1. DSRIP Application 101

2. DSRIP Application Overview NY DSRIP Application – requires average score of 60% or higher Organizational Application 30% weight of the total application score 9 sections with different weighted percentages Requires about 75 double spaced pages of narrative total Project Plan Application 70% of the total application score 10(11) project plans with unique requirements for each projects (require at least 50% for each project to pass); possibility of 11 th project Each plan ranges from 1,750 to 3,500 words, or about 7-14 double spaced pages

3. DSRIP Application Requirements 1.DSRIP Application contains two major components: ◦The Organizational Application (1 per PPS) ◦The Project Plan Applications (1 per project) 2.Timeline: The DSRIP application is due 5pm on 12/16/2014 3.Scoring: the whole application requires a minimum average of 60% to pass. Each individual project plan must score at least 50%.

4. Application Scoring Mechanism Application score = Organizational Application Score + Project Application Score Organizational Application ◦Scored by 5-7 independent evaluators ◦Scores will be aggregated into a Median, Average, and Trimmed Average ◦Highest of the 3 will be selected as the score Project Application ◦Subjective section – project description and justification responses ◦Objective section – quantitative information such as patient served, number of beds, etc. ◦Objective section is scored relative to other PPS. Higher score is assigned to PPS with better response.

5. Score and Project Valuation Project value = [PMPM] x [# of beneficiaries] x [application score] x [DSRIP months] ◦PMPM – per member per month reimbursement value predetermined by the DOH ◦# of beneficiaries – number of Medicaid lives affected by the project ◦Application score – sum of weighted Organizational application score and weighted project application score ◦DSRIP months – the duration of the project Low application score can significantly reduce the dollars available from the New York DSRIP pool for the next 5 years!

6. Organizational Application Requirements

7. Organizational Application Overview Required Sections Weighted Score Weighted Total 1.Executive Summary-- 2.Governance structure25%7.5% 3.Community Needs Assessment25%7.5% 4.PPS Workforce Strategy20%6.0% 5.Approach to Data Sharing, Confidentiality & Rapid Cycle Evaluation 5%1.5% 6.PPS Cultural Competency/Health Literacy Strategy15%4.5% 7.DSRIP Budget & Flow of Funds-- 8.Financial Sustainability Plan10%3% 9.Bonus Points-- Total100%30%

8. The Executive Summary Key Requirements: ◦Vision ◦Goals and objectives ◦Address community needs and health disparities ◦Strategy on long term sustainability ◦Must indicate whether or not the PPS is applying for: ◦Certificate of Public Advantage (COPA) ◦Accountable Care Organization (ACO) ◦Regulatory Relief

9. Governance Key Requirements: ◦Governance Organizational Structure ◦Governance Members and Governing Processes ◦Project Advisory Committee (PAC) ◦Compliance Plan ◦PPS Financial Organizational Structure ◦Oversight and Member Removal ◦Domain 1 Governance Milestones (due by 4/1/2015)

10. Community Needs Assessment Key Requirements: ◦Overview on the completion of the CNA ◦Healthcare Provider Infrastructure ◦Community Resources ◦Community Demographics ◦Community Population Health & Identified Health Challenges ◦Healthcare Provider and Community Resources Identified Gaps ◦Stakeholder & Community Engagement ◦Summary of CNA findings ◦Final CNA Report

11. Workforce Strategy Key Requirements: ◦Detailed Workforce Strategy ◦Analysis of Workforce Impact ◦Redeployment of Existing Staff ◦New Hires ◦Workforce Strategy Budget ◦State Program Collaboration Efforts ◦Stakeholder & Worker Engagement ◦Domain 1 Workforce Process Milestones (due by 4/1/2015)

12. Approach to Data Sharing, Confidentiality & Rapid Cycle Evaluation Key Requirements: ◦Data-sharing and confidentiality plan ◦Rapid cycle evaluation

13. PPS Cultural Competency/Health Literacy Strategy Key Requirements: ◦Approach to achieving cultural competence ◦Approach to improve health literacy ◦Domain 1 – cultural competency/health literacy milestones

14. DSRIP Budget & Flow of Funds Key Requirements: ◦DSRIP funding allocation plan ◦DSRIP funding allocation methodology ◦Cost of Project Implementation ◦Revenue Loss ◦Internal PPS Provider Bonus Payment ◦Domain 1 – project budget & DSRIP Flow of Funds Milestones

15. Financial Sustainability Plan Key Requirements: ◦Assessment of PPS Financial Landscape ◦PPS Financial Sustainability Plan ◦Strategy to Pursue and Implement Payment Transformation ◦Domain 1 – Financial Sustainability Plan Milestone

16. Bonus Points Key Requirements: ◦Proven Population Health Management Capabilities (project 2.1.i. only) ◦Proven Workforce Strategy Vendor ◦Selection of 11 th project

17. Project Application Requirements

18. DSRIP Project Plan Application Overview 1.Each project option has its own tailored project plan application and required elements 2.Project score weights 70% of total application score 3.Each project plan will receive its own score for project value determination 4.General Key requirements: ◦A list of the participating partners of the project and their NPI numbers ◦Project description and justification ◦Scale of implementation ◦Speed of implementation/patient engagement ◦Project resources needed

19. Next Steps 1.Identify Project Lead and Subject Mater Experts to develop Project Plan Applications 2.Assign resources to draft Organizational Application 3.Develop DSRIP Application and submit by 12/16/2014