What is DSRIP?

The New York State Medicaid Redesign team (MRT) is redirecting Medicaid funds to projects that radically transform the Medicaid delivery system.  These projects are part of the Delivery System Reform Incentive Payment (DSRIP) program.  DSRIP incentivizes healthcare and community-based providers to form regional collaborations and implement innovative system transformation to better serve Medicaid and uninsured populations who often experience greater healthcare disparities.


The overarching objective of DSRIP is to improve clinical outcomes and reduce avoidable ED use and hospital admissions by 25% over five years.


Up to $6.42 billion dollars are allocated to the NYS DSRIP program with payouts based upon achieving predefined results in system transformation, clinical management, and population health.

DSRIP Principles

DSRIP has five program principles:

  1. Patient-centered
  2. Transparency
  3. Collaboration
  4. Accountability
  5. Value-Driven

In order to participate in DSRIP, providers must work together to form Performing Provider Systems (PPS), which are regional entities responsible for the health of the population in their service area. Each PPS is responsible for selecting 5-11 projects from a specified menu of DSRIP projects and domains. The project selection process is guided by the results of each PPS’ comprehensive Community Needs Assessment (CNA).

Finger Lakes Performing Provider System (FLPPS) is one of 25 Performing Provider Systems in NYS that successfully applied for Medicaid 1115 waiver amendment funds to transform the Medicaid healthcare delivery system in their region.