Update For New York HCBS Providers

Children Provider Applicant for HCBS and SPA

Applications for Children HCBS and SPA were due July 31. Designation letters to providers are expected in October.

Contracting, credentialing, and claims testing may take up to nine months. The list of designated providers will be used by Medicaid Managed Care plans to develop networks for service provision expected to begin July 1, 2018.

Adult HCBS Providers

New York State received approval from the Centers for Medicare & Medicaid Services (CMS) to increase rates retroactively for several Behavioral Health Home and Community Based Services (BH HCBS) covered by the Health and Recovery Plan (HARP) and HIV Special Need Plans (HIV SNP).

Start-up fees have increased by 50% of the currently approved fee.

The rate increases have been posted.

Attestation of Readiness Form from OMH and OASAS will be sent to all providers in Western New York, Central New York, Hudson River, and Long Island. Check the Provider Designation List to see if you are a recognized Adult HCBS provider and verify your contact information. Providers who are on “hiatus” for Adult HCBS may email their current updated contact information to omh.sm.co.hcbs-application@omh.ny.gov.

Contact SAE for assistance with any financial modeling, service launches, or assistance with the Attestation of Readiness Form. Email info@saeassociates.com or call (212) 684-4480.