New York State released the RFQ for Rest-of-State (outside of NYC) MCOs and HARPs. This is the document that the Managed Care Companies must respond to in order to become qualified to operate as Medicaid Managed Care Companies for Behavioral Health and to become a HARP. An MCO operating now as a Medicaid MC Company for health cannot refuse to be a Medicaid MC company for BH. They must qualify or leave NY as a Medicaid Managed Care Company. However, they are not mandated to become a HARP.
This is an extensive document that we expect closely mirrors the one sent out to the NYC companies. It is 162 pages long. It is worth perusing because you will do business with MC companies if you are going to be an HCBS provider, or if you have clinic, PROS, HH, etc. However, if your Medicaid reimbursement comes only from residential then you have time before that benefit goes in to Managed Care – the state plans for residential to go in one year after the rest of the services, however, I think the timing will depend on how smoothly these first transitions go.
View the document here.