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Children's Home and Community-Based Services

We work with providers to make Home and Community Based Services (HCBS) available to children on the Healthy Choice plan. These children must also be eligible for New York State's Health Home Care Management program.

Through this program, Health Home care managers develop a single, comprehensive plan of care that includes needed services, such as:

  • Physical and behavioral health
  • Community and social supports
  • Other specialty services

If an eligible child is enrolled in a Medicaid Managed Care Plan (MMCP):

  • The plan of care will be shared with the MMCP    
  • The MMCP will then authorize and monitor access to needed services

Eligibility

  • Children who are eligible for HCBS are also eligible for Health Home Care Management
  • Children who are Health Home eligible are NOT automatically eligible for HCBS
  • Health Homes will make HCBS Eligibility Determinations by working with providers to determine and document if the member meets the target population, risk factors, and functional criteria
  • For a child/youth who is not yet Medicaid eligible and in need of services, local referral will be made to IE with appropriate consents
  • IE will confirm whether the child is likely to be eligible for Medicaid, Health Home and/or HCBS

Expanded Benefits

Habilitation – Day or Community: assists children/youth with developmental, medical or behavioral disabilities with the self-help, socialization and adaptive skills necessary for successful functioning in the home, school and community when other types of skill-building services are not appropriate

Caregiver/Family Supports and Services: Caregivers and families can get training and education to make informed and empowered choices for children with developmental, medical, mental health, and/or substance use needs

  • Maintain and strengthen children and youth’s independence in the community
  • Find available resources and services that meet child/youth and family needs

Respite – Planned or Crisis:  This service focuses on short-term assistance provided to children/youth, regardless of disability (developmental, physical and/or behavioral), because of the absence of or need for relief of the child or the child’s family caregiver

  • Crisis respite is short term relief from a mental health, substance use and/or health care crisis event that without this support the child would need a higher level of care
  • May be delivered at home, in the community, or in another allowable location

Prevocational Services: Youth aged 14 and older can learn skills to help get ready for paid work, or volunteer work that matches their interests

  • Skills can include: communicating with supervisors, coworkers, and customers; workplace problem-solving; career planning; and workplace safety

Supported Employment: Supported Employment services are individually designed to prepare youth with disabilities (age 14 or older) to engage in paid work

  • Supported Employment services provide assistance to participants with disabilities as they perform in a work setting

Community Self-Advocacy Training and Support: Children, youth, and their families can get help to understand developmental, medical, mental health, and/or substance use needs

  • Children and youth, or caregivers and other advocates, can get their own self-advocacy training or
  • Get help with, or prevent, any difficulties when taking part in community activities

Non-Medical Transportation: Transportation to services or activities that support goals

Adaptive and Assistive Equipment: Technological aids or other devices needed to support children/youth health, welfare and safety

Palliative Care – Pain and Symptom Management, Bereavement Services, Massage Therapy or Expressive Therapy:  Children and Youth with chronic or life-threatening illnesses can get these services

  • Massage Therapy to improve and relieve physical symptoms
  • Art, music, and play therapy to help better understand and express emotions
  • Pain and symptom management to relieve and/or control suffering
  • Bereavement counseling to help children/youth and families cope with grief related to end-of-life experiences

Here are some additional, outside resources that may be able to assist:

Department of Health (DOH): http://www.health.ny.gov/health_care/managed_care/

Office of Alcoholism and Substance Abuse Services (OASAS): https://oasas.ny.gov/

Office of Children and Family Services (OCFS): http://ocfs.ny.gov/main/

Office of Mental Health (OMH): https://www.omh.ny.gov/omhweb/about/

Office for People with Developmental Disabilities (OPWDD): https://www.opwdd.ny.gov

Helpful Documents

Information for Children/Youth and Families

Children’s Home and Community Based Services Member Handbook Insert

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Last Updated On: 8/16/2019
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