| 2023 |
| Pharmacy benefit carved-out |
4/1/2023 |
| Gambling Disorder benefit |
1/1/2023 |
| Applied Behavior Analysis (ABA) benefit |
1/1/2023 |
| 2022 |
| Medicaid managed care (MMC) dual population into Dual Special Need Plan (D-SNP) |
3/1/2022 |
| Community Oriented Recovery and Empowerment Services (CORE) |
2/1/2022 |
| 2021 |
| Children residing in a Voluntary Foster Care Agency (VFCA) are mandatorily enrolled in managed care (population) |
7/1/2021 |
| Voluntary Foster Care Agency (VFCA) per diem and services carved-in to managed care (benefit) |
7/1/2021 |
| 2020 |
| Crisis Residence Services |
12/1/2020 |
| Co-Pay (maximun charged per quarter) |
4/1/2020 |
| National Diabetes Prevention Program (in Budget for 7/1/19) |
2/1/2020 |
| Children's Health and Behavioral HealthTransition Benefits: Youth Peer support, Crisis Intervention |
1/1/2020 |
| 2019 |
| 1915(c) Children's Consolidated Waiver Services carved-in to managed care (benefits): Caregiver Family Supprts and Serivces, Pre-Vocational Services, Community self-advocacy training and support, Supported Employment, Palliative care pain & symptom management, Palliative care bereavement serivce, Palliative care massage therapy, Palliative care expressive therapy, Respite (planned & crisis), Day Habilitation, Community Habilitation, Accessibility Modifications, Adaptive and Assistive equipment, Non-Medical Transportation, Customized Goods & Serivces. |
10/1/2019 |
| 1915(c) Waiver children are mandatorily enrolled in managed care (population) |
10/1/2019 |
| Sexual Dysfunction/ED Drugs |
9/1/2019 |
| Infertility Benefit |
10/1/2019 |
| Childrens HCBS: |
7/1/2019 |
| Office of Addition Supports and Services (OASAS) Residential Serivces (Part 820): Children Under Age 21 |
7/1/2019 |
| OASAS Opioid Treatment Program Services (Part 822): Children Under Age 21 |
7/1/2019 |
| OASAS Outpatient-Rehabilitation Programs (Part 822): Children Under Age 21 |
7/1/2019 |
| OASAS Outpatient-Clinic (part 822); Children Under Age 21 |
7/1/2019 |
| Partial Hospitalization:Children Under Age 21 |
7/1/2019 |
| Family Peer Support Services (new Children Family Treatment and Support Services (CFTSS)): Children Under Age 21 |
7/1/2019 |
| Personalized Recovery Oriented Services (PROS): Children Under Age 21 (minimum age 18-20) |
7/1/2019 |
| Continuing Day Treatment: Children Under Age 21 (minimum age 18-20) |
7/1/2019 |
| Assertive Community Treatment (ACT): Children Under Age 21 (minimum age 18-20) |
7/1/2019 |
| Office of Mental Health (OMH) Designated Serious Emotional Disturbance (SED) Clinics: Children Under Age 19 |
7/1/2019 |
| Supplemental Security Income (SSI) benefits for Children Under Age 21; OASAS Chemical Dependence Inpatient Rehabilitative, Comprehensive Psychiatric Emergency Program (CPEP) including Extended Observation Bed, Inpatient Psychiatric Services, OMH Outpatient Services, Psychiatric Services, Psychological Services, Children and Family Treatment and Support Serivces (CFTSS) including: Other Licensed Practitioner (OLP); Psychosocial Rehabilitation (PSR); Community Psychiatric Treatment and Supports (CPST). Second generation lon acting injectables antipsychotics and naltrexone extended release suspension under both the Pharmacy and Medical benefit. |
7/1/2019 |
| 3 Children and Family Treatment and Support Services (CFTSS) carved into MMC: other licensed practitioner (OLP), psychosocial rehabilitation, community psychiatric treatment and supports |
1/1/2019 |
| 2018 |
| CFCO Begin indentification of CFCO eligible enrollees; benefits available in managed care and FFS |
4/1/2018 |
| Harm Reduction |
7/1/2018 |
| 2017 |
| Clotting Factor |
7/1/2017 |
| Transgender population eligible to enroll in SNP |
11/1/2017 |
| 2016 |
| Behavioral Health Home and Community Based Services for (BH HCBS) eligible individuals enrolled in a Health and Recovery Plan (HARP) - Adults in Rest of State |
10/1/2016 |
| Passive enrollment into a Health and Recovery Plan (HARP) - Adults in Rest of State |
7/1/2016 |
| OASAS Services (BH) - Adults in Rest of State |
7/1/2016 |
| OMH Services (BH) - Adults in Rest of State |
7/1/2016 |
| Behavioral Health Home and Community Based Services (BH HCBS) for eligible individuals enrolled in a Health and Recovery Plan (HARP) - Adults in New York City |
1/1/2016 |
| 2015 |
| Nursing Home Voluntary Enrollment in MMC for adults in long term placement prior to the applicable county phase in date |
10/1/2015 |
| Passive enrollment into a Health and Recovery Plan (HARP) - Adults in New York City |
10/1/2015 |
| OASAS Services (BH) - Adults in New York City |
10/1/2015 |
| OMH Services (BH) - Adults in New York City |
10/1/2015 |
| Injectable Atypical Antipsychotic Drugs (Ability Maintena, Risperdal Consta, Invega Sustenna, Zyprexa Relprevv) for SSI and SSI-related individuals |
10/1/2015 |
| Nursing Home benefit (Phase 3 - Rest of State) |
7/1/2015 |
| Adults new to Medicaid or currently enrolled in a managed care plan and needing Nursing Home services (Phase 3 - Rest of State) |
7/1/2015 |
| Nursing Home benefit (Phase 2 - Nassau, Suffolk, and Westchester Counties) |
4/1/2015 |
| Adults new to Medicaid or currently enrolled in a managed care plan and needing Nursing Home services (Phase 2 - Nassau, Suffolk, and Westchester Counties) |
4/1/2015 |
| Nursing Home benefit (Phase 1 New York City) |
2/1/2015 |
| Adults new to Medicaid or currently enrolled in a managed care plan and needing Nursing Home services (Phase 1 - New York City) |
2/1/2015 |
| 2014
|
| HIV genotypic and phenotypic drug resistance tests and viral tropism testing |
4/1/2014 |
| 2013 |
| Hospice Services |
10/1/2013 |
| Adult Day Health Care |
8/1/2013 |
| AIDS Adult Day Health Care |
8/1/2013 |
| Directly Observed Therapy for Tuberculosis & Inpatient TB Therapy ordered by Local Health Commissioner |
8/1/2013 |
| Individuals enrolled in the Long Term Home Health Care Program (LTHHCP). |
4/1/2013 |
| Individuals participating in the Medicaid Buy-in for the Working Disabled (no premium and premium pay) |
4/1/2013 |
| Non-agency foster care children living in the community placed by the local department of social services (LDSS) (Upstate only) |
4/1/2013 |
| Medical Social Services (only for individuals transitioning from LTHHCP to MMC) |
4/1/2013 |
| Home Delivered Meals (only for individuals transitioning from LTHHCP to MMC) |
4/1/2013 |
| 2012 |
| Consumer Directed Personal Assistance Services (CDPAS) |
11/1/2012 |
| Individuals receiving Consumer Directed Personal Assistance Services (CDPAS) |
11/1/2012 |
| Orthodontia for children with severe handicapping malocclusions |
10/1/2012 |
| Individuals with characteristics or needs similar to those receiving services through an home and community based services (HCBS)/traumatic brain injury (TBI), HCBS/care at home (CAH), LTHHCP, or intermediate care facility (ICF)/developmental disability (DD) waiver program |
9/1/2012 |
| Dental |
7/1/2012 |
| Individuals with end stage renal disease |
4/1/2012 |
| Individuals receiving services through the Chronic Illness Demonstration Program |
4/1/2012 |
| Homeless persons (non-duals) |
4/1/2012 |
| Infants weighing less than 1,200 grams at birth or disabled less than 6 months of age |
4/1/2012 |
| Personal Emergency Response System |
1/1/2012 |
| 2011 |
| Pharmacy |
10/1/2011 |
| Individuals with a relationship with a primary care provider not participating in any managed care plan |
10/1/2011 |
| Individuals living with HIV (upstate) |
10/1/2011 |
| Individuals without a choice of primary care provider within 30 minutes/30 miles |
10/1/2011 |
| Non-SSI severly and persistently mentally ill (SPMI) adults and non-SSI SED children |
10/1/2011 |
| Individuals temporarily living outside their home district |
10/1/2011 |
| Pregnant women with prenatal care provider not participating in any managed care plan |
10/1/2011 |
| Persons receiving Mental Health Family Care |
10/1/2011 |
| Individuals who cannot be served due to a language barrier |
10/1/2011 |
| Individuals with chronic medical issues with specialist provider not participating in any managed care plan |
10/1/2011 |
| Restricted Recipient Program Individuals |
8/1/2011 |
| Personal Care Services (except CDPAS and personal emergency response service (PERS)) |
8/1/2011 |
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