Archive
29-I Health Facility
Capacity Management
- Capacity Management Webinar - (PDF) - September 25, 2019
- HCBS/LOC Eligibility Determination Override Policy (PDF)
Children and Family Treatment and Support Services (CFTSS)
Identify HCBS Access Issues by Health Home care managers and C-YES coordinators:
The purpose of this survey is to identify barriers to accessing Children's HCBS and report issues to the State in real time. HHCM/C-YES complete for all Children's HCBS referrals, one per provider only when referrals are not successful.
COVID-19 Guidance
- COVID-19 Guidance for Children's Waiver Service Providers - Billing and soft CAPs - 3.14.2020 (Updated 6.10.2020) (PDF)
Environmental Modifications (EMods), Vehicle Modifications (VMods), Adaptive
and Assistive Technology (AT), and Non-Emergency Medical Transportation
Forms and Manuals Archived
- New York State Children's Health and Behavioral Health Services Billing and Coding Manual - (PDF) - September 2022
- Guide to Edits Included in the New York State Children's Health and Behavioral Health Billing and Coding Manual - (PDF) - September 2022
- ARCHIVED: Health Home Care Management/C-YES Referral for Home and Community Based Services (HCBS) to HCBS Provider (PDF) Updated January 2023
- ARCHIVED: Children's HCBS Authorization and Care Manager Notification Form - Fillable (PDF) Updated November 2022
- HCBS Manuals
- Children's HCBS Manual
- August 2022 (PDF)
- May 2022 (PDF)
- September 2020 (PDF)
- February 2020 (PDF)
- July 2019 (PDF)
- Children's HCBS Manual
- ARCHIVED: Medically Fragile (MF) LPHA Attestation (DOH Form - 5275) - updated December 2020 (PDF)
- ARCHIVED: Developmental Disabled who are Medically Fragile (DDMF) LPHA Attestation (DOH Form - 5275) - updated December 2020 (PDF)
Guidance
General Guidance
- Provider Service Delivery Documentation Policy for Children's HCBS #CW0017 - July 8, 2024
- Overdue Home and Community Based Services (HCBS) Level of Care(LOC) Eligibility Determinations - (Web) - (PDF) - January 26, 2024
- Children's Services Capacity Tracker for HCBS Providers FAQ - (Web) - (PDF) - February 2022
- Children's Services Capacity Tracker Webinar - PDF | Recording Part 1 and Recording Part 2 (YouTube) - January 26, 2022
- HCBS/LOC Eligibility Determination Finalized Outcomes Guidance - October 20, 2020 (PDF)
- Children's Waiver Capacity Management - (PDF) - March 27, 2019
- Instructions to Complete the LPHA Attestation (DOH Form - 5275) (PDF) - updated December 2020
- Guide to Edits to the LPHA Attestation (DOH Form - 5275) - updated December 2020 (PDF)
- Children's HCBS Waiver Enrollment Policy #CW0005 (PDF) - Updated November 2022
- LPHA Changes Announcement - December 2020 (PDF)
- Requirements Regarding the Children's Waiver Home and Community Based Services (HCBS) Participants Placed in a Restricted Setting (PDF) - March 2020
- Requirements for Service Providers Delivering Children and Family Treatment and Supports Services (CFTSS) and Children's Home and Community Based Services (HCBS) (PDF) - March 2020
- Informational Update on the October 1, 2019 carve in of Children's Waiver HCBS in Medicaid Managed Care Plans (MMCP) (PDF)
- HCBS Service Plan under the 1915c Children's Waiver (PDF) - May 15, 2019
- HCBS Providers to Establish Contact and Relationships with the Medicaid Managed Care Plans (PDF)
- Provider Designation Process and Authorization Processes for New Populations/Services - April 19, 2018 (PDF)
Transition Guidance
- Guide to NYS Children's Health and Behavioral Health Services Transitional Billing Supplemental - (Web) - (PDF) - April 3, 2019
- NYS Children's Health and Behavioral Health Services Transitional Billing Supplement - (Web) - (PDF) - April 3, 2019
- Children and Family Treatment and Support Services Preparation and Billing - (Web) - (PDF) - December 2018
- Process for Provision of Children's HCBS and Sharing the Plan of Care's Information in Preparation of October 1, 2019 - (PDF) - September 23, 2019
- Draft Final Transition Plan for the Children's Medicaid Health and Behavioral Health System Transformation - (PDF) - August 7, 2018
- Behavioral Health State Plan Services Transition to Medicaid Managed Care - (PDF) - July 2019
- Children's Health Home Transition Rates - (PDF) - Effective January 1, 2019
- Required Steps to be Completed for the Transition of 1915(c) Waiver Care - (PDF)
- 1915c Transitioning Providers and Lead Health Homes: Enrollment and Billing During the Transition UPDATE - (PDF) - February 25, 2019
- CLARIFICATION for Transitioning 1915c DOH/OPWDD Care at Home Waiver Providers - (PDF) - January 25, 2019
- Transition to Health Home Care Management Guidance for Providers - (PDF) - January 11, 2019
- Talking Points for transitioning 1915(c) Home and Community Based Services (HCBS) Waiver Providers to families - (PDF)
- Direct Noticing Draft Schedule - (PDF) - updated January 2019
- FAQ for Care Managers Regarding Transition and Services - (PDF)
- Child Transitioned from a 1915c Waiver Quick Reference Guide - (PDF)
- Processing a CANS-NY Assessment Tips and Quick Reference Guide - (PDF)
- Children's Health Home Transitional Billing Process - (PDF) - January 16, 2019
- Letter to Medicaid Families Jan 1 2019 CFTSS(PDF)
- Member Handbook Insert-New CFTSS - (PDF)
- Letters and Member Handbook announcement - (PDF)
Letters
Letters for HCBS Waiver Families Regarding the Upcoming Changes
1915c Waiver Closure Letter for Families Receiving Waiver Services Translated Versions
Plan of Care
- Health Home Plan of Care Policy #HH0008 - July 30, 2019 (PDF)
- Children's HCBS POC Workflow FAQ (PDF)
- Children's HCBS POC Workflow Policy #CW0002 - January 4, 2021 (PDF)
- Remedial Process to Sharing the Plan of Care's Information with Medicaid Managed Care Plans in Preparation of October 1, 2019 (PDF)
Presentations/Webinars
- Children's Aligned HCBS LOC Eligibility Determination - (PDF) - April 23, 2019
- 1915c Stakeholder Update for Comment - (PDF) - August 27, 2018
- Aligned Home and Community Based Services - (PDF) - June 25, 2018
- Children's Medicaid System Transformation Draft HCBS Workflow for Stakeholder Comment - (PDF) - May 23, 2018
- Children's Medicaid Redesign and Transition to Managed Care Updates - (PDF) - April 24, 2018
- Review of Final Draft Transition Plan for the Children's Medicaid System Transformation - (PDF) - December 4, 2017
- Children's Medicaid System Transformation Webinar/Q&A - (PDF) - November 9, 2017
- Monthly Children's Medicaid Transformation Webinar - (PDF) - October 2017
- Children's Medicaid System Transformation Draft Transition Plan and Stakeholder Feedback - (PDF) - September 29, 2017
- Children's Medicaid System Transformation Overview/ Refresher Course September 18, 2017 - (PDF) - Revised September 20, 2017
- Children's Medicaid System Transformation and Readiness Review Walkthrough - (PDF) - August 24, 2017
- Review of Draft Transition Plan Children's Medicaid System Transformation - (PDF) - August 24, 2017
- Children and Youth Evaluation Service (C-YES): the State-designated Independent Entity (IE) for Children's HCBS Part I: An overview of the role of C-YES during the February 1, 2019 - March 31, 2019 transition period - (PDF) - January 31, 2019
- The Children's Health and Behavioral Health System Transformation in New York State, Children/Family Webinar - June 2019 (PDF)
- Children's Medicaid Transformation Update Webinar - February 13, 2019 (PDF)
- Children and Youth Evaluation Service (C-YES): the State-designated Independent Entity (IE) for Children's HCBS Part I: An overview of the role of C-YES during the February 1, 2019 - March 31, 2019 transition period - January 31, 2019 (PDF)
- 1915(c) Transition to Health Homes In-Person PPT Training (PDF)
- Draft HCBS Workflow for Stakeholder Comment-link to MCTAC recording - (external link) - May 23, 2018
Resources
- Overview of Services Available to Health Home Serving Children and Care Coordination Organization/Health Home Enrollees - (PDF) - September 2019 - Archived: November 2024
- Health Home Care Manager/C-YES Referral for Home and Community Based Services (HCBS) to HCBS Provider - (PDF) - Updated February 2024 Archived: October 2024
- Children's HCBS Authorization and Care Manager Notification Form - (PDF) - Updated February 2024 Archived: October 2024
- HCBS Quick Reference Guide - (PDF) - 5.17.19 - Archived: May 2024
- Health Home Care Management/C-YES Referral for Home and Community Based Services (HCBS) to HCBS Provider - (PDF) - Updated January 2023
- Children's HCBS Authorization and Care Manager Notification Form - Fillable - (PDF) - Updated November 2022
- Direct Noticing Draft Schedule - (PDF) - updated January 2019
- FAQ for Care Managers Regarding Transition and Services - (PDF)
- Child Transitioned from a 1915c Waiver Quick Reference Guide - (PDF)
- Processing a CANS-NY Assessment Tips and Quick Reference Guide - (PDF)
- Children's Health Home Transitional Billing Process - (PDF) - January 16, 2019
- Letter to Medicaid Families Jan 1 2019 CFTSS - (PDF)
- Member Handbook Insert-New CFTSS - (PDF)
- Letters and Member Handbook announcement - (PDF)
Secure File Transfer
Systems Access
- Accessing Health Home Systems for 1915c Waiver Providers (PDF)
- Additional guidance documents regarding HCS user account creation and other system readiness can be found on our Lead Health Home Resource Center within the Administrative Requirements for Health Homes" expandable section.
- Required Training for 1915c Agencies Transitioning to Health Home Care Management (PDF)
