Can adult Behavioral Health Home and Community Based Services (BH HCBS) be provided in group settings?
The only BH HCBS that may be provided in groups are Psychosocial Rehabilitation Services and Family Support & Training services. All other BH HCBS must be provided 1:1.
Often times adult peer support specialists provide support through phone, email, and texting. Can these activities be billed under adult Behavioral Health Home and Community Based Services (BH HCBS) Peer Support?
NYS recognizes that peer support specialists provide many valuable activities beyond face-to-face interventions. However, all BH HCBS must be provided face-to-face. Phone, e-mail, and texting would not be considered billable activities.
Who will be responsible for determining if an adult assessed as eligible for Behavioral Health Home and Community Based Services (BH HCBS) lives in a Home and Community Based setting?
This should be determined by the Health Home Care Manager. Further guidance on the HCBS settings requirements is forthcoming.
Can individuals who reside in OMH-licensed Community Residences receive adult Home and Community Based Services (HCBS) in off-site locations?
Community Residences are non-compliant settings for BH HCBS. Individuals residing in community residences are ineligible to receive BH HCBS.
Can Adult Behavioral Health Home and Community Based Services (BH HCBS) be provided in individuals’ homes?
The state encourages Adult BH HCBS providers to provide services in the individuals’ homes and in community locations. Determinations regarding where services will be provided should be made in partnership with the individual. It should be noted that services cannot be provided in residential settings that are not HCBS compliant (such as psychiatric centers or community residences), and individuals who reside in these settings are not eligible to receive BH HCBS.
How will determinations be made regarding settings that are subject to Heightened Scrutiny? Are individuals who reside in Scattered-Site housing considered eligible to receive adult Home and Community Based Services (HCBS)?
The housing settings that currently qualify as HCBS settings include an individual’s own apartment, scattered-site Supported Housing units, or in a family home. BH HCBS designated providers are expected to sign and submit to OMH an BH HCBS Settings Attestation form, declaring site compliance with the BH HCBS settings rule. Therefore, it is the responsibility of the providers to ensure standards are met. Settings under Heightened Scrutiny will not be approved until organizations have submitted a Heightened Scrutiny Self-Survey. Additional details on the survey will be provided. Further guidance regarding HCBS settings compliance is forthcoming.
Can children's HCBS Day Habilitation services be delivered in the community?
Designated Day Habilitation providers are also Certified OPWDD providers. Some activities will take place at the Day Habilitation facility while others may occur in the community based on the goals identified in the Child’s plan of care.