Special Initiatives

Children's System Transformation

HCBS

Home and Community Based Services (HCBS)

Webinars

Understanding Care Management Reqs and Medicaid Status Impact Re HCBS Eligible Children - Oct 31, 2019  

Children's HCBS Plan of Care Workflow and Service Authorization for HCBS Providers - Oct 18, 2019

  • For Children's HCBS Providers
  • Reviews the Plan of Care Workflow policy and Service Authorization for HCBS and the carved-in to Medicaid Managed Care benefit.  

Children's HCBS Capacity Management Refresher - Webinar - Sept 25, 2019

  • Provides a reminder and update regarding Statewide Children's HCBS Capacity Management processes and the interaction/communication needed with Health Home care managers.

Children's Aligned HCBS Webinar Series - reviews the HCBS array. FAQ documents available for Webinars 1-4.

Children's Aligned HCBS LOC Eligibility Part 2 - Webinar - June 14, 2019

  • Covers the process and information needed for HHCM and C-YES to work collaboratively with OPWDD DDROs regarding HCBS LOC Eligibility for the two Target Populations of Developmental Disability (DD) and Medically Fragile & DD in Foster Care.
  • Draft OPWDD DDRO Manual Eligibility Process for Children's Waiver

Children's HCBS Planning and Plan of Care Development Webinar - April 3, 2019

  • Covers person-centered care planning and the creation of a Plan of Care for the consolidated Children’s HCBS Waiver.

Children's Aligned HCBS LOC Eligibility Determination and Documentation Review - Webinar - April 23, 2019

  • Reviews how to conduct a HCBS/LOC Eligibility Determination and the necessary documentation. 

Children's Aligned HCBS Capacity Management Webinar - March 27, 2019

  • Covers how capacity will be managed for the consolidated 1915c HCBS Children’s Waiver beginning April 1, 2019 and the interactive process between the Health Home care managers, the DDRO and C-YES with the DOH Capacity Management Team.

Children and Youth Evaluation (C-YES): the State-designated Independent Entity (IE) for Children's HCBS Part 2 - March 25, 2019

  • Provides an overview of the April 1, 2019 expanded role of C-YES; C-YES will deliver HCBS Eligibility Determinations to children who are not Medicaid-enrolled and assist those children/families with the Medicaid application process as well as continue to accept Health Home opt-outs for HCBS plan of care development and annual re-assessment.

Children and Youth Evaluation (C-YES): the State-designated Independent Entity (IE) for Children's HCBS - January 31, 2019

  • Provides overview of how C-YES will support transitioning HCBS waiver children who opt out of HH Care Management from Feb 1st through March 31st. 

Documents/Guidance

HCBS Provider Designation Non-Licensed/Designated/Certified Provider FAQ- May 2023

Home and Community-Based Services Provider Manual 

Children's Waiver HCBS Policies - April 2021

HCBS Provider Designation: Non-licensed/Designated/Certified Provider #CW0014 - Effective April 11, 2022, Updated October 11, 2022

Children's HCBS Provider Designation and Re-designation Procedure #CW0013 - Revised July 2021

Children's HCBS Disenrollment and Discharge Policy #CW0006 - April 2021

Children's HCBS Medicaid Managed Care Plan Transfer Continuity of Care Requirements - September 5, 2023

Utilization Management and Other Requirements for 1915(c) Children's Waiver Services - Updated May 8, 2023 

Changes to Respite Telehealth Services Under the 1915(c) Children's Waiver Home and Community Based Services (HCBS) - December 13, 2022

Designated HCBS Provider Attestation - Updated November 2022 

HCBS versus State Plan Services Delivered During School/Day Time State Guidance - May 2023  

Children's HCBS Waiver Eligibility Service Requirements State Guidance - Oct 2019

Medicaid Eligibility Status Impact on HCBS Eligible Children State Guidance - Oct 2019

  • Includes guidance on Family of One Medicaid Eligibility.
Training Requirements

Children's HCBS Provider Training Requirements Memo - May 15, 2019

Reportable Incidents

Home and Community Based Services (HCBS) Provider Reportable Incidents Policies and Procedures #CW0004 - Effective April 1, 2021, Updated May 2021 

Health Home Monitoring: Reportable Incidents Policies and Procedures #HH0005 - Revised April 2021

Complaint and Grievance Policy for Home Community Based Services (HCBS) Providers #CW0008 - Effective April 1, 2021

IRAMS User Guide - April 2021 (PDF) - Providers must enroll at least one staff member in the IRAMS system prior to the provision of Children's HCBS

Incident Reporting and Management System (IRAMS) Frequently Asked Questions - Effective April 2021 

Background Checks

Background Check Requirements for Home and Community Based Services (HCBS) Providers #CW0001 - Effective April 1, 2019 (PDF) Providers must complete required background checks prior to provision of Children's HCBS.

Children's Services Capacity Tracker

Children's Services Capacity Tracker User Guide - April 2022 (PDF)

Children's Services Capacity Tracker for HCBS Providers FAQ - February 2022 (PDF)

Children's Services Capacity Tracker Webinar - PDF | Recording Part 1 and Recording Part 2 (YouTube) - January 26, 2022

Plan of Care

Children's HCBS Plan of Care Workflow Policy Reminder - Nov 2020

Process for Provisions of Children's HCBS and Sharing the Plan of Care's Information in Preparation of October 1, 2019 - September 23, 2019

Children's HCBS Plan of Care Workflow - Sept 2019

Forms

Children's HCBS Referral Form to HCBS Provider - August 2019

  • Completed by Health Home Care Manager or C-YES as part of referral process.

Children's HCBS Authorization and Care Management Notification Form - August 2019

  • Completed by HCBS Provider for services beyond initial period.
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