Pursuant to 42 CFR Section 431.408 the Department of Health hereby gives notice of the following:

New York State requests that the federal government extend New York State's Medicaid Section 1115 Demonstration, Partnership Plan (11-W-00114/2) for an additional five years. No other changes to the Partnership Plan will be requested in the extension application, and as such, current program features of the Plan will remain the same.

The complete extension application, which includes an interim evaluation of the Partnership Plan which assesses the degree to which the Demonstration goals have been achieved and the hypothesis and parameters of the demonstration, can be found on the MRT Waiver Extension website at http://www.health.ny.gov/health_care/medicaid/redesign/mrt_waiver_ext_info.htm.

Operating since 1997, New York State's Medicaid Section 1115 Partnership Plan waiver program has played a critical role in improving access to health services and outcomes for the poorest and most at risk residents. The waiver allows the state to operate a mandatory Medicaid managed care program designed to: improve the health of recipients by providing comprehensive and coordinated health care; offer comprehensive health coverage to low-income uninsured adults who have income and/or assets above Medicaid eligibility standards (Family Health Plus Program); and provide family planning services to women losing Medicaid eligibility at the conclusion of their postpartum period and certain other adults of child bearing age (Family Planning Expansion Program).

On September 29, 2006, the Centers for Medicare and Medicaid Services (CMS) approved an extension of New York State's Medicaid Section 1115 waiver, known as the Partnership Plan, for the period beginning October 1, 2006 and ending September 30, 2010. CMS subsequently approved a series of short term extensions while negotiations continued on renewing the waiver into 2014. On July 29, 2011, CMS approved a renewal of the Partnership Plan for the period 8/1/11 through 12/31/14, with some waiver components expiring earlier to reflect implementation of the Affordable Care Act (ACA). CMS approved two waiver amendments on September 30, 2011 and March 30, 2012 incorporating changes resulting from recommendations of the Governor's Medicaid Redesign Team. New York State Department of Health (NYSDOH) is currently negotiating with CMS on two additional amendments, the Managed Long Term Care (MLTC) amendment and the Medicaid Redesign Team (MRT) amendment.

The MRT amendment to the Partnership Plan waiver will allow the state to reinvest in its health care infrastructure as well as the freedom to innovate. The waiver extension will also allow the state to prepare for implementation of national health care reform as well as effectively reduce health care costs. We anticipate that it will take New York State five years to fully implement its care management vision.

The public is invited to review and comment on the state's proposed waiver extension request. Public Hearings and webinar are scheduled for:

Waiver Extension Public Hearing - Albany

September 20, 2012, 1 PM - 4 PM

University at Albany

School of Public Health Auditorium

1 University Place

Rensselaer, New York

Waiver Extension Public Hearing - Brooklyn

September 25, 2012, 11:30 AM - 2:30 PM

New York City College of Technology

Auditorium - Klitgord Center

285 Jay Street

Brooklyn, NY

Waiver Extension Public Hearing - Webinar

September 27, 2012, 1 PM - 4 PM

Registration information will be made available on the Waiver Extension website http://www.health.ny.gov/health_care/medicaid/redesign/mrt_waiver_ext_info.htm.

Comments (including comments sought through the public engagement process) concerning the state's plan to submit a waiver extension request can be sent to the e-mail or postal addresses below for a period of thirty (30) days from the date of this notice.

• [email protected]

• Attn: Jason Helgerson

Office of Health Insurance Programs

New York State Department of Health

1 Commerce Plaza, Suite 1211

Albany, NY 12224

Details on the waiver extension request, full public notice and more information on the state's public engagement process are available at the state's MRT waiver extension website at http://www.health.ny.gov/health_care/medicaid/redesign/mrt_waiver_ext_info.htm.

The New York State Appearance Enhancement Advisory Committee will hold an open board meeting on Monday, September 24, 2012 at 10:30 a.m. at the New York State Department of State, 99 Washington Avenue, 5th Floor Conference Room, Albany; 65 Court Street, 2nd Floor Conference Room, Buffalo; and, 123 William Street, 2nd Floor Conference Room, New York City.

Should you require further information, please contact: Carol Fansler at [email protected] or (518) 486-3857

Pursuant to 19 NYCRR 1205, the petitions below have been received by the Department of State for action by the Uniform Code Regional Boards of Review. Unless otherwise indicated, they involve requests for relief from provisions of the New York State Uniform Fire Prevention and Building Code. Persons wishing to review any petitions, provide comments, or receive actual notices of any subsequent proceeding may contact Steven Rocklin, Codes Division, Department of State, One Commerce Plaza, 99 Washington Ave., Albany, NY 12231, (518) 474-4073 to make appropriate arrangements.

2012-0354 Matter of Titus Mountain Family Ski Center, 215 Johnson Road, Malone, New York,12953, c/o Tim McCarthy Architect PC, 83 Walkerville Road, North Bangor, New York, 12966. The petitioner requests a variance to reconstruct and add square footage to a portion of the Main Lodge building without providing an automatic fire sprinkler system as required by the Building Code of New York State. Section 903.2.1.2, County of Franklin, State of New York.

2012-0391 Matter of Clarkson University, 8 Clarkson Ave. Potsdam, New York, 13699 c/o Ian Hazen, Dir of Facilities and Services. The petitioner requests a variance to remodel two existing wings and add three stories of new square footage to a portion of the dormitory building known as "Moore House", without providing the areas of refuge on the second, third and forth floors as required by the Building Code of New York State. Section 1007, County of St. Lawrence, State of New York.

2012-0408 Matter of Michael Grzybosky, 518 Hospitality Ventures dba Nosh NY Deli, 1645 Western Ave, Albany, NY 12203 for a variance concerning the installation of a newly developed dishwasher that operates with water that is at a reduced water temperature.

Involved is the opening of a new delicatessen in the City of Albany, The owner wishes to install a non-compliant dishwasher. The building contains an M (mercantile) occupancy, is one story in height of Type IIIB (ordinary) construction having a gross floor area of 3,000 square feet. The building is located at 1645 Western Ave., City of Albany, Albany County, State of New York.

2012-0409 Matter of Jason Adam Bean, Project Foreman, Prutting & Company Custom Builders, 70 Pine St., New Canaan, CT. 06840 for a variance concerning a shallow pitched roof.

Involved is the construction of a new residence with distinctive architectural features that require a shallow pitched roof. The building contains a single family dwelling, is one story in height of Type IIB (non-combustible) construction having a gross floor area of 2,500 square feet. The building is located at 117 Schnackenbberg Rd., Town of Ghent, Columbia County, State of New York.

2012-0410 Matter of Laura Cooney, A.I.A. LMC Codes for SUNY Binghamton, 4400 Vestal Parkway East, Vestal NY for a variance concerning fire safety and building code requirements including the requirement to omit audible alarm for the fire alarm system devices in the animal research laboratories.

Involved are alterations to an existing building known as the "Science Complex Buildings III, IV & V", located at 4400 Vestal Parkway East, Town of Vestal, Broome County, State of New York.

2012-0411 Matter of Dusty Fuller, 770 Bleeker Street, Utica NY for a variance related to second means of egress, wood on walls of interior exit stairways, the fire rating of the cellar ceiling and cellar stairs in accordance with the New York State Multiple Residence Law.

Involved is an existing three story building located at 770 Bleeker Street, City of Utica, Oneida County, State of New York.

2012-0413 Matter of Robin White 21 Front St.,Schenectady, NY 12305 for a variance concerning public safety issues including a violation of the Multiple Residence Law.

Involved is the routine inspection of an existing multiple dwelling using the Multiple Residence Law requirements, including MRL Section 30 which requires that the cellar shall have a ceiling or a sprinkler system. The subject building has neither. The building contains an R-2 (multiple dwelling) occupancy, is 3 stories in height of Type IIIb (ordinary) construction having a cumulative gross floor area of 4,000 square feet. The building is located at 208 Union St., City of Schenectady, County of Schenectady, State of New York.