IMPORTANT: NYS Readiness Funds for Child-Focused HCBS

Services originally designated as State Plan Amendments (SPA) are now termed specifically as Children and Family Treatment and Support Services.
These newly aligned Medicaid Managed Care services, which must be billed through a managed care entity, are expected to start January 1, 2019. Current Bridges to Health (B2H) will expire on December 31, 2018. All children currently served under the B2H provision must already have transitioned or be in transition by January 1.
State Departments involved in this service roll-out include: Department of Health (DOH), Office of Alcoholism & Substance Abuse Services (OASAS), Office of Children & Family Services (OCFS), Office of Mental Health (OMH), and the Office for People with Developmental Disabilities (OPWDD).
The State allocated $3.5 million in readiness funds from the various Departments to support agency specific transition planning needs. NYS will provide readiness funds through OCFS and OMH to designated providers to prepare for HCBS and previously designated SPA services.  Readiness funds may be used for work with a consultant agency to help prepare your team for the new services and to develop a Transition Plan that will be required by the State. Other departments will be releasing supportive services to address Medicaid managed care billing for providers who currently have no experience with billing for Medicaid services. Grants will also be made available for a Behavioral Health Information Technology initiative similar to the previously launched adult HCBS.
Providers can check the State’s provider designation list to confirm the designated services they will be recognized for. The list can be found under the “Find a Designated Provider” section. The following indicates the recognized services:
Children and Family Treatment and Support Services 
  • Other Licensed Practitioner,
  • Crisis Intervention,
  • Community Psychiatric Supports and Treatment,
  • Psychosocial Rehabilitation,
  • Family Peer Support Services, and
  • Youth Peer Support and Training.
  • Caregiver Family Supports and Services,
  • Crisis Respite,
  • Planned Respite,
  • Supported Employment,
  • Community Self-Advocacy Training and Support,
  • Habilitation,
  • Palliative Care, and
  • Prevocational Services.

Make sure your agency is familiar with the “Provider Designation Process and Authorization Processes for New Populations/Services” webinar that was released in April 2018.

See the Office for Children and Family Services (OCFS) Systemic Assessment that details an overview of OCFS Transition on page 255 of the NYS HCBS Settings Transition Plan Executive Summary.
SAE is available to assist with Readiness and Transition Planning to address operational, clinical, and financial preparations. With prior experiences assisting agencies launch adult-focused HCBS, SAE understands the transition needs of service agencies and formulating a comprehensive year-one plan. In the coming weeks, we will highlight our team of experts in Children Services. For inquires on this service to prepare your staff, feel free to contact or call our office at (212) 684-4480.