Instructions on the VAP Exception have changed twice in the past two weeks. We strongly encourage you to subscribe to the Medicaid Redesign Team LISTSEV. Please follow this link and then the instructions on the webpage to enroll: http://www.health.ny.gov/health_care/medicaid/redesign/listserv.htm This will help you to keep abreast of the VAP Exception and other DSRIP developments. Information is changing rapidly and the LISTSERV will provide you with more up-to-date information than that which is available on the DOH website.