CLARIFICATION to the Children’s Medicaid Waiver Transition to Health Home Care Management Guidance specifically for Transitioning 1915c DOH and OPWDD Care at Home Waiver Providers
The New York State Department of Health sent out an updated guidance report to clarify the Level of Care requirements issued in the January 11, 2019 guidance document. The updated guidance will affect all transitioning 1915c Waiver providers regarding the documentation requirements for Care Management staff (OMH ICC, OCFS HCI, DOH/OPWDD case management and Health Home (HH) care management) as it relates to their care coordination activities during the transition period of January 2019 through March 31, 2019 while transitioning children within the current six waivers (listed below) into Health Home (HH) care management or the Independent Entity (IE).
• OMH SED HCBS 1915(c) waiver
• DOH Care at Home (CAH) I/II 1915(c) waiver
• OPWDD Care at Home 1915(c) waiver
• OCFS Bridges to Health (B2H) SED 1915(c) waiver
• OCFS B2H Medically Fragile 1915(c) waiver
• OCFS B2H DD 1915(c) waiver
The current six waivers and their authority are still in place during the transition period of January 2019 through March 31, 2019. Current waiver care management requirements and billing procedures remain intact for children who continue to receive care management services of OMH ICC, OCFS HCI or DOH/OPWDD case management services.
Please read the attached document for further clarification on the level of care determination and documentation: CLARIFICATION to the Children’s Medicaid Waiver Transition.