Children’s Medicaid Transformation Update

Over the past several years, New York State has undertaken a comprehensive Children’s Medicaid and Behavioral Health System Transformation initiative to redesign the health care and social services available to children enrolled in Medicaid. The major objectives of the Transformation include:

  • Implementing Health Home Care Management for children;
  • Creating a new single set of Children and Family Treatment and Support Services, formerly known as State Plan Amendment (SPA) services;
  • Integrating and aligning of the multiple existing 1915(c) Home and Community-Based Services (HCBS) waivers into a single Children’s HCBS package;
  • Expanding HCBS eligibility for children;
  • Carving into managed care various previously-excluded children’s services; and
  • Transitioning children in the care of Voluntary Foster Care Agencies to managed care.

Attached is a summary of the current state of these parts of the Transformation as of July 2018, along with the latest issue of the State’s Children’s Health and Behavioral Health System Transformation Update. Additional resources on the Children’s Transformation are available here.