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Office of Mental Health

Medicaid Managed Care Crisis Intervention

Crisis Intervention

The New York State Office of Mental Health and NYS county leadership, with input from various stakeholders, have developed a shared vision of a coordinated behavioral health crisis response system available to all New Yorkers, regardless of ability to pay.  This system will integrate existing crisis infrastructure (state-, local- and Medicaid-funded) with newly available resources in managed care, DSRIP, and VBP.

The goals of this system are to:

  1. Maintain people safely in the community;
  2. Reduce unnecessary emergency room visits and inpatient hospitalizations;
  3. Reduce risk of future crises; and
  4. Coordinate information sharing among clinicians, recipients, and involved family members to reflect recipients’ preferences.

Services are meant to be delivered in trauma-informed, recovery-oriented and culturally and linguistically competent ways.


County Mobile Crisis Response Planning

The crisis response system will vary by region due to differences in local resources and variations in local need.

Local and/or regional crisis response systems will integrate with:

  • Crisis hotlines
  • Mobile crisis services
  • Emergency rooms
  • CPEPs
  • Residential crisis programs
  • Crisis stabilization centers
  • Behavioral health services and programs

These systems will coordinate with law enforcement, community-based organizations, schools, and other entities.

OMH is developing a range of new Crisis Intervention Services for children and adults under its demonstration authority. Medicaid Managed Care Organizations (MMCOs) must reimburse for these services.


Crisis Intervention Services

Mobile Crisis Services

Mobile Crisis Rates

The goals of these services are engagement, symptom reduction, and stabilization. Services are provided to an adult or child who is experiencing or is at imminent risk of experiencing a psychiatric or substance use (behavioral health) crisis.

Services include:

  • Telephonic triage and crisis response
  • Mobile crisis response
  • Telephonic crisis follow up
  • Mobile crisis follow up

Residential Crisis Services (Guidance to be released)

Short term residential support to individuals who are experiencing or are at risk of experiencing a mental health crisis.

Services include:

  • Residential Crisis Support
  • Intensive Crisis Residence
  • Children’s Crisis Residence

Crisis Stabilization (Guidance to be released)

This program is under development.

Please direct any questions related to these services to: crisis.initiative@omh.ny.gov
Please direct any billing questions related to these services to: bho@omh.ny.gov

 

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.