| 2025 |
| Social Care Networks |
1/1/2025 |
| Adverse Childhood Experiences screening for adults ages 21 to 65 |
1/1/2025 |
| 2024 |
| Children's Home and Community Based Services (HCBS) environmental and vehicle modifications and adaptive and assistive technology removed from the Medicaid managed care benefit package, covered by Medicaid fee-for-service |
7/1/2024 |
| Adverse Childhood Experiences screening for children and adolescents up to 21 years of age |
4/1/2024 |
| Mobile Crisis Telephonic Triage and Response- Children under age 21 |
3/1/2024 |
| Dental coverage expansion |
1/31/2024 |
| Coverage for undocumented non-citizens age 65 and older (Mainstream Medicaid managed care only) |
1/1/2024 |
| Community Health Worker (CHW) services population expansion |
1/1/2024 |
| 2023 |
| Pharmacy benefits transitioned to NYS Medicaid Pharmacy Program (NYRx) |
4/1/2023 |
| Applied Behavior Analysis (ABA) services expansion |
1/1/2023 |
| Gambling Disorder treatment services |
1/1/2023 |
| 2022 |
| Medicaid managed care (MMC) dual-eligible population transitioned into Dual Special Needs Plan (D-SNP) |
3/1/2022 |
| Community Oriented Recovery and Empowerment (CORE) services |
2/1/2022 |
| 2021 |
| Children residing in a Voluntary Foster Care Agency (VFCA) mandatorily enrolled |
7/1/2021 |
| Voluntary Foster Care Agency (VFCA) per diem and services |
7/1/2021 |
| 2020 |
| Crisis Residence services |
12/1/2020 |
| Copay maximum charged per quarter |
4/1/2020 |
| National Diabetes Prevention Program services |
2/1/2020 |
| Children's Health and Behavioral Health services expansion |
1/1/2020 |
| 2019 |
| 1915(c) Children's Consolidated Waiver services: Caregiver/Family Advocacy supports and services, Prevocational services, community self-advocacy training and support, supported employment, Palliative care: pain & symptom management, bereavement services, massage therapy, and expressive therapy, Respite (planned and crisis), Day Habilitation, Community Habilitation, accessibility modifications, adaptive and assistive equipment, non-medical transportation, customized goods and services |
10/1/2019 |
| 1915(c) Waiver children mandatorily enrolled |
10/1/2019 |
| Limited infertility benefits |
10/1/2019 |
| Children's Home and Community Based Services: Office of Addiction Supports and Services (OASAS) Residential services (Part 820): Children under age 21, OASAS Opioid Treatment Program services (Part 822): Children under age 21, OASAS Outpatient Rehabilitation Programs (Part 822): Children under age 21, OASAS Outpatient Clinics (part 822); Children under age 21, Partial Hospitalization: Children under age 21, Family Peer Support Services [now Children and Family Treatment and Support Services (CFTSS)]: Children under age 21, Personalized Recovery Oriented Services (PROS): Children under age 21 (minimum age 18-20), Continuing Day Treatment: Children under age 21 (minimum age 18-20), Assertive Community Treatment (ACT): Children under age 21 (minimum age 18-20), Office of Mental Health (OMH) designated Serious Emotional Disturbance (SED) Clinics: Children under age 19 |
7/1/2019 |
| Supplemental Security Income (SSI) benefits for children under age 21: OASAS Chemical Dependence Inpatient Rehabilitation, Comprehensive Psychiatric Emergency Program (CPEP) [including: Extended Observation Bed (EOB)], Inpatient Psychiatric services, OMH Outpatient services, Psychiatric services, Psychological services, Children and Family Treatment and Support Services (CFTSS), and second generation long-acting injectable antipsychotics and extended-release naltrexone suspension covered under both the Pharmacy and Medical benefits |
7/1/2019 |
| Children and Family Treatment and Support Services (CFTSS): Other Licensed Practitioner (OLP) services, Community Psychiatric Supports and Treatment (CPST), Psychosocial Rehabilitation (PSR) |
1/1/2019 |
| 2018 |
| Harm Reduction Services (HRS) |
7/1/2018 |
| 2017 |
| Transgender population eligible to enroll in HIV Special Needs Plans (SNPs) |
11/1/2017 |
| Outpatient clotting factor products and associated services |
7/1/2017 |
| 2016 |
| Behavioral Health Home and Community Based Services (BH HCBS) for eligible individuals enrolled in a Health and Recovery Plan (HARP)- adults in rest of state |
10/1/2016 |
| Passive enrollment into a Health and Recovery Plan (HARP)- adults in rest of state |
7/1/2016 |
| OASAS Behavioral Health services- adults in rest of state |
7/1/2016 |
| OMH Behavioral Health services- adults in rest of state |
7/1/2016 |
| Behavioral Health Home and Community Based Services (BH HCBS) for eligible individuals enrolled in a Health and Recovery Plan (HARP)- adults in New York City |
1/1/2016 |
| 2015 |
| Nursing Home Voluntary Enrollment in Medicaid managed care for adults in long term placement prior to the applicable county phase in date |
10/1/2015 |
| Passive enrollment into a Health and Recovery Plan (HARP)- adults in New York City |
10/1/2015 |
| OASAS Behavioral Health services- adults in New York City |
10/1/2015 |
| OMH Behavioral Health services- adults in New York City |
10/1/2015 |
| Long-acting injectable atypical antipsychotics (Abilify Maintena, Risperdal Consta, Invega Sustenna, Zyprexa Relprevv) for SSI and SSI-related individuals |
10/1/2015 |
| Nursing Home benefit (Phase 3- rest of state) |
7/1/2015 |
| Adults new to Medicaid or currently enrolled in a managed care plan and needing Nursing Home services (Phase 3- rest of state) |
7/1/2015 |
| Nursing Home benefit (Phase 2- Nassau, Suffolk, and Westchester Counties) |
4/1/2015 |
| Adults new to Medicaid or currently enrolled in a managed care plan and needing Nursing Home services (Phase 2- Nassau, Suffolk, and Westchester Counties) |
4/1/2015 |
| Nursing Home benefit (Phase 1- New York City) |
2/1/2015 |
| Adults new to Medicaid or currently enrolled in a managed care plan and needing Nursing Home services (Phase 1- New York City) |
2/1/2015 |
| 2014
|
| HIV genotypic and phenotypic drug resistance tests and HIV tropism assay |
4/1/2014 |
| 2013 |
| Hospice Services |
10/1/2013 |
| Adult Day Health Care |
8/1/2013 |
| AIDS Adult Day Health Care |
8/1/2013 |
| Directly Observed Therapy for Tuberculosis & Inpatient Tuberculosis Therapy ordered by local Health Commissioner |
8/1/2013 |
| Individuals enrolled in the Long Term Home Health Care Program (LTHHCP) |
4/1/2013 |
| Individuals participating in the Medicaid Buy-in for Working People with Disabilities (no premium and premium pay) |
4/1/2013 |
| Non-agency foster care children living in the community placed by the local Department of Social Services (LDSS) (Upstate only) |
4/1/2013 |
| Medical Social Services (only for individuals transitioning from LTHHCP) |
4/1/2013 |
| Home Delivered Meals (only for individuals transitioning from LTHHCP) |
4/1/2013 |
| 2012 |
| Consumer Directed Personal Assistance Services (CDPAS) |
11/1/2012 |
| Individuals receiving Consumer Directed Personal Assistance Services (CDPAS) |
11/1/2012 |
| Orthodontia for children with severe handicapping malocclusions |
10/1/2012 |
| Individuals with needs similar to those receiving services through a Home and Community Based Services (HCBS) waiver (traumatic brain injury (TBI), care at home (CAH), LTHHCP), or intermediate care facility (ICF)/developmental disability (DD) waiver program |
9/1/2012 |
| Dental services |
7/1/2012 |
| End of exemption for individuals with End Stage Renal Disease (ESRD) |
4/1/2012 |
| Individuals receiving services through the Chronic Illness Demonstration Program (CIDP) |
4/1/2012 |
| Individuals experiencing homelessness (non-duals) |
4/1/2012 |
| Infants weighing less than 1,200 grams at birth and infants under 6 months of age with a disabling condition |
4/1/2012 |
| Personal Emergency Response System (PERS) |
1/1/2012 |
| 2011 |
| Pharmacy benefits |
10/1/2011 |
| Individuals with a relationship with a primary care provider not participating in any managed care plan |
10/1/2011 |
| Individuals living with HIV |
10/1/2011 |
| Individuals without a choice of primary care provider within 30 minutes/30 miles |
10/1/2011 |
| Non-SSI Seriously and Persistently Mentally Ill (SPMI) adults and Non-SSI Seriously Emotionally Disturbed (SED) children |
10/1/2011 |
| Individuals temporarily living outside their home district |
10/1/2011 |
| Pregnant women with prenatal care providers not participating in any managed care plan |
10/1/2011 |
| Residents of Mental Health family care homes |
10/1/2011 |
| Individuals who cannot be served due to a language barrier |
10/1/2011 |
| Individuals with chronic medical issues with specialist providers not participating in any managed care plan |
10/1/2011 |
| Individuals in the Restricted Recipient Program |
8/1/2011 |
| Personal Care Services (except CDPAS and PERS) |
8/1/2011 |
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