The disbursal of nearly $800 million in NYS Medicaid payments owed to hospitals, nursing homes, and home health providers has been held up due to delays in Federal approval of New York's Medicaid State Plan Amendments by the Centers for Medicare & Medicaid Services (CMS). The delay in receipt of these needed payments is having a material impact on the provider community, particularly those that are already financially vulnerable. GNYHA is working with CMS and the NYS Department of Health on ways to expedite the approval process.