Health Home Application to Serve Children and Attachments

Introduction

The New York State Department of Health (DOH) (including the Office of Health Insurance Programs (OHIP), the Center for Community Health, Division of Family Health and the AIDS Institute (DOH AI)) and its State Agency partners (the Office of Mental Health (OMH), the Office of Alcoholism and Substance Abuse Services (OASAS), and the Office of Children and Family Services(OCFS)), hereafter collectively referred to as “the State,” is seeking Applications from designated Health Homes and other Medicaid providers to provide care management to children with Medicaid who have complex physical and/or behavioral health conditions under the New York State Health Home model as tailored to serve the unique needs of children. While children are currently eligible for Health Home enrollment, it has been the intent of the State to work with existing Health Homes and other providers to tailor New York State´s Health Home model (e.g., the expansion of network and eligibility requirements, the delivery of the core Health Home services) to better serve children and to recognize the important differences in the approach to care management and planning for children and adults. The State anticipates it will phase-in the enrollment of children in Health Homes beginning September 2016. The State intends for the information contained in this Application, including the vision for serving children in Health Homes, to assist and encourage designated Health Homes, health care providers, community based and human service providers, and care managers with expertise in serving children to continue to engage in collaborations and network discussions that will be the foundation for serving children in Health Homes.

Important Dates for Review and Submission of Health Home Applications to Serve Children

This Application, along with other informational materials presented with its release, reflects many comments received from more than 40 stakeholders, including Health Homes, Medicaid providers, children´s advocates and associations who were provided the opportunity to review and provide comments on the Draft Application dated June 30, 2014. Stakeholder comments related to operationalizing the policy design of the Health Home model for children as discussed in this Application and that will be developed over the next several months (e.g., rate development, training activities, State Plan Amendments) will be addressed in the November 5, 2014 Webinar, future Webinars with stakeholders and other training and information sessions. The State appreciates the comments received and will continue to work with and seek stakeholder input as the elements of the design of the Health Home model to serve children continues to evolve.

To be responsive to stakeholder comments requesting that the State provide more time to conduct the work required to thoughtfully tailor the Health Home model to better serve children (including reviewing the large volume of comments received by stakeholders on the Draft Application), at the end of August 2014, the State extended the schedule to begin enrollment of children in Health Homes to July 2015. Based upon further analysis of the work required to implement elements of the design of the Health Home model for children (e.g., CANS-NY modifications, development of the Medicaid Analytics Performance Portal (MAPP) for Health Homes) and to avoid duplication of efforts (i.e., training pre and post the development of MAPP) the State has further extended the date to begin to phase-in the enrollment of children to September 2016.

Anticipated Schedule for Expanding Health Homes to Better Serve Children Due Date
Draft Health Home Application to Serve Children Released June 30, 2014 – Completed
Due Date to Submit Comments on Draft Health Home Application to Serve Children July 30, 2014 – Completed
Due Date to Submit Letter of Interest* July 30, 2014 – Completed
Final Health Home Application to Serve Children Released November 3, 2014 – Completed
Due Date to Submit Health Home Application to Serve Children March 2, 2015 – Completed
Review and Approval of Health Home Applications to Serve Children by the State June 15, 2015 – Completed
Health Home and Network Partner Readiness Activities June 15, 2015 to December 31, 2015
State Webinars, Training, and Other Readiness Activities Through December 31, 2015
Begin Phasing in the Enrollment of Children in Health Homes September 2016
Children´s Behavioral Health Services and other Children´s Populations Transition to Managed Care http://www.health.ny.gov/health_care/medicaid/redesign/care_management_for_all.htm January 2017
*Letters of Interest have been posted to the Department´s website and can be viewed at: http://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/hh_children_letters_of_interest.htm

Application and Background Information

This document is divided into two parts:

Part I: Background and Policy Information for Serving Children in Health Homes

  • Part I includes background and policy information for providers that may be interested in submitting an Application to serve children in Health Homes. Information included in this section includes principles and provider expectations for serving children in Health Homes, proposed expanded Health Home eligibility criteria, systems of care that impact children, the status of the development of other programmatic information, including Health Home rates, and quality measures, relevant to tailoring the design of the Health Home model for children.

Part II: Health Home Application to Serve Children

  • Part II is the Health Home Application to Serve Children. Please see Part II for instructions.
  • In order to complete this Application, please right–click "Part II: Health Home Application to Serve Children" and ´Save As´. Choose where you want to save the file on your hard drive; Click ´Save´. All Applicants must submit this Part II of the Application and the Health Home Provider Network Form (http://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/docs/hh_network_partner_list_template.xlsx) electronically. Due to the length of the Application, it is advised that you periodically save your work. Prior to submitting your Application please ensure that you have responded to every field. Attach the completed Application, Health Home Provider Network Form, and a signed cover letter from an authorized representative in an email addressed to hhsc@health.ny.gov. In the subject of line of the email please indicate "Submitted Application – [YOUR ORGRANIZTION´S NAME]". This Application is due March 2, 2015.

The Application includes the following Attachments:

Application Attachments
Attachment A
Attachment B
Attachment C