Explanation of Initial HARP Enrollment Process
HARP Enrollment Eligibility
New York State identifies people eligible to enroll in a Health and Recovery Plan (HARP) based on factors such as past Medicaid use.
For more information, see:Behavioral Health High-Risk Eligibility Criteria and Assisting Eligible Individuals with HARP Enrollment.
- Some Medicaid managed care plans have a HARP. People who are HARP-eligible and enrolled in one of these plans do not need to do anything to join a HARP.
- This group will get notice from NYS about their HARP and have 30 days to opt-out or can choose to enroll in another HARP.
- HARP eligible enrollees of a Medicaid Managed Care Plan that does not offer a HARP must take action to join a HARP. These people will receive a notice from NYS telling them how to join a HARP.
- For a list of HARPs, refer to the MCTAC Plan Matrix or contact NY Medicaid Choice.
Once Enrolled in a HARP
- Members have 90 days to choose another HARP or return to their previous plan.
- After 90 days, members are locked into their HARP for nine additional months (one year total from enrollment).
- People enrolled in an HIV Special Needs Plan (SNP) will be notified of their HARP eligibility by NYS.
- HIV SNP enrollees may receive all services they are eligible for, including Adult Behavioral Health Home and Community Based Services (BH HCBS) and Community Oriented Recovery and Empowerment (CORE) Services.
Resources
Sample HARP Enrollment Letters:
Please contact OMH Managed Care with any questions, comments or problems you may be experiencing with this site. If you would like to file a complaint about behavioral health managed care, please visit the Information on Filing a Complaint Page. Providers, if you have any questions about the managed care implementation, please complete and send a question form.