Health Home Care Yes Health Home per No Managed care for Yes for MCO — Coordination and 1945 of Social Security MCO enrollees; enrollees Management Act FFS for nonMCO enrollees Inpatient hospital Yes inpatient 42 CFR Yes Managed care for Yes for MCO — detoxification (OASAS 440.10 MCO enrollees; enrollees service) FFS for nonMCO enrollees Inpatient medically Yes inpatient 42 CFR Yes Managed care for Yes for MCO — supervised inpatient 440.10 for MCO enrollees; enrollees detoxification (OASAS FFS for nonMCO Service) enrollees Inpatient treatment Yes inpatient 42 CFR TANF and SNA only; FFS for Managed care for Yes for MCO — (OASAS service) 440.10 all SSI Medicaid recipients TANF and SNA; enrollees FFS for SMI, SSI and duals. Rehabilitation services for No Rehabilitation option per 42 No FFS Yes for MCO residential SUD treatment CFR 440.130 enrollees supports (OASAS service) Inpatient psychiatric Yes inpatient 42 CFR TANF and SNA only; FFS for Managed care for Yes for MCO — services (OMH service) 440.10 all SSI Medicaid recipients TANF and SNA; enrollees FFS for SSI and duals Rehabilitation services for Yes rehabilitation No FFS Yes for MCO — residents of community option per 42 CFR enrollees in year 2 residences 440.130 Table 2: HCBS Services for Adults Meeting Targeting and Functional Needs Services Currently in the Proposed Under this 1115 Demonstration Future HARP Benefit Package for Adults Medicaid State Plan Amendment as a 1915(i)Like Service Meeting Targeting and Functional Criteria
Health Home Care Coordination and Management Yes — Health Home per 1945 of Social Security Act No Managed care for MCO enrollees; FFS for nonMCO enrollees Yes for MCO enrollees Inpatient hospital detoxification (OASAS service) Yes — inpatient 42 CFR 440.10 Yes Managed care for MCO enrollees; FFS for nonMCO enrollees Yes for MCO enrollees Inpatient medically supervised inpatient detoxification (OASAS Service) Yes — inpatient 42 CFR 440.10 Yes Managed care for for MCO enrollees; FFS for nonMCO enrollees Yes for MCO enrollees Inpatient treatment (OASAS service) Yes — inpatient 42 CFR 440.10 TANF and SNA only; FFS for all SSI Medicaid recipients Managed care for TANF and SNA; FFS for SMI, SSI and duals. Yes for MCO enrollees Rehabilitation services for residential SUD treatment supports (OASAS service) No Rehabilitation option per 42 CFR 440.130 No FFS Yes for MCO enrollees Inpatient psychiatric services (OMH service) Yes — inpatient 42 CFR 440.10 TANF and SNA only; FFS for all SSI Medicaid recipients Managed care for TANF and SNA; FFS for SSI and duals Yes for MCO enrollees Rehabilitation services for residents of community residences Yes — rehabilitation option per 42 CFR 440.130 No FFS Yes for MCO enrollees in year 2 Table 2: HCBS Services for Adults Meeting Targeting and Functional Needs Services Currently in the Medicaid State Plan Proposed Under this 1115 Demonstration Amendment as a 1915(i)Like Service Future HARP Benefit Package for Adults Meeting Targeting and Functional Criteria
nyc-final-rfq.docx