Adult BH HCBS can help you achieve your life goals and be more involved in your community.

These services can help with:

Independence
Daily Living and Social Skills

• Gain or Regain life skills like making social connections or budgeting
• Learn how to advocate for yourself and negotiate relationships
• If needed, get treatment and rehabilitation services in your own home

Education and Employment

• Individual Employment Support
  • Choice of employment goal and benefits counseling
  • Support in finding and keeping a job
  • Support to help you stay on the job and start career planning
• Education support to start, return to, or graduate from school to learn skills to get or keep a job

Adult BH HCBS Brochure

Arabic | Chinese | English | French | Haitian Creole | Italian | Korean | Russian | Spanish | Urdu

Eligibility

BH HCBS are available for people 21 and over who are enrolled in a Medicaid Managed Care (MMC) Health and Recovery Plan (HARP) and found eligible after completing the NYS Eligibility Assessment.

People enrolled in a Special Needs Plan (SNP) may also be eligible for BH HCBS

NYS Eligibility Assessment

• NYS Eligibility Assessments are completed with Health Home Care Managers or State Designated Entities
• HARP members and their care managers use the NYS Eligibility Assessment to develop a Person-Centered Plan of Care
• After the assessment, care managers work together with HARP members to identify and select Home and Community Based Services to include in the Plan of Care.

Information and Guidance on Increasing Access to BH HCBS is available at Adult Behavioral Health Managed Care Policy, Guidance, and Resources.

Recovery Coordination (State Designated Entities)

• Recovery Coordination (State Designated Entity) Policy
• Adult BH HCBS Plan of Care Template for Recovery Coordinators
• Claiming and Documentation for Recovery Coordination Agencies
• Continuity of Care for Adult BH HCBS
• List of Recovery Coordination Agencies*

*This is a list of all RCAs to date that have a contract with at least one MCO. These agencies receive referrals - from the MCO or a community provider - for HARP members who need a NYS Eligibility Assessment and a Plan of Care developed for BH HCBS.

Note: The RCA list is for informational purposes only. This list is not updated regularly. Members and/or referring providers should contact the member’s MCO for a list of their contracted RCAs and most up-to-date information.

Adult BH HCBS Resources

• BH HCBS Provider Manual (Updated 9/26/2022)
• BH HCBS Service Standards (Updated 10/18/2022)
• Continuity of Care for BH HCBS
• BH HCBS Plan of Care Workflow
• Oversight and Monitoring Policy
• Pre-Employment Checks for OMH Providers
• Provider Terms and Conditions
• Staff Training Requirements
• Non-Medical Transportation Guidance
• 14 NYCRR part 595 Subregulatory Guidance
• OMH Systemic Chart