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Office of Mental Health

Adult Behavioral Health Home and Community Based Services (BH HCBS) Overview

BH HCBS Provider Manual

BH HCBS Service Standards

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



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

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)

    *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.

    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.