• Children's Home and Community Based Services (HCBS) Waiver Eligibility and Enrollment Policy #CW0005 - (Web) - (PDF) - January 23, 2024
• Palliative Care - Counseling and Support Services and Health Home Care Management - (Web) - (PDF) - Dec 2021; updated November 2022
• Complaint and Grievance Policy for Health Homes Serving Children #HH0013 - (Web) - (PDF) - Effective November 2022
• Children's Waiver HCBS Policies - (Web) - (PDF) - February 2021
• Participant's Rights and Choice Policy #CW0009 - (PDF) - Effective April 1, 2021
• Children's Home and Community Based Services (HCBS) Waiver Disenrollment Policy #CW0006 - (PDF) - Effective April 1, 2021
• Transfer Referral Process between the C-YES and HHSC Policy #CW0007 - (PDF) - Effective February 1, 2021, Updated November 2022
  • Transfer Referral Form for C-YES, HH, and CMA - (PDF)
  • Opt-in to HH form completed by C-YES - (PDF)
  • HH/C-YES Transfer Policy Webinar Slides - PDF | Recording (YouTube) - January 2021
• Conflict-Free Case Management Policy #HH0012 - (Web) - (PDF) - Updated: November 2022
• Health Home Monitoring: Reportable Incidents Policies and Procedures #HH0005 - (PDF) - Revised November 15, 2021

More information about Health Homes can be found on the Medicaid Health Homes page.

• End of PHE Children's HCBS Level of Care (LOC) Eligibility Determination Flexibility - January 26, 2023
  • PHE Account for non HCBS LOC Reassessments (XLSX)
• Process for Renewing and Establishing Medicaid for Children's Waiver Participants - March 2020 (PDF)
• Care Management Requirements for HCBS Eligible Children (PDF)
• Medicaid Status Impact on HCBS Eligible Children (PDF)
• Children's Medicaid Spend-down Coverage Guidance - May 2020 (PDF)
• HCBS Determination for RTF and State PC Discharge Guidance (PDF)
  • Patient Resources Administration List (PDF)
• Children's Waiver and Nursing Services Guidance (PDF) - July 2019
• Consolidated Children's Waiver and Medicaid Case Processing Requirements 19 OHIP/ADM-02 (PDF) - May 10, 2019

• Home and Community Based Services (HCBS) Level of Care Eligibility Determination Process - (YouTube) - (PDF) - February 2021
• Palliative Care Bereavement Counseling and Bereavement Coordination by HH - (PDF) | Recording (YouTube) - December 2021 (PDF)
• Plan of Care & Person Centered Planning Requirements - April 2021 (PDF)
• Incident Reporting and Management System (IRAMS) User Introduction for Health Homes and Care Management Agencies - PDF | Recording (YouTube) - March 2021 (PDF)
• Incident Reporting and Management System (IRAMS) User Introduction for HCBS Providers and C-YES - PDF | Recording (YouTube) - March 2021 (PDF)
• Children's Waiver Reporting for Critical Incident and Complaints & Grievances - PDF | Recording (YouTube) - March 2021 (PDF)
• Children's Waiver Enrollment and Disenrollment Webinar - PDF | Recording (YouTube) - March 2021 (PDF)
• Home and Community Based Services (HCBS) Level of Care Eligibility Determination Process - PDF | Recording (YouTube) - February 2021 (PDF)
• Participant Rights and Choice Webinar - PDF | Recording (YouTube) - February 2021 (PDF)
• Conflict Free Care Management Webinar - PDF | Recording (YouTube) - February 2021 (PDF)
• Medicaid and the Children's Waiver Webinar - PDF | Recording (YouTube) - January 2021 (PDF)
• Understanding Medicaid Webinar - PDF | Recording (YouTube) - January 2021 (PDF)
• Understanding Care Management Requirements and Medicaid Status Impact Regarding HCBS Eligible Children/Youth Webinar (External Link) - October 31, 2019

• Third Party Health Insurance Frequently Asked Questions - March 2021
• Annual HCBS LOC Requirement and Reconcile Process - September 30, 2019

• DOH-5287 - Notice of Decision For Enrollment or Denial of Enrollment in the New York State 1915(c) Children's Waiver (PDF)
• DOH-5288 - Notice of Decision For Discontinuance in the New York State 1915(c) Children's Waiver (PDF)