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Office of Mental Health

Children’s Health and Behavioral Health System Transformation

New York State envisions an integrated children’s healthcare system where there is “no wrong door” for children/youth experiencing complex needs.

The Children’s Health and Behavioral Health Medicaid System Transformation will restructure the health care delivery system for individuals under 21 that have behavioral health (BH) needs and/or complex medical conditions.

Join the Children’s System Transition Listserv to get news on policy, training, and other updates.


Child/Youth and Family Education and Outreach

The NYS Children’s System Transformation; A Discussion with Children and Families

Children and Family Treatment and Support Services:

CFTSS Consumer Video

News Release: January 2, 2019

CFTSS Brochure (Español | العربية | 繁體字 | 简体中文 | Français | Kreyòl Ayisyen | Italiano | 한국어 | Русский | اردو)

CFTSS Fact Sheet

CFTSS Frequently Asked Questions (FAQs)

CFTSS Palm Cards (Sheet)

CFTSS Poster Series

Children's Home and Community Based Services

HCBS Brochure (Español| العربية | 繁體中文 | 简体中文 | Français | Kreyòl Ayisyen | Italiano | 한국어 | Русский | اردو)

HCBS Q&A

HCBS to CFTSS Cards


Children’s Medicaid Managed Care Organization (MMCO) Qualifications

To ensure Medicaid Managed Care Plans can meet the needs of the children´s Medicaid populations, Plans are reviewed and qualified against new administrative, performance, and fiscal standards.

NYS Children´s Standards Cover letter

Children´s MC Plan Requirements and Standards

Data Book for Children´s BH and HCBS populations


Children and Family Treatment and Support Services (CFTSS)

These new services will meet children’s needs and increase access to services. They can work by themselves or with other services. This depends on the needs of each child/youth and family.

Any child who is eligible for Medicaid and has a behavioral health need can access services with more flexibility and choice.

Anyone can make a referral for service. A licensed practitioner must make the determination for access and service provision.

Find an OMH CFTSS Provider

Designated CFTSS Providers

CFTSS Provider Manual

SAMPLE Recommendation Form for LPHAs

OMH Clinic and OLP Services

OLP Evaluation Memo

CFTSS Collateral Contact

Health Record Documentation

Pathways to Care Resource

Provider Designation

Provision in Community Residences

Reporting CFTSS Incidents

NIMRS Reporting for CFTSS

Unlicensed CFTSS Oversight Policy


Children’s Home and Community Based Services

HCBS offer support to children and allow them to remain at home and in the community. They provide person-centered care and value individual strengths, preferences, needs, and desired outcomes.

Children and families can choose from a collection of service options and providers. Services are provided in a flexible, complimentary package that develops over time to meet the changing needs of children.

Children’s HCBS Guidance  

Provider Designation


Children’s Provider Readiness Funding

The NYS Office of Mental Health, Office of Alcoholism and Substance Abuse Services, and Office of Children and Family Services have provided $3.5 million in readiness funding.

These dollars are for behavioral health providers participating in the Children’s Medicaid System Transformation. Funding is intended to make sure that providers are ready to deliver new children’s services and bill for those services.

Readiness Funding is available for designated providers identified by New York State who meet specific criteria.

Readiness Funding has been broken out into five different areas:

All questions or complaints regarding Behavioral Health Medicaid Managed Care should be submitted to the OMH Division of Managed Care using the OMH MC Question/Complaint Form. This ensures all questions or complaints submitted can be reviewed and responded to by appropriate staff within OMH and/or the Department of Health.