Archive
29-I Health Facility
- 29-I Health Facility Billing Manual (Version 2025-2) - April 2025
- Guide to Edits 29 - I Health Facility Billing Manual (Version 2025-2) (PDF) - April 2025
- 29-I Health Facility Billing Manual (Version 2024-2) - October 2024
- Guide to Edits 29 - I Health Facility Billing Manual (Version 2024-2) - October 2024
- 29-I Health Facility FAQ - UPDATE - April 2024
- Article 29-I VFCA Health Facilities License Guidelines Final Draft - December 2023
- Guide to Edits included in the Article 29-I Health Facilities License Guidelines - Version December 2023
- 29-I Health Facility Billing Manual (Version 2024-1) - September 2024
- Guide to Edits 29 - I Health Facility Billing Manual (Version 2024-1) - September 2024
- 29-I Health Facility Billing Manual (Version 2023-2) (PDF) - September 2023
- Guide to Edits 29 - I Health Facility Billing Manual (Version 2023-2) - September 2023
- Foster Care Transmittals Template May 15 Through June 30 - May 2021
- 29-I Health Facility FAQ - UPDATE - December 2023
- 29-I Health Facility Transmittal Form and Instructions (PDF) - January 2023
- Article 29-I VFCA Health Facilities License Guidelines Final Draft (PDF) - December 2022
- New York Medicaid Program 29-I Health Facility (Version 2023-1) - April 2023:
- Process to obtain access to the online 29-I Voluntary Foster Care Agency (VFCA) Health Facility License Application (PDF)
VFCA Grant Funding Opportunity: Managed Care Readiness - February 23, 2016
Non Medicaid Per Diem VFCA Follow-up Webinar: Managed Care Readiness Funds, February 23, 2016
- Webinar Slides (External Link)
- NPI Application Information (External Link)
- MMIS Application Information (External Link)
Data Collection Activities
Empire Health Advisors (EHA)- Transition of Children in Foster Care in New York into Medicaid Managed Care (PDF) - November 3, 2015
- 29-I Health Facility Guidance
- Annual Council of Family and Child Care Agencies Conference (PDF) - May 2, 2018
- VFCA Health Facilities 29-I Webinar (PDF) - December 14, 2017
Capacity Management
- Capacity Management Webinar (PDF) - September 25, 2019
- HCBS/LOC Eligibility Determination Override Policy (PDF) - June 2019
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.
Children and Youth Evaluation Services (C-YES)
Policy
- Transfer Process between the C-YES and HHSC Policy #CW0007 (PDF) - Effective February 1, 2021 - Updated July 15, 2025
- Transfer Form for C-YES, HH, and CMA (PDF) - Effective November 2022 Updated July 2025
- Opt-in to HH form completed by C-YES (PDF) - January 2021
Webinars
- Children and Youth Evaluation Service (C-YES): the State-designated Independent Entity (IE) for Children's HCBS Part 2 (External Link) - April 1, 2019
- HH/C-YES Transfer Policy Webinar Slides (PDF) | Recording (YouTube) - January 2021
- C-YES Program Overview Webinar Slides (PDF) | Recording (YouTube) - January 2021
Resources
- Secure File Transfer 2.0 Quick Reference Guide (PDF)
- Secure File Transfer 2.0 Frequently Asked Questions (PDF)
- Transfer Process between the Children and Youth Evaluation Services (C-YES) and Health Home Serving Children (HHSC) - (PDF) - Updated July 15, 2025
- Transfer Form for C-YES, Health Homes, and Care Management Agencies (PDF) - Updated July 2025
- Third Party Health Insurance Frequently Asked Questions (PDF) - March 2021
- Children and Youth Evaluation Services (C-YES) and HHSC Transfer Process Reminder (PDF) - February 14, 2025
- Reminders when working with C-YES regarding Medicaid Eligibility, K-codes, and Transfer Process (PDF) - August 2021
- C-YES Frequency Asked Questions (PDF)
- C-YES Steps to apply for HCBS (PDF) - November 2019
- C-YES Referral Form Instructions (PDF) - April 18, 2019
Critical Incident, Staff Compliance Tracker, & HCBS Referral and Authorization Portal
- IRAMS: Access Guide (PDF) - August 2024
- Critical Incidents, Grievances, and Complaints Reporting User Guide (PDF) - February 2023
- HCBS Referral and Authorization Portal: User Guide (PDF) - October 2024
- Children's Waiver Qualification and Training Tracker Webinar (Now called Staff Compliance Tracker) (PDF) | Recording (YouTube) - June 28, 2023
Children's HCBS Referral and Authorization Portal
- IRAMS: Referral and Authorization Portal New Features and Updates Announcement (PDF) - October 10, 2025
- HCBS Referral and Authorization Portal: New Features and Updates Announcement (PDF) - January 23, 2025
- Children's Home and Community Based Service (HCBS) Authorization Reminder - January 22, 2025
- HCBS Referral and Authorization Portal: New Features and Reminders (PDF) - August 16, 2024
- Announcing New System Features for the HCBS Referral and Authorization Portal (PDF) - August 2, 2024
- Announcing the HCBS Short Form Referral Launch and Designated County Case Page Updates (PDF) - July 25, 2024
- Announcing the Launch of the HCBS Referral and Authorization Portal - May 16, 2024
- Notification of Preparation of the HCBS Referral Portal (PDF) - December 11, 2023
Children's Service Staff Compliance Tracker
COVID-19 Response and Guidance
- COVID-19 Guidance for Children's Waiver Service Providers - Billing and soft CAPs (PDF) - 3.14.2020 (Updated 6.10.2020)
- PHE Unwind of Flexibilities Related to the Medicaid Children's Waiver and Health Home Services - February 2, 2024
- PHE Unwind Guidance Regarding Children and Family Treatment and Support Services (CFTSS) Flexibilities - June 27, 2023
- COVID-19 Guidance for Designated Children and Family Treatment and Support Services' Providers - March 19, 2020 (Updated June 27, 2023)
- Changes to Respite Telehealth Services Under the 1915(c) Children's Waiver Home and Community Based Services (HCBS) (PDF) - December 13, 2022
- COVID-19 HCBS Respite Guidance (PDF) - April 8, 2020 (Updated June 25, 2021)
- Public Health Emergency Unwind Clarification (PDF) - February 16, 2023
- COVID-19 Guidance for Children's Waiver Health Home Care Management Agencies, C-YES, HCBS Providers, and MMCP/HIV SNP (PDF) - March 29, 2020 (Updated June 2021)
- COVID-19 Guidance for Children's Waiver Services Providers (PDF) - March 14, 2020 (Updated June 2021)
- COVID-19 Guidance for Designated Children and Family Treatment and Support Services' Providers (PDF) - March 19, 2020 (Updated June 25, 2021)
- CMS Approval Letter for 1915c Children Waiver Appendix K Amendment NY.4125.R05.13 for COVID-19 - Implementation of 5.4% COLA (PDF) - July 2022
- CMS APPROVED 1915c Children Waiver Appendix K Amendment NY.4125.R05.13 for COVID-19 - Implementation of 5.4% COLA (PDF) - July 2022
- CMS APPROVED 1915c Children Waiver Appendix K Amendment NY.4125.R05.12 for COVID-19 - Implementation of ARPA (PDF) - February 2022
- CMS APPROVED 1915c Children Waiver Appendix K Amendment NY.4125.R05.10 for COVID-19 - Extended Effective Dates (PDF) - March 2021
- CMS APPROVED Second Appendix K NY.4125.R05.08 for COVID-19 - Retainer Payment (PDF) - September 2020
- CMS APPROVED 1915c Children Waiver Appendix K NY.4125.R05.07 Amendment for COVID-19 (PDF) - June 2020
- COVID-19 Children's Waiver HCBS/LOC Ineligible Clarification (PDF) - October 2020
- COVID-19 Children's Waiver HCBS/LOC Review Form (PDF) - October 2020
- FAQ to Address Appendix K COVID-19 Questions (PDF) - Updated August 26, 2020
- Elements of the Approved Appendix K for COVID-19 (PDF) - August 6, 2020
Public Health Emergency Unwind
Environmental Modifications (EMods), Vehicle Modifications (VMods), Adaptive
and Assistive Technology (AT), and Non-Emergency Medical Transportation
Financial Management Services (FMS) Guidance, Policies, and Forms
Guidance & Policies
- Pre-Project Evaluation Guidance - November 2024
- Sample Pre-Projection Evaluation (PDF) - November 2024
- Pre-Project Evaluation Notice - November 2024
- Guidance on Environmental Modifications to Support Behaviorally Health Challenged Members - November 2024
- EMod, VMod, AAT Frequently Asked Questions (FAQ) - November 2024
FMS Forms
- Description and Cost Projection Form (PDF) - June 2024
- Pre-Project Evaluation Payment Request Form (PDF) - May 2024
Transition to FMS
- Transition Process of Medicaid Managed Care Plans' Environmental and Vehicle Modification and Assistive and Adaptive Technology Requests to Financial Management Servicer (PDF) | Recording (YouTube) - June 24, 2024
- Financial Management Services Process for Care Managers (PDF) | Recording (YouTube) - March 7, 2024
- Financial Management Services Process for Local Dept. of Social Services (LDSS) (PDF) | Recording (YouTube) - March 7, 2024
- LDSS Transition and Retention Project Tracker - January 8, 2025
- Children's Waiver EMod, VMod, and AT Transition to Financial Management Services (PDF) - February 20, 2024
Webinars
- Care Manager Webinar - October 2024
- EMod, VMod, AAT Process Reminders and Best Practices (PDF) - November 2024
- Adaptive and Assistive Technology: Process the Possibilities (PDF) - November 2024
EMod/VMod/AT Policies, Forms, and ADMs for HHCM/CYES/LDSS
- EMod, VMod, and AT Authorization Policy for Care Managers/CYES #CW00012 (PDF) - Updated November 2022
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
- Fillable ARCHIVED: Children's HCBS Authorization and Care Manager Notification Form (PDF) Updated November 2022
- HCBS Manuals
- Children's HCBS Manual
- ARCHIVED: Medically Fragile (MF) LPHA Attestation (DOH Form - 5275 (PDF)) - updated December 2020
- ARCHIVED: Developmental Disabled who are Medically Fragile (DDMF) LPHA Attestation (DOH Form - 5275 (PDF)) - updated December 2020
Guidance
General Guidance
- Caregiver Family Supports and Services and Community Self-Advocacy Training and Supports Guidance - December 28, 2021
- Respite Rate Announcement for HCBS Provider and MMCPs - 3/10/21
- Children's Waiver HCBS Policies (PDF) - February 2021
- Children's Home and Community Based Services (HCBS) Waiver Eligibility and Enrollment Policy #CW0005 - January 23, 2024
- 1915(c) Children's Waiver Renewal Stakeholder FAQ (XLSX) - January 2022
- 1915(c) Children's Waiver Renewal Stakeholder Feedback Overview (PDF) | Recording (YouTube) - December 15, 2021
- 1915(c) Children's Waiver Feedback Session Slides:
- For Children/Youth and Families (PDF) - September 28th, 30th, and October 2021
- Children's MRT and Advocates slides (PDF) - September 15, 2021
- Health Homes and Care Management Agencies slides (PDF) - September 14, 2021
- C-YES and MMCP slides (PDF) - September 14, 2021
- HCBS Providers slides (PDF) - September 14, 2021
- Children's Waiver Renewal Information In Preparation for Stakeholder Engagement Meetings (PDF) - September 2021
- Children's Stakeholder Regional Meetings Schedule - Updated March 16, 2023
- Children's Services Regional Meetings Announcement - October 26, 2022
- 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 - January 26, 2024
- Children's Services Capacity Tracker for HCBS Providers FAQ - 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 (PDF) - October 20, 2020
- 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) (PDF) - updated December 2020
- Children's HCBS Waiver Enrollment Policy #CW0005 (PDF) - Updated November 2022
- LPHA Changes Announcement (PDF) - December 2020
- 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) - October 1, 2019
- 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) - October 1, 2019
- Provider Designation Process and Authorization Processes for New Populations/Services (PDF) - April 19, 2018
Transition Guidance
- Children's HCBS Planning and Plan of Care Development Webinar (External Link) - April 3, 2019
- Webinar and Discussion with HCBS Providers regarding HCBS POC Workflow (PDF) - October 2020
- Webinar: Children's HCBS POC Workflow & MMCP Service Authorization for HCBS Providers (PDF) - October 18, 2019
- Children's HCBS POC Workflow Webinar (PDF) | Recording (YouTube) - August 28, 2019
- HCBS POC Workflow DESK AID, Roles and Responsibilities (PDF) - October 2020
- REMINDER for HCBS PROVIDERS: Children's HCBS Authorization Form and Communication with MMCP (PDF) - March 2020
- Services Access Documentation (PDF) - March 2019
- Guide to NYS Children's Health and Behavioral Health Services Transitional Billing Supplemental - April 3, 2019
- NYS Children's Health and Behavioral Health Services Transitional Billing Supplement - April 3, 2019
- 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
- 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
- Children's Health Home Transition Rates (PDF) - Effective January 1, 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) - January 29, 2019
- Processing a CANS-NY Assessment Tips and Quick Reference Guide (PDF) - January 29, 2019
- 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) - December 26, 2018
- Children and Family Treatment and Support Services Preparation and Billing - December 2018
- Children's Medicaid System Transformation: HCBS Rates & SPA Rate Code Review Webinar (PDF) - 12/21/2017
HCBS Case Reviews
- HCBS Provider Review Information Session (PDF) | Recording (YouTube) - September 18, 2024
Information for Children/Youth and Families
Brochures and Resources
Children's Home and Community Based Services Brochure:
Participant Rights and Responsibilities
Presentations
- 1915(c) Children's Waiver Feedback Session Slides: For Children/Youth and Families (PDF) - September 28th, 30th, and October 2021
- The Children's Health and Behavioral Health System Transformation in New York State, Children/Family Webinar (PDF) - June 2019
- 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
Letters
Letters for HCBS Waiver Families Regarding the Upcoming Changes
1915c Waiver Closure Letter for Families Receiving Waiver Services Translated Versions
OPWDD Resources
- Transfer Process between Children's and OPWDD Comprehensive Waiver for Care Management and Waiver Services Policy #CW0011 (PDF) - August 2019 - Updated March 2022, January 2025
- Transfer Process between Children's and OPWDD Comprehensive Waiver for Care Management and Waiver Services Webinar (PDF) | Recording (YouTube) - May 2021
Plan of Care
- Children's HCBS Plan of Care (POC) Workflow Policy Reminder - November 16, 2022
- Health Home Plan of Care Policy #HH0008 (PDF) - July 30, 2019
- Children's HCBS POC Workflow FAQ (PDF)
- Children's HCBS POC Workflow Policy #CW0002 (PDF) - January 4, 2021
- Remedial Process to Sharing the Plan of Care's Information with Medicaid Managed Care Plans in Preparation of October 1, 2019 (PDF)
Presentations/Webinars
- IRAMS: User Introduction for Health Homes and Care Management Agencies (PDF) | Recording (YouTube) - March 2021
- IRAMS: User Introduction for HCBS Providers and C-YES (PDF) | Recording (YouTube) - March 2021
- HCBS Service Plan under the 1915c Children's Waiver Guidance (PDF)
- 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 (PDF) - June 2019
- Children's Medicaid Transformation Update Webinar (PDF) - February 13, 2019
- 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
- 1915(c) Transition to Health Homes In-Person PPT Training (PDF) - January 11, 2019
- Draft HCBS Workflow for Stakeholder Comment-link to MCTAC recording (External Link) - May 23, 2018
Resources
- Children's HCBS Brochure (PDF) - August 19, 2022
- Medicaid Managed Care Plans' Contact Information (PDF)
- Lead Health Home Serving Children's Contact Information for MMCP
- 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) - December 26, 2018
Secure File Transfer
- Secure File Transfer 2.0 Frequently Asked Questions (PDF) - October 31, 2017
- Secure File Transfer 2.0 Quick Reference Guide (PDF) - October 31, 2017
Systems Access
- Accessing Health Home Systems for 1915c Waiver Providers (PDF) - May 3, 2018
- 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)
Waiver Amendments
- Draft Effective September 1, 2021 HCBS Waiver Application NY.019.05.11 (PDF) - September 2021
- Proposed Amendment Changes to HCBS Waiver Application NY 4125 R05.07 (PDF) - March 2020
- Proposed Amendment Changes to HCBS Waiver Application NY 4125 R05.02 (PDF) for August 2019 - July 2019
- 1915c Children's Waiver Stakeholder feedback (PDF) - October 18, 2018
