Provider Designation

Children and Family Treatment and Support Services/Home and Community Based Services

Purpose of Provider Designation

Beginning July 1, 2018, providers must be designated through this process to provide newly aligned Children´s SPA/HCBS services under the NYS Medicaid program (both fee–for–service Medicaid and Medicaid Managed Care):

Children and Family Treatment and Support Services: Other Licensed Practitioner, Crisis Intervention, Community Psychiatric Supports and Treatment, Psychosocial Rehabilitation, Family Peer Support Services, Youth Peer Support and Training

HCBS: Caregiver Family Supports and Services, Crisis Respite, Planned Respite, Supported Employment, Community Self–Advocacy Training and Support, Habilitation, Palliative Care, Prevocational Services

Timeframes

  • State Agency Partners will prioritize reviews of applications from current 1915(c) waiver providers.
  • NYS anticipates sending out designation letters to current system providers beginning late May 2018.
  • Lists of designated providers will be posted online. This list will be utilized by Medicaid Managed Care Plans to develop networks for service provision.
  • For applications that were submitted prior to the June 14, 2017 modification date, resubmission is not necessary an e–mail notification will be sent by NYS requesting additional information.

Contracting, credentialing, and claims testing typically take approximately nine months in total. Delays in submission of the application to NYS may result in delay dependent contracting, credentialing, and claims testing work.

What You Need Before Completing the Application

This application requires providers to have:

  • A user ID (granted by the NYS OMH)
  • A Facility Code

Instructions on obtaining these credentials are available at https://www.health.ny.gov/health_care/medicaid/redesign/behavioral_health/children/childrens_designation_app.htm.

The New York State (NYS) agencies including the Department of Health (DOH), Office of Alcoholism and Substance Abuse Services (OASAS), Office of Children and Family Services (OCFS), Office of Mental Health (OMH), and the Office for People With Developmental Disabilities (OPWDD) are pleased to announce the re–release of the Children´s State Plan (SPA)/Home and Community Based Services (HCBS) Provider Designation Application. The designation application is available at: https://my.omh.ny.gov/hcbs/default.aspx

The list of designated Children and Family Treatment and Support Service and Aligned HCBS providers, as of June 27, 2018 can be found below. This list shows approved providers by site and contains agency contact information, address, counties served, and services approved. The list contains three tabs:

  • HCBS providers. Palliative Care HCBS providers are shown on separate tab and includes the components of Palliative Care for which a provider has been approved (i.e., an “A” is displayed in the service component column).
  • Children and Family Treatment and Support Service providers. This tab shows which populations have been approved for each service and site (i.e., an “A” is displayed in the column for the approved population).

The designation process remains open and providers may continue to apply to be designated. The list will be continuously updated to reflect the addition of newly designated providers and for expansions in the array of approved services a provider may be designated to offer.

Designated Children’s HCBS and Children and Family Treatment and Support Services – revised September 10, 2018