The United States Government Accountability Office (GAO) has issued a report on state Medicaid demonstration programs, including New York's program.  GAO found that the required budget neutrality of these programs was not properly measured and was costing more Medicaid dollars than necessary.  To read the GAO report on state Medicaid demonstration programs, use the first link below.  To read GAO highlights of the report on state Medicaid demonstration programs, use the second link below.

https://www.gao.gov/assets/gao-25-107445.pdf  (GAO report on state Medicaid demonstration programs)

https://www.gao.gov/assets/gao-25-107445-highlights.pdf  (GAO highlights on state Medicaid demonstration programs)