Children and Family Treatment and Support Services/Home and Community Based Services

Identify HCBS Access Issues by Health Home care managers and C-YES coordinators:

The purpose of this survey is to identify barriers to accessing Children's HCBS and report issues to the State in real time. HHCM/C-YES complete for all Children's HCBS referrals, one per provider only when referrals are not successful.

The designation process remains open and providers may continue to apply to be designated. The list will be continuously updated to reflect the addition of newly designated providers and for expansions in the array of approved services a provider may be designated to offer.

Sort by County instructions
To sort by a specific county or multiple counties, the Excel sheet should be filtered as follows:

  1. Select the filter for "County Served" and uncheck "Select All."
  2. Type the name of the county you are searching. For example: "Albany." Click "OK" or hit Enter. All provider sites serving Albany County will be displayed.
  3. If you would like to add an additional county, for example if you want to see all provider sites serving Albany and Schenectady counties, select the filter for "County Served" again and type the next county ("Schenectady") and check the box to "Add current selection to filter" and click "OK". Do NOT simply click the names of the counties in the filter's drop down box, as this will ONLY display selections where the county checked is the only county listed.
  4. Repeat for as many counties as you would like to include in your search.

Designated Children's HCBS and CFTSS Providers - (XLSX) - May 26, 2023

Designated Children's Crisis Intervention Provider Contacts and Hours of Operation - Revised February 2023 (XLSX)

The links below offer policies and guidance related to the provision of Children's HCBS. Please note, this is not an exhaustive list, and providers are encouraged to explore the 1915c website in its entirety to discover all policies related to Children's HCBS. If you're a newly designated Children's HCBS provider, refer to the New York State Children's Waiver Designated Home and Community Based Services (HCBS) Provider Attestation for required action needed before providing services. Questions about these requirements can be sent to

Children's HCBS Providers must establish an HCS account to enable them to complete background checks and access the Incident Reporting And Management System (IRAMS), etc. The Department will help to establish HCS accounts for providers following HCBS designation, including the IRAMS linkage referenced below. Please reach out to for assistance.

Children's HCBS Providers are subject to specific background checks, as outlined in policy CW0001. The Department will help to facilitate onboarding and account creation to comply with these requirements following HCBS designation. Please reach out to for assistance.

Children's HCBS Providers are required to submit reportable incidents, complaints, and grievances through the Incident Reporting and Management System (IRAMS), as outlined in the policies below. This requires access to HCS and IRAMS. The Department will help to facilitate onboarding and account creation to comply with these requirements following HCBS designation. Please reach out to for assistance.

Children's HCBS providers are required to report on the capacity of HCBS by county, service and waitlist in the Children's Services Capacity Tracker, which is located within the Incident Reporting and Management System (IRAMS), which is housed in a secure platform of the Health Commerce System (HCS). Access and connectivity will be facilitated by the Department as part of HCS and IRAMS onboarding. Please reach out to for assistance.

  • New York State Children's Health and Behavioral Health Services Billing and Coding Manual - (Web) - (PDF) - Version 2021-1 March 10, 2021
  • Medicaid Provider Enrollment for Individual Practitioners and Designated Agencies - (Web) - (PDF) - March 8, 2019
  • Medicaid Enrollment: - Providers must be enrolled as a Medicaid provider with COS 0268 prior to provision of Children's HCBS
  • Medicaid Managed Care Billing Overview: - HCBS providers must contract with at least one (1) Managed Care Plan

The State is available to provide technical assistance to new and existing HCBS providers at any time. Newly designated HCBS providers who have been designated through the Non-licensed/Designated/Certified Designation Policy should expect to have a check-in meeting with the State around 6 months from the date of their Formal Designation Meeting.

In addition to individual meetings with the State, HCBS providers are encouraged to participate in monthly State Discussion with HCBS Provider webinars. Links to previously held webinars can be found here:

To request technical assistance, or register to attend a monthly webinar, contact

Beginning July 1, 2018, providers must be designated through this process to provide newly aligned Children's SPA/HCBS services under the NYS Medicaid program (both fee-for-service Medicaid and Medicaid Managed Care):

Children and Family Treatment and Support Services: Other Licensed Practitioner, Crisis Intervention, Community Psychiatric Supports and Treatment, Psychosocial Rehabilitation, Family Peer Support Services, Youth Peer Support and Training

HCBS: Caregiver Family Supports and Services, Crisis Respite, Planned Respite, Supported Employment, Community Self-Advocacy Training and Support, Habilitation, Palliative Care, Prevocational Services


  • State Agency Partners will prioritize reviews of applications from current 1915(c) waiver providers.
  • NYS anticipates sending out designation letters to current system providers beginning late May 2018.
  • Lists of designated providers will be posted online. This list will be utilized by Medicaid Managed Care Plans to develop networks for service provision.
  • For applications that were submitted prior to the June 14, 2017 modification date, resubmission is not necessary an e-mail notification will be sent by NYS requesting additional information.

Contracting, credentialing, and claims testing typically take approximately nine months in total. Delays in submission of the application to NYS may result in delay dependent contracting, credentialing, and claims testing work.

What You Need Before Completing the Application

This application requires providers to have:

  • A user ID (granted by the NYS OMH)
  • A Facility Code

Obtaining Access to the New York State Children's CFTSS/HCBS Designation Application - May 10, 2019

The New York State (NYS) agencies including the Department of Health (DOH), Office of Alcoholism and Substance Abuse Services (OASAS), Office of Children and Family Services (OCFS), Office of Mental Health (OMH), and the Office for People With Developmental Disabilities (OPWDD) are pleased to announce the re–release of the Children´s State Plan (SPA)/Home and Community Based Services (HCBS) Provider Designation Application. The designation application is available at: