Care Management Guidance, Policies and Webinars
Child Adolescent Needs and Strengths - NY (CANS-NY)
Policies
- Children's HCBS Waiver Care Coordination Requirements Policy #CW0027 - June 11, 2026
- Overview of Children's HCBS Care Coordination Options - June 11, 2026
- Children Waiver Care Coordination Options and Process (PDF) - June 4, 2026
- HCBS Service Definition and Necessity Criteria Policy #CW0020 - May 16, 2025
- Palliative Care - Counseling and Support Services and Health Home Care Management - Dec 2021; updated November 2022
- Complaint and Grievance Policy for Health Homes Serving Children #HH0013 - Effective November 2022
- Children's Waiver HCBS Policies - February 2021
- Participant's Rights and Choice Policy #CW0009 (PDF) - Effective April 1, 2021
- Children's Home and Community Based Services (HCBS) Waiver Disenrollment Policy #CW0006 (PDF) - Effective April 1, 2021
- Conflict-Free Case Management Policy #HH0012 - Updated: November 2022
- Health Home Monitoring: Reportable Incidents Policies and Procedures #HH0005 (PDF) - Revised November 15, 2021
More information about Health Homes can be found on the Medicaid Health Homes page.
Guidance
- Children's Medicaid Spend-down Coverage Guidance (PDF) - August 2026
- Announcement Children and Youth Evaluation Services (C-YES) Transition Case Transfer Expectations for Health Homes Serving Children - January 30, 2026
- Children's Waiver Mandated Reporter Training Requirements - December 23, 2024
- End of PHE Children's HCBS Level of Care (LOC) Eligibility Determination Flexibility - January 26, 2023
- Process for Renewing and Establishing Medicaid for Children's Waiver Participants (PDF) - March 2020
- Care Management Requirements for HCBS Eligible Children (PDF) - October 2019
- Medicaid Status Impact on HCBS Eligible Children (PDF) - October 2019
- HCBS Determination for RTF and State PC Discharge Guidance (PDF) - February 2020
- Patient Resources Administration List (PDF) - September 20, 2019
- Children's Waiver and Nursing Services Guidance (PDF) - July 2019
- Consolidated Children's Waiver and Medicaid Case Processing Requirements 19 OHIP/ADM-02 (PDF) - May 10, 2019
Webinars
- Home and Community Based Services (HCBS) Level of Care Eligibility Determination Process (PDF) | Recording (YouTube) - February 2021
- Palliative Care Bereavement Counseling and Bereavement Coordination by HH (PDF) | Recording (YouTube) - December 2021
- Plan of Care & Person Centered Planning Requirements - April 2021 (PDF)
- Children's Waiver Reporting for Critical Incident and Complaints & Grievances (PDF) | Recording (YouTube) - March 2021
- Children's Waiver Enrollment and Disenrollment Webinar (PDF) | Recording (YouTube) - March 2021
- Home and Community Based Services (HCBS) Level of Care Eligibility Determination Process (PDF) | Recording (YouTube) - February 2021
- Participant Rights and Choice Webinar (PDF) | Recording (YouTube) - February 2021
- Conflict Free Care Management Webinar (PDF) | Recording (YouTube) - February 2021
- Medicaid and the Children's Waiver Webinar (PDF) | Recording (YouTube) - January 2021
- Understanding Medicaid Webinar (PDF) | Recording (YouTube) - January 2021
Resources
- Participant Rights and Responsibilities Fact Sheet (PDF) - August 2026
- Third Party Health Insurance Frequently Asked Questions - March 2021
- Annual HCBS LOC Requirement and Reconcile Process - September 30, 2019
Qualified Individual Identified by the State (QIIS)
- MMCP & QIIS Care Coordination Role for HH Opt-Out Members Webinar (PDF) - August 13, 2026
- Announcement - Children's Waiver Care Coordination Updates for Medicaid Managed Care Plans - May 12, 2026
- Children's HCBS Care Coordination Role Updates and Updated Forms Announcement - June 11, 2026
- Transfer Process between the C-YES, Qualified Individuals identified the State, and HHSC Policy CW0026 - Effective February 1, 2021 - Last Revised April 13, 2026
