Manage Care Organization (MCO) Qualification Process

To ensure Managed Care Organizations are equipped to meet the needs of the children´s behavioral health population, the plans will be reviewed and qualified against new behavioral health specific administrative, performance, and fiscal standards.

• Amendment to the Medicaid Managed Care Organization Children’s System Transformation Requirements and Standards – May 15, 2018 (PDF)
• NYS Children´s Standards Cover letter – July 31, 2017
• Children´s MC Plan Requirements – Final – July 31, 2017 (PDF)
• NYS Children´s MC Standards Offsite Review Tool – July 31, 2017 (XLSX)
• Final Draft Children´s MC Plan Requirements – February 1, 2017 (PDF)
• Data Book for Children´s BH and HCBS populations – January 13, 2017 (PDF)