feedback are highlighted in green
• Summary of Stakeholder Feedback on Proposed DY9-10 PFM Changes  (8/10/2020)
• Category C Estimated Average Achievement Values by Measure or Bundle  (8/10/2020) – The estimated average achievement values by measure or bundle are provided for informational purposes. The actual average achievement value for an AM-9 milestone will be determined by all PY2 reporting as of the October DY9 Needs More Information (NMI) reporting period (February 2021).

• 09 20 17 PFM Protocols DY9-10
• 09 20 19  Measure Bundle Protocol