Health Homes Serving Adults and Children

• Restriction Exception (R/E) Code Compatibility with the Health Home Program - (Web) - (PDF) - September 2024
• Current Health Home Rate Codes - (Web) - (PDF) - Corrected August 2024
• Medicaid Managed Care Plan Claim Denials for Health Home Services - (Web) - (PDF) - October 2019
• Medicaid Managed Care Plan Billing and Payment Protocol for Health Home Services - (Web) - (PDF) - Effective: July 1, 2018, Revised: March 2019
• Billing and Documentation Guidance for Health Home Adult Rates with Clinical and Functional Adjustments - (Web) - (PDF) - Effective: May 1, 2018, Revised: March 2024
• Temporary Health Home Billing Procedures - (Web) - (PDF) - Effective December 1, 2016
• Outreach Reprogramming Guidance - (Web) - (PDF)

Health Home Serving Adults

• Health Home Plus (HH+) Rates and Guidance - (PDF) (external link)

Health Home Serving Children (HHSC)

• Announcing HHSC Revised Rates and High-Fidelity Wraparound (HFW) Rate Implementation - (Web) - (PDF)
• UPDATED HHSC Care Management Core Services Requirements and Billing Policy HH0017 November 2024 - (Web) - (PDF)
  • Tracked Changes - HHSC Core Service Requirements & Billing Policy HH0017 - (Web) - (PDF)
• HHSC Core Service Requirements Policy FAQ September 2024 - (Web) - (PDF)
• HCBS Children's Waiver Eligibility Assessment Fee Guidance - (Web) - (PDF) - 5.31.2024 - Updated August 27, 2024
• HHSC - Message to HH Community RE HH Payments and HHSC - (Web) - (PDF) - July 19, 2016 FINAL
• HH HML Rate For Children - (Web) - (PDF)

• CSC - Information on Denied HH Claims - (Web) - (PDF)
• eMedNY - NYS Medicaid: Medicaid Eligibility Verification System (MEVS) Methods - (PDF) (external link)

• Restriction Exception (R/E) Code Compatibility with the HH Program - (Web) - (PDF) - July 2024 ARCHIVED September 2024
• HCBS Children's Waiver Eligibility Assessment Fee Guidance - (Web) - (PDF) - 5.31.2024 - Archived August 2024
• HH Rate Codes - (Web) - (PDF) - Corrected July 2024 - Archived August 2024
• HH Rate Codes - (Web) - (PDF) - Updated May 2024 - Archived July 2024
• Restriction Exception (R/E) Code Compatibility with the HH Program - (Web) - (PDF) - November 2023 Archived July 2024
• Coverage Code Compatibility with the HH Program - (Web) - (PDF)
• Billing and Documentation Guidance for HH Adult Rates with Clinical and Functional Adjustments - (Web) - (PDF) - Effective: May 1, 2018, Revised: March 2019 Archived March 2024
• HH Rate Codes - (Web) - (PDF) - Updated April 2024
• HH Rate Codes - April 2023 - (Web) - (PDF) - Updated April 2024
• HH Rate Codes - (Web) - (PDF) - Updated May 2022
• HH Rate Codes in Effect on/after April 2022 - (Web) - (PDF) - Updated May 2022
• Restriction Exception (R/E) Code Compatibility with the HH Program - (PDF) - July 2023
• Restriction Exception (R/E) Code Compatibility with the HH Program - (PDF) - April 1, 2022
• Restriction Exception (R/E) Code Compatibility with the HH Program - (PDF) - February 2021
• HH Rate Codes in Effect on/after July 2020 - (Web) - (PDF)
• HH Rate Codes in Effect on/after October 2018 - (Web) - (PDF)
• HH Rate Codes in Effect on/after October 2017 - (Web) - (PDF)
• HH Rate Codes in Effect on/after December 2016 - (Web) - (PDF)
• HH HML Rate For Adults - (Web) - (PDF) - December 2016
• Updated Billing Guidance - (Web) - (PDF) - November 2016
• Restriction Exception (R/E) Code Compatibility with the HH Program - (Web) - (PDF) - May 9, 2017
• Phase 1 and Phase 2 HH Serving Children - (Web) - (PDF) - October 27, 2015
• Behavioral Health Transition - (Web) - (PDF) - April 2015
• HH Base Rates - (Web) - (PDF)
• TCM legacy Rate Extension - (Web)
• Billing Guidance for the Administration of the NYS Eligibility Assessment for Behavioral HH and Community Based Services (BH HCBS) and the NYS Community Mental Health Assessment - (Web) - (PDF)