Children's Home and Community Based Services (HCBS) Waiver Provider Information
Resources
- Children's HCBS Brochure (PDF) - August 19, 2022
- Secure File Transfer 2.0 Quick Reference Guide (PDF)
- Secure File Transfer 2.0 Frequently Asked Questions (PDF)
- Children's System Definitions Tip Sheet - November 2020 (PDF)
- HCBS Quick Reference Guide (PDF) - May 17, 2019
Policies
- Conflict-Free Case Management Policy #HH0012 - Updated: November 2022 (PDF)
- HCBS Provider Designation: Non-licensed/Designated/Certified Provider #CW0014 - Effective April 11, 2022, Updated October 11, 2022
- Palliative Care - Bereavement Services and Health Home Care Management Policy - December 2021, Updated April 2022 (PDF)
- Children's HCBS Provider Designation and Re-designation Procedure #CW0013 - Revised July 2021 (PDF)
- Participant's Rights and Choice Policy #CW0009 - Effective April 1, 2021 (PDF)
- Complaint and Grievance Policy for HCBS Providers #CW0008 - Effective April 1, 2021, Updated November 2022 (PDF)
- Children's HCBS Waiver Disenrollment Policy #CW0006 - Effective April 1, 2021 (PDF)
- HCBS Provider Reportable Incidents Policies and Procedures #CW0004 - Effective April 1, 2021, Updated November 2022 (PDF)
- Children's Waiver HCBS Policies - February 2021 (PDF)
- HCBS Provider De-Designation Procedure #CW0003 - September 2020 (PDF)
- HCBS & CFTSS Timely Claim Filing Guidance - June 2020 (PDF)
- Background Check Requirements for HCBS Providers #CW0001 - Effective April 1, 2019 (PDF)
Requirements and Guidance
- Utilization Management and Other Requirements for 1915(c) Children's Waiver Services - Updated May 8, 2023
- Changes to Respite Telehealth Services Under the 1915(c) Children's Waiver Home and Community Based Services (HCBS) - December 13, 2022
- Designated HCBS Provider Attestation - Updated November 2022 (PDF)
- Use of Foreign Education Documents to Verify HCBS Staff Qualification Requirements - July 28, 2022 (PDF)
- Children's HCBS Billing and Claiming Required Processes - April 4, 2022 (PDF)
- Continuity of Care for CFTSS and HCBS - Updated November 2020 (PDF)
- HCBS Provider Directive to Continue Services to Participant and Seek DOH Assistance - October 2020 (PDF)
- HCBS Versus State Plan Services Delivered During School/Day Time - Updated May 2023 (PDF)
- Children's Medicaid Spend-down Coverage Guidance - May 2020 (PDF)
- Effective Changes to the Children's Waiver of Home and Community Based Services (HCBS) and Children and Family Treatment and Support Services (CFTSS) - April 2020 (PDF)
- Process for Renewing and Establishing Medicaid for Children's Waiver Participants - March 2020 (PDF)
- Requirements for Service Providers Delivering Children and Family Treatment and Supports Services (CFTSS) and Children's HCBS (Web) - (PDF) - March 2020
- Guidance for Providers Regarding Student Interns and Limited Permits for CFTSS and HCBS Required to be Provided by a Licensed Practitioner (PDF) - June 2019
HCBS Setting Rule
- HCBS Final Rule Compliance Policy - (Web) - (PDF) - 10.17.2022
- Children's HCBS Providers Final Rule Documentation Worksheet - (XLSX) - Updated January 2022
- HCBS Final Rule Survey Validation and Documentation Request - Web | PDF | Recording (YouTube) - Februay 10, 2021
- Home & Community-Based Services (HCBS) Final Rule
- Children's Waiver HCBS Provider Final Rule Setting Self-Assessment Communication - December 3, 2020 (PDF)
- Childrens Waiver HCBS Final Rule Information Letter - December 3, 2020 (PDF)
- Children's Waiver HCBS Final Rule Survey link
- HCBS Final Rule Statewide Transition Plan - Updated in response to CMS comment received initial approval November 2018 (PDF)
- CMS Feedback for Final Approval Letter - Received May 2019
- Initial Approval Letter - Received November 2018
- HCBS Final Rule Statewide Transition Plan - Updated May 2018 in response to CMS comment (PDF)
- HCBS Final Rule Statewide Transition Plan - Updated September 2017 (PDF)
- HCBS Final Rule Statewide Transition Plan - Updated January 2017 (PDF)
- Systemic Compliance Charts for Waivers that were Subsumed into the Combined 1915(c) Children's Waiver - please note that these charts contain original systemic review raw data
Electronic Visit Verification (EVV)
- Children's Waiver Requirements for Electronic Visit Verification (EVV)
- Children's Waiver Electronic Visitor Verification (EVV) Annual DECLARATION Form - (PDF)
- Announcing Electronic Visit Verification Requirements - October 20, 2020 (PDF)
- NY Medicaid Electronic Visit Verification Program (EVV) Resource Library
Webinars and Provider Meetings
Monthly State Discussion with Children's Waiver HCBS Providers
2023
- Documentation Policy, SMART Goals, Parent Info Sheets, HCBS During the School Day, UM Update, IRAMS, Referral Portal - May 2023 (PDF)
- Documentation Policy, Regional Meetings, eFMAP Updates - April 2023 (PDF)
- WY2021-2022 Case Review Combined Meeting - January 2023
2022
- HCBS Case record Review, eFMAP Updates, Electronic Referral Form - December 2022 (PDF)
- eFMAP Updates, HCBS Provider Attestation Reminder, POC Workflow, Medical Necessity - November 2022 (PDF)
- Case Review &Next Steps, eFMAP Updates, HCBS Provider Attestation, HCBS F/S/D - October 2022 (PDF)
- Amendment Update, eFMAP Updates, HCBS Manual, Capacity Tracker Updates, HCBS referral process - September 2022 (PDF)
- Waiver Renewal, Amendment Update, eFMAP updates, HCBS Annual Audit and Case Review - August 2022 (PDF)
- Waiver Renewal and Amendment, eFMAP Updates, HCBS staff Qualification and Case review, Authorization Reminder - July 2022 (PDF)
- Case Review Follow-up, eFMAP Updates, Building Capacity, Palliative Care Services and Medical Respite - June 2022 (PDF)
- Case reviews, Capacity Tracker Survey Reminder and Feedback, eFMAP Updates - May 2022 (PDF)
- Year 2021-2022 HCBS Provider Review Information Session (Process Overview-timeline, communication, sampling) - May 2022 (PDF)
- Waiver Renewal, Temporary Extension, MMCP Pass throughs, Bereavement, HCBS Billing and Claiming - April 2022 (PDF)
- eFMAP Updates, Capacity Tracker updates & Preliminary Data, Final Rule Updates, HCBS Designation - March 2022 (PDF)
- eFMAP, Waiver Renewal, Children's Service Capacity Tracker, Case Review Waiver Year 21-22 - February 2022 (PDF)
2021
- Waiver Amendment, Provider Designation Attestation, eFMAP, Waiver Renewal, Capacity Tracker - November 2021 (PDF)
- eFMAP, Waiver Renewal, Pending Waiver Amendment, Provider Designation Attestation - October 2021 (PDF)
- HCBS Provider Attestation - November 2021 (PDF)
- Children's HCBS Provider Designation, HCBS Case Reviews & Training Survey, Children's Waiver Updates, IRAMS Q&A - June 2021 (PDF)
- IRAMS, Final Rule Reminder, Follow-up: HCBS Delivery Education - April 2021 (PDF)
- Special Needs of Target Populations, Tracking HCBS Capacity, IRAMS - March 2021 (PDF)
- Annual HCBS Case Reviews, Follow-Up: proposal to combine CFSS with CSATS - February 2021 (PDF)
- Final Rule, Discussion: proposal to combine CFSS with CSATS - January 2021 (PDF)
2020
- EVV Reminder, Final Rule, LPHA Attestation, HCBS 2019-2020 Case Review - December 2020 (PDF)
- Follow-up from October Meeting, Service Access, HCBS Case Reviews, Provider Designation and Attestation - November 2020 (PDF)
Additional Webinars
- Palliative Care Bereavement Counseling and Bereavement Coordination by HH - (Web) | (PDF) | Recording (YouTube) - December 2021 (PDF)
- Plan of Care & Person Centered Planning Requirements - (PDF) | Recording (YouTube) - April 2021
- Incident Reporting and Management System (IRAMS) User Introduction for Health Homes and Care Management Agencies - PDF | Recording (YouTube) - March 2021
- Incident Reporting and Management System (IRAMS) User Introduction for HCBS Providers and C-YES - PDF | Recording (YouTube) - March 2021
- Children's Waiver Reporting for Critical Incident and Complaints & Grievances - PDF | Recording (YouTube) - March 2021
- Children's Waiver Enrollment and Disenrollment Webinar - PDF | Recording (YouTube) - March 2021
- Participant Rights and Choice Webinar - PDF | Recording (YouTube) - February 2021
- Medicaid and the Children's Waiver Webinar - PDF | Recording (YouTube) - January 2021
- Understanding Medicaid Webinar - PDF | Recording (YouTube) - January 2021