Children’s System Transformation

Children’s Medicaid Health and Behavioral Health System Transformation

Transformation of the Children’s Medicaid Health and Behavioral Health System is scheduled to begin on January 1, 2019.  Key Components of the Transformation, pending federal approval, include:

  • Transition of six 1915(c) waivers to 1115 Waiver authority

• Office of Mental Health (OMH) Serious Emotional Disturbance (SED) Waiver;
• Department of Health (DOH) Care at Home (CAH) I/II waiver
• Office for People with Developmental Disabilities (OPWDD) Care at Home Waiver
• Office of Children and Families (OCFS) Bridges to Health (B2H) SED, Developmental
Disability (DD) and Medically Fragile Waivers

  • Alignment of 1915(c) HCBS under one array of Home and Community Based Services (HCBS) authorized under 1115 Waiver
  • Transition to Health Home Care Management

• Current 1915(c) Waiver Providers Transition to Health Home
• Care Management provided under 1915(c) Transition to Health Home Care Management

DOH Resources

  • Additional details on the Transformation are available on the DOH Web Site.

NYS Council Advocacy

The NYS Council has been an active member of the Children’s Behavioral Health MRT Committee and has been providing comments all along the way related to the transformation.  Specifically, we have submitted the following comment letters: