Hi everyone – This OMH letter tells you which settings are NOT approved (and will never be) and which are conditionally approved for the provision of HCBS for the clients who live in them. You MAY provide HCBS to the clients who live in the conditionally approved settings.
If, after the mandatory surveys are returned and analyzed, the conditional setting is not ultimately approved, NYS will pay back any federal share of Medicaid that was billed on behalf of any clients who live in those settings, so that the providers and the Managed Care Companies will not be penalized.
FROM DOH:
Included you will find recent MCO and HH Guidance Memo on the Behavioral Health Home and Community Based Services Residential settings rules.
Any questions related to this guidance can be directed to : [email protected]
Thank you
Health Home Program
Division of Program Development and Management
New York State Department of Health
Office of Health Insurance Programs
Corning Tower (OCP 720)
Albany, NY 12237
Tel: 518-473-5569