29-I Health Facility (VFCA transition)
Enrollment
- Foster Care Eligibility for Enrollment in Mainstream Medicaid Care Checklist - Updated September 2021
Webinars and Technical Assistance
Webinars
- Transition of Children placed in Foster care and NYS Public Health Law Article 29-I Health Facility Services into Medicaid Managed Care Overview - July 2021 (PDF)
- Billing for Article 29-I Core and Other Limited Health-Related Services Office Hour - February 10, 2021 (PDF)
- Voluntary Foster Care Agencies Managed Care Transition (Transition Rates) Webinar - October 11, 12, 2018 (PDF)
- Article 29-I Health Facilities Licensure May 2018 - May 18, 2018 (PDF)
- Annual Council of Family and Child Care Agencies Conference - May 2, 2018 (PDF)
- Foundations in Essential Medicaid Managed Care Business and Operations Practices - led by Health Management Associates offered in New York City (7/24/15), Buffalo (7/28/15), and Albany (7/30/15)
Technical Assistance
- VFCA, LDSS, MCO, and OCFS Contacts - Updated Date July 26, 2023
- Plan-specific Contact Information (External Link)
- Plan-specific UM Grid for 29-I OLHRS (External Link)
29-I Health Facility Guidance
- 29-I Health Facility Transmittal Form and Instructions - (PDF) - January 2024
- Allowances for Employing Previously License-Exempt Individuals in 29-Is - (Web) - (PDF) - August 3, 2023
- Form to Document NYS Professional Licensure Exemption In Accordance with Part Y of Chapter 57 of the Laws of 2018 (PDF)
- SPA 21-0074 Staff License Exemption Provisions (Disaster SPA) (PDF) - Approved June 28, 2023
- SPA 22-0090 Staff License Exemption Provisions (PDF) - approved March 15, 2023
- Medical Nutrition Therapy Added to the 29-I OLHRS Fee Schedule - (Web) - (PDF) - June 26, 2023
- SPA 22-0012 Nutrition Services added to OLHRS Fee Schedule (PDF) - Approved December 16, 2022
- Article 29-I VFCA Health Facilities License Guidelines Final Draft - (Web) - (PDF) - December 2023
- Transition of Children Placed in Foster Care and NYS Public Health Law Article 29-I Health Facility Services into Medicaid Managed Care Version 4.0 - (Web) - (PDF) - Updated October 7, 2024
- Guide to Edits: Transition of Children Placed in Foster Care and NYS Public Health Law Article 29-I Health Facility Services into Medicaid Managed Care Version 4.0 - (PDF) - Updated October 7, 2024
- 29-I Health Facility FAQ - (Web) - UPDATE - April 2024
- SPA 21-03 Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) (PDF) - Approved June 4, 2021
- Court Ordered and Mandated Service Attestation for Provision of Court Ordered or Mandated Medical Care - (PDF) - May 31, 2021
29-I Health Facility Rates and Billing Guidance
- 29-I Core Services Rate Increase - (Web) - (PDF) - November 5, 2024
- 29-I Health Facility Billing Manual (Version 2024-2) - (Web) - (PDF) - October 2024
- Guide to Edits 29 - I Health Facility Billing Manual (Version 2024-2) - (Web) - (PDF) - October 2024
- Billing Allowances for Nirsevimab and Abrysvo Provided by Article 29-I VFCA Health Facilities - (Web) - (PDF) - February 13, 2024
- Temporary Waived Timely Filling Requirements for Article 29-I Health Facility Core and Other Limited Health Related Service Claims - (Web) - February 2, 2024
- Clarification Regarding the Billing Requirement Changes for Article 29-I Health Facilities OLHRS - (Web) - (PDF) - October 27, 2023
- 29-I Health Facility Other Limited Health Related Services Fee Schedule - (Web) - Current
- Notification of Updated Children's Services Rate Sheets - (Web) - (PDF) - November 14, 2022
- Notification of Continuation of the 25% Rate Adjustment and 2022-2023 Budget Actions - (Web) - (PDF) - September 28, 2022
- Notification to 29-I VFCAs Regarding the Waived Requirement to Receive a TPHI Denial Prior to Billing for Services Provided to Children/Youth in Foster Care - (Web) - (PDF) - August 16, 2022
- 29-I Health Facility Core Limited Health Services (Per Diem) Rates - (Web) - Current
- Update to Billing for TB and Interpretation Services to Medicaid Managed Care Plans - (Web) - (PDF) - January 2022
- Notification to Medicaid Managed Care Plans (MMCPs) Regarding Resolution of System Configuration Issues for Passthrough Payments - (Web) - (PDF) - UPDATE - December 21, 2021
- Notification to Medicaid Managed Care Plans (MMCPs) Regarding Resolution of System Configuration Issues for Passthrough Payments - (Web) - (PDF) - November 2021
- Notification to Medicaid Managed Care Plans (MMCPs) regarding Step-down agency pass through rates for 29-I Health Facilities - (Web) - (PDF) - August 11, 2021
- Notification to 29-I Health Facilities and Medicaid Managed Care Plans (MMCPs) Regarding Interpreter Services and TB Testing - (Web) - (PDF) - July 26, 2021
Historical Billing Rates and Guidance
Institutions for Mental Diseases (IMD)
- Qualified Residential Treatment Program (QRTP) Resources: Institutions for Mental Diseases - (External Link)
Local Department of Social Services (LDSS) Resources
- 21 OHIP ADM-03: Transition of Children Placed in Foster Care and NYS Public Health Law Article 29-I Health Facility Services into Medicaid Managed Care - (PDF) - October 2021
- Foster Care Transition to Medicaid Managed Care FAQ for the LDSS - (Web) - (PDF) - July 2021
- Transition of Children placed in Foster care and NYS Public Health Law Article 29-I Health Facility Services into Medicaid Managed Care Q&A Session for LDSS - (Web) - (PDF) - June 15, 2021
- Transition of Children placed in Foster care and NYS Public Health Law Article 29-I Health Facility Services into Medicaid Managed Care Presentation for LDSS - (Web) - (PDF) - June 8, 2021
Plan Network Provider Education Letter
- Amida Care (PDF)
- Anthem (PDF)
- CDPHP (PDF)
- Emblem (PDF)
- Excellus (PDF)
- Fidelis (PDF)
- Healthfirst (PDF)
- Highmark (PDF)
- Independent Health (PDF)
- MetroPlus (PDF)
- Molina (PDF)
- MVP (PDF)
- United Healthcare (PDF)
- VNSNY (PDF)
Archive
- 29-I Health Facility Billing Manual (Version 2024-1) - (Web) - (PDF) - September 2024
- Guide to Edits 29 - I Health Facility Billing Manual (Version 2024-1) - (Web) - (PDF) - 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) - (Web) - (PDF) - September 2023
- Foster Care Transmittals Template May 15 Through June 30 - May 2021 - (Web) - (XLSX)
- 29-I Health Facility FAQ - (Web) - 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
- Guide to Edits included in the Article 29-I Health Facilities License Guidelines - (PDF) - December Update
- New York Medicaid Program 29-I Health Facility (Version 2023-1) - April 2023:
- Billing Guidance (PDF)
- Guide to Edits (PDF)
- 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
Data Collection Activities
Empire Health Advisors (EHA)
- Transition of Children in Foster Care in New York into Medicaid Managed Care - November 3, 2015 (PDF)