Are Adult HCBS certification and provider qualifications, requirements or guidelines? Do all criteria need to be met? Can staff waivers be obtained and if so how?
New York State HCBS certification and provider qualifications are requirements. All criteria must be met and at this time there are no staff waivers.
If a provider were to use a certified peer from an existing program, would it affect the staffing plan of that program, e.g. a peer from a PROS program providing an adult Behavioral Health Home and Community Based Service (BH HCBS). Will peer time for the BH HCBS be subtracted from PROS staffing plan?
Yes. Sharing staff between your adult BH HCBS and other certified programs is allowed; however, the total time (FTE) that an employee spends on BH HCBS must be separated out on the CFR, and the PROS staffing plan must account for this.
How will adult HCBS services fit into a community with a PROS (Personalized Recovery Oriented Services) program? When would a client be appropriate for Home and Community Based Services (HCBS) versus PROS?
When choosing when, where, and how to receive services, individuals should be provided with the opportunity to make an informed choice. PROS is a comprehensive and integrated service model that is able to support multiple goals. BH HCBS may be appropriate for individuals who want to work in the community on 1-2 goals, who are averse to attending a program, or who require 1:1 services that a PROS program cannot sustain. The individual, together with his or her Health Home Care Manager and Managed Care Organization (MCO), will determine whether PROS or BH HCBS are more appropriate to help him or her attain or maintain his or her goals. Additionally, there are certain BH HCBS (such as Peer Support and Education Support Services) that can be provided to an individual who is enrolled in PROS.
Waiver capacity will remain the same upon the initial implementation. Capacity may be expanded beginning July 2019, based on global spending cap allowances.
Are the children's HCBS pre-service training requirements expected to be completed by staff by 4/1? What happens if these are not completed by then?
Staff members are required to complete Mandated Reporter training prior to delivering HCBS.
Training to be Completed within Six (6) Months of Children’s Waiver Implementation for Existing Staff or within Six (6) Months of Hire for New Staff.
For staff hired before April 1, 2019, the following training must be completed within six (6) months of the 1915(c) Children’s Waiver implementation on April 1, 2019. For staff hired on or after April 1, 2019, the following training must be completed within six (6) months of hire date. • Personal Safety/Safety in the Community • Strength Based Approaches • Suicide Prevention • Domestic Violence Signs and Basic Interventions • Trauma Informed Care
These trainings must be completed by staff providing all HCBS except Youth Peer Support and Training (YPST), Family Peer Support Services (FPSS), and Crisis Intervention (CI).
All training records of staff must be recorded and maintained for auditing purpose.
Will prior training be accepted to meet the children's HCBS pre-service training requirements?