Children's Waiver HCBS Policies

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April 2021

Subject: Children's Waiver HCBS Policies

Health Home Care Managers and Children's HCBS Providers,

The State is pleased to announce the release of additional policies to support Children's Waiver Home and Community Bases Services (HCBS). On the next page is a list of policies, release dates, effective dates, and applicable parties - Health Homes Serving Children (HHSC)/Care Management Agencies (CMAs), HCBS Providers, or both.

It is expected that policies and procedures that apply to your agency/organization are implemented in time to meet the effective date. At the time of future care reviews, audits, and re-designations; Health Homes, Care Management Agencies, and HCBS Providers will have to demonstrate that they have implemented these policies and procedures and ensure proper staff training.

The NYS DOH is providing webinars that will be recorded and posted to the NYS DOH website that may be utilized to meet the training requirement, however, agencies/organizations should consider how to supplement and support staff to the various requirements.

If you have any questions regarding these policies or Children's Waiver HCBS, please contact BH.Transition@health.ny.gov



Policy Title, Released Date, Effective Date, and Related Entity
Policy Title Link Posted
Date
Effective
Date
Applicable
to Health
Homes
Applicable
to HCBS
Providers
Children's HCBS Plan of Care (POC) Workflow Policy Link 9/1/2019 10/1/2019 Yes Yes
HH POC Policy Note: includes a section specific to Children's Waiver Link 7/30/2019 10/1/2019 Yes No
Conflict Free Care Management (CFCM) Policy Link Revised 5/1/2020 2/1/2020 Yes No
HH Reportable Incidents Policies and Procedures Note: includes a section specific to Children's Waiver Link Revised 10/7/2019 7/14/2017 Yes No
HCBS Provider Incident Reporting Policy Link 12/31/2020 4/1/2021 No Yes
HHSC Grievances and Complaints Policy Link 2/9/2021 4/1/2021 Yes No
HCBS Provider Grievances and Complaints Policy Link 2/9/2021 4/1/2021 No Yes
HH Background Check Requirements Link 4/1/2018 4/1/2018 Yes No
HCBS Provider Background Check Policy Link 12/31/2020 4/1/2021 No Yes
HCBS Documentation Policy   TBD TBD Yes Yes
HCBS Provider Designation and Re- designation Policy   TBD TBD No Yes
HCBS Provider De-designation Policy Link 9/1/2020 9/1/2020 No Yes
Children's HCBS Enrollment Policy Link 1/26/2021 4/1/2021 Yes Yes
Children's HCBS Disenrollment Policy Link 1/26/2021 4/1/2021 Yes Yes
HCBS Notice of Decision Policy   TBD TBD Yes Yes
HHSC Transitional Age Youth Policy   TBD TBD Yes No
HCBS Provider Transitional Age Youth Policy   TBD TBD No Yes
Health Home/C-YES Transfer Policy Link 2/1/2021 2/1/2021 Yes No
DDRO Manual for Children's Waiver Link 8/1/2019 8/1/2019 Yes No
Transfer Process between Children's and OPWDD Comprehensive Waiver for Care Management and Waiver Services Link 8/1/2019 8/1/2019 Yes No
Maintaining OPWDD Level of Care during enrollment in the Children's Waiver   TBD TBD Yes No
E-Mod/V-Mod Guidance   6/11/2019 8/1/2019 Yes No
E-Mod/V-Mod ADM (for LDSS)   6/18/2019 8/1/2019 No No