Children's Waiver of Home and Community Based Services (HCBS) and Children and Family Treatment and Support Services (CFTSS)
- Notice is also available in Portable Document Format (PDF)
Notification of COLA Rate Approval
To: Children's Home and Community Based Service (HCBS) Providers, Children and Family Treatment and Support Service (CFTSS) Providers, and Medicaid Managed Care Plans (MMCPs) including Mainstream Managed Care and HIV Special Needs Plans (HIV-SNPs)
Date: October 11, 2024
This notice is to inform Children's Waiver HCBS providers, CFTSS providers, and MMCPs that the New York State Department of Health (NYSDOH) has received approval from the Centers for Medicare and Medicaid Services (CMS) and NYS Department of Budget to implement a 2.84% COLA for Children's HCBS and CFTSS rates retroactive to April 1, 2024.
Children's HCBS and CFTSS providers will automatically receive retroactive adjustments on Fee-for-Service (FFS) Medicaid claims already submitted/paid with dates of service on or after April 1, 2024. HCBS retro-payments will be included in providers' cycle 2457 payments, which are scheduled to be issued on October 9, 2024. CFTSS retro-payments will be included in providers' cycle 2459 payments, which are scheduled to be issued on October 23, 2024. MMCPs must configure their systems with the updated rates and issue retroactive payment adjustments to providers for dates of service on or after April 1, 2024, no later than 90 days from this notice.
Adjusted Children's HCBS and CFTSS rate schedules can be found at the following links:
- HCBS Rate Summary - (PDF)
- FPSS, YPS, CPST, PSR, CI Rate Summary - (Web) - (PDF)
- OLP Rates - (Web) - (PDF)
Please contact 1915CR@health.ny.gov with any questions related to this notification.