A Health and Recovery Plan is a Medicaid managed care insurance plan that manages physical health, mental health, and addiction services in an integrated way for adults with significant behavioral health needs (mental health or addiction).

HARPs must be qualified by New York State and must have specialized expertise, tools, and protocols that are not part of most health insurance plans.

What do HARPs do?

• HARPs manage Medicaid services for people who need them.
• HARPs also manage an enhanced benefit package which includes Adult Behavioral Health Home and Community-Based Services (BH HCBS) and Community Oriented Recovery and Empowerment (CORE) Services .
• HARPs provide enhanced care management for members to help coordinate physical health, behavioral health, and non-Medicaid support needs.

Who is eligible for HARP?

People must be 21 or older and be eligible for Medicaid managed care to join a HARP. People must also meet the NYS behavioral health high-risk criteria to enroll in a HARP. People who are eligible will get a letter in the mail from NYS or New York Medicaid Choice. Check the DOH Managed Care Organization (MCO) Directory by Plan page to see which HARPs are available where you live.

• Explanation of Initial Enrollment Process
• Assisting Eligible Individuals with HARP Enrollment
• Behavioral Health High-Risk Eligibility Criteria
• HARP Eligibility and H-code Descriptions
• HARP and Nursing Home Placement- Quick Reference

Care Management is an important part of being in a HARP

• People enrolled in a HARP must be offered care management through a Health Home designated by New York State.
• People working with their care manager will determine which behavioral health services, including CORE Services, are right for them.
• Care managers can also help people determine which Adult BH HCBS they are eligible for.

HARP Resources

HARP brochures and other program materials can be found on the New York Medicaid Choice website.