Medicaid Health Homes - State Plan Amendments

Implementation of Health Homes for Medicaid enrollees with chronic conditions was recommended by the Medicaid Redesign Team. As a result, this initiative was included in the Governor´s SFY11/12 Budget and was adopted into law effective April 1, 2011. Social Services Law (SSL) Section 365-L authorizes the Commissioner of Health, in collaboration with the Commissioners of the Office of Mental Health, Office of Alcohol and Substance Abuse Services, and the Office of People with Developmental Disabilities, to establish health homes for NYS Medicaid enrollees with chronic conditions.

Health Home Standards and Requirements for Health Homes, Care Management Providers and Managed Care Organizations
View Standards and Requirements

Medicaid State Plan Amendment (#21–0026)
State Plan Amendment – #21–0026 (PDF)

Medicaid State Plan Amendment (#20–0034)
State Plan Amendment – #20–0034 (PDF)

Medicaid State Plan Amendment (#18–0051)
State Plan Amendment – #18–0051 (PDF)

Medicaid State Plan Amendment (#17–0053)
State Plan Amendment – #17–0053 (PDF)

Medicaid State Plan Amendment (#17–0025)
State Plan Amendment – #17–0025 (PDF)

Medicaid State Plan Amendment (#16–0034)
State Plan Amendment – #16–0034 (PDF)

Medicaid State Plan Amendment (#15–0020)
State Plan Amendment – #15–0020 (PDF)

Medicaid State Plan Amendment (#15–0002)
State Plan Amendment – #15–0002 (PDF)

Medicaid State Plan Amendment (#14–0016)
State Plan Amendment – #14–0016 (PDF)

Medicaid State Plan Amendment (#13–63)
State Plan Amendment – #13–63 (PDF)

Medicaid State Plan Amendment (#13–18)
State Plan Amendment – #13–18 (PDF)

Medicaid State Plan Amendments (#12–10) and (#12–11) Phases 2 and 3
State Plan Amendment – #12–10 (PDF)
State Plan Amendment – #12–11 (PDF)

Medicaid State Plan Amendment (#11–56) Phase 1
State Plan Amendment (#11–56) (PDF)

NYS Medicaid State Plan Amendment (#11–56) Approved for Phase 1

Month-Year SPA # Policy/Guidance Change SPA Document(s)
January 2012 #11-56 Billing guidance issued by Webinar 12/9/11 and 1/12/12
www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/webinars/year.htm

State Plan Amendment (#11–56) (PDF)

NYS Medicaid State Plan Amendment (#11–56) Approved for Phase 1

April 2012 #12-10 Medicaid Update Vol 28- Number 4 State Plan Amendment – #12–10 (PDF)
July 2012 #12-11 Phase II Authority State Plan Amendment – #12–11 (PDF)
June 2013 #13-18 Health Homes Provider Manual Billing and Policy Guidance

State Plan Amendment – #13–18 (PDF)

State Plan Amendment – #13–63 (PDF)

July 2014 #14-0016   State Plan Amendment – #14–0016 (PDF)