Children and Family Treatment and Support Services

SPA services are Rehabilitative services under the EPSDT benefit and available to children/youth under the age of 21 who are Medicaid eligible, that meet medical necessity. All SPA services can be delivered in the community where the child/youth lives, attends school, and/or engages in services. Proposed services include: Other Licensed Professional (OLP), Crisis Intervention, Community Psychiatric Supports and Treatment (CPST), Psychosocial Rehabilitation Services, Family Peer Support Services, Youth Peer Advocacy and Training. Some website content may include outdated information. Please refer to date posted for historical reference. Content will be updated in an effort to include the most recent material.

  • SPA 19-0003 (EPSDT Expansion of Behavioral Health Kids-OLP, CPST, PSR, FPSS) – Effective January 1, 2019
  • Rehab SPA (EPSDT Expansion for Behavioral Health Kids: Rehabilitation Services)

The State has approved the following Concurrent Review Authorization Request Form for Children and Family Treatment and Support Services (CFTSS).  The form was developed in collaboration with providers and Medicaid Managed Care Plans (MMCPs) as a sample template to capture the necessary information to substantiate medical necessity. CFTSS do NOT require Prior Authorization, however some MMCPs will require concurrent review authorization after the first three visits.  This form can be used by providers who are making concurrent review authorization requests to MMCPs.

As a reminder, MMCPs are not permitted to conduct any utilization management of CFTSS for the first 90 days after implementation.

A list of MMCP specific authorization requirements can be found at: https://ctacny.org/sites/default/files/UM%20Authorization%20Grid%203%20CFTSS%20jan%2015.pdf