Children and Family Treatment and Support Services

SPA services are Rehabilitative services under the EPSDT benefit and available to children/youth under the age of 21 who are Medicaid eligible, that meet medical necessity. All SPA services can be delivered in the community where the child/youth lives, attends school, and/or engages in services. Proposed services include: Other Licensed Professional (OLP), Crisis Intervention, Community Psychiatric Supports and Treatment (CPST), Psychosocial Rehabilitation Services, Family Peer Support Services, Youth Peer Advocacy and Training. Some website content may include outdated information. Please refer to date posted for historical reference. Content will be updated in an effort to include the most recent material.

  • Effective Changes to the Children´s Waiver of Home and Community Based Services (HCBS) and Children and Family Treatment and Support Services (CFTSS)
    (Web) - (PDF) - April 2020
  • Requirements for Service Providers Delivering Children and Family Treatment and Supports Services (CFTSS) and Children´s Home and Community Based Services (HCBS)
    (Web) - (PDF) - March 2020
  • COVID-19 Guidance for Designated Children and Family Treatment and Support Services´ Providers
    (Web) - (PDF) - March 2020
  • Guidance for Providers Regarding Student Interns and Limited Permits for CFTSS and HCBS
    (Web) - (PDF) - June 2019
  • CFTSS Provider Guidance: Health Record Documentation
    (Web) - (PDF) - June 2019
  • Allowable Licensed Practitioners of the Healing Arts (LPHA) Memo
    (Web) - (PDF) - June 18, 2019
  • NYS Children´s Medicaid Children and Family Treatment and Support Services Brochure - (PDF) - October 19, 2018
  • Children and Family Treatment and Support Services Provider Manual for EPSDT Services - (PDF) - Updated January 9, 2019
  • Other Licensed Practitioner (OLP) Memo
    (Web) - (PDF) - April 18, 2019
  • SPA Distinction Chart - (Web)

Children and Family Treatment and Support Services:

  • Crisis Intervention Rate Summary (Web) - (PDF) - June 17, 2020
  • FPSS and YPST Rate Summary (Web) - (PDF) - June 17, 2020
  • OLP, CPST, PSR Rate Summary (Web) - (PDF) - June 8, 2020

Children and Family Treatment and Support Services

The State has approved the following Concurrent Review Authorization Request Form for Children and Family Treatment and Support Services (CFTSS). The form was developed in collaboration with providers and Medicaid Managed Care Plans (MMCPs) as a sample template to capture the necessary information to substantiate medical necessity. CFTSS do NOT require Prior Authorization, however some MMCPs will require concurrent review authorization after the first three visits.  This form can be used by providers who are making concurrent review authorization requests to MMCPs.

As a reminder, MMCPs are not permitted to conduct any utilization management of CFTSS for the first 90 days after implementation.

A list of MMCP specific authorization requirements can be found here.