Children's Waiver Home and Community Based Services (HCBS) and Children and Family Treatment and Support Services (CFTSS)
TargetedInflationary Increase
To: Children's Waiver 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: June 25, 2026
This notice is to inform Children's Waiver HCBS providers, CFTSS providers, and MMCPs that the State Fiscal Year 2026-27 Enacted Budget includes a 2.7% Targeted Inflationary Increase (TII) for Children's Waiver HCBS and CFTSS rates retroactive to April 1, 2026.
Pending Department of Budget approval, Children's Waiver 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, 2026. Retroactive payment adjustments will be processed automatically when rate adjustments are loaded in eMedNY.
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, 2026, no later than 90 days from this notice.
Adjusted Children's Waiver and CFTSS rate schedules can be found at the following links:
A follow up announcement will be issued once approval occurs and rates are loaded. Any questions related to this notification can be sent to 1915CR@health.ny.gov.
