NYS has proposed a “super” waiver to the federal Center for Medicare and Medicaid Services (CMS) to permit it to implement the Medicaid Redesign Team’s Action Plan. The MRT waiver is an amendment to the state’s existing waiver, the New York Partnership Plan. Partnership has been the primary vehicle used by the state to expand access to managed care. The waiver requests that the federal government allow the state to reinvest up to $10 billion of the $18.3 billion in federal savings over a five-year period. The state has proposed twelve areas for investment. With this paper, LTCCC officially proposed that the state use some of the $2 billion dollars it would get if the “super” waiver was approved for monitoring and oversight of both the transition to mandatory managed long term care as well as for nursing home care.