Care Management Guidance, Policies and Webinars
Child Adolescent Needs and Strengths - NY (CANS-NY)
Policies
- Palliative Care - Counseling and Support Services and Health Home Care Management - Dec 2021; updated November 2022
- Complaint and Grievance Policy for Health Homes Serving Children #HH0013 - Effective November 2022
- Children's Waiver HCBS Policies - February 2021 (PDF)
- Participant's Rights and Choice Policy #CW0009 - Effective April 1, 2021
- Children's Home and Community Based Services (HCBS) Waiver Disenrollment Policy #CW0006 - Effective April 1, 2021 (PDF)
- Transfer Referral Process between the C-YES and HHSC Policy #CW0007 - Effective February 1, 2021, Updated November 2022 (PDF)
- Transfer Referral Form for C-YES, HH, and CMA (PDF)
- Opt-in to HH form completed by C-YES (PDF)
- HH/C-YES Transfer Policy Webinar Slides - PDF | Recording (YouTube) - January 2021
- Conflict-Free Case Management Policy #HH0012 - Updated: November 2022 (PDF)
- Health Home Monitoring: Reportable Incidents Policies and Procedures #HH0005 - Revised November 15, 2021 (PDF)
More information about Health Homes can be found on the Medicaid Health Homes page.
Guidance
- End of PHE Children's HCBS Level of Care (LOC) Eligibility Determination Flexibility - January 26, 2023
- Process for Renewing and Establishing Medicaid for Children's Waiver Participants - March 2020 (PDF)
- Care Management Requirements for HCBS Eligible Children (PDF)
- Medicaid Status Impact on HCBS Eligible Children (PDF)
- HCBS/LOC Eligibility Determination Finalized Outcomes Guidance - October 20, 2020 (PDF)
- Children's Medicaid Spend-down Coverage Guidance - May 2020 (PDF)
- HCBS Determination for RTF and State PC Discharge Guidance (PDF)
- Children's Waiver and Nursing Services Guidance (PDF) - July 2019
- Consolidated Children's Waiver and Medicaid Case Processing Requirements 19 OHIP/ADM-02 (PDF) - May 10, 2019
Webinars
- Home and Community Based Services (HCBS) Level of Care Eligibility Determination Process - (YouTube) - (PDF) - February 2021
- Palliative Care Bereavement Counseling and Bereavement Coordination by HH - (PDF) | Recording (YouTube) - December 2021 (PDF)
- Plan of Care & Person Centered Planning Requirements - April 2021 (PDF)
- Incident Reporting and Management System (IRAMS) User Introduction for Health Homes and Care Management Agencies - PDF | Recording (YouTube) - March 2021 (PDF)
- Incident Reporting and Management System (IRAMS) User Introduction for HCBS Providers and C-YES - PDF | Recording (YouTube) - March 2021 (PDF)
- Children's Waiver Reporting for Critical Incident and Complaints & Grievances - PDF | Recording (YouTube) - March 2021 (PDF)
- Children's Waiver Enrollment and Disenrollment Webinar - PDF | Recording (YouTube) - March 2021 (PDF)
- Home and Community Based Services (HCBS) Level of Care Eligibility Determination Process - PDF | Recording (YouTube) - February 2021 (PDF)
- Participant Rights and Choice Webinar - PDF | Recording (YouTube) - February 2021 (PDF)
- Conflict Free Care Management Webinar - PDF | Recording (YouTube) - February 2021 (PDF)
- Medicaid and the Children's Waiver Webinar - PDF | Recording (YouTube) - January 2021 (PDF)
- Understanding Medicaid Webinar - PDF | Recording (YouTube) - January 2021 (PDF)
- Understanding Care Management Requirements and Medicaid Status Impact Regarding HCBS Eligible Children/Youth Webinar (External Link) - October 31, 2019
Resources
- Third Party Health Insurance Frequently Asked Questions (PDF)
- Annual HCBS LOC Requirement and Reconcile Process - September 30, 2019 (PDF)
