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 Managed care for Yes for MCO Yes — detoxification 440.10 MCO enrollees; enrollees (OASAS 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 FFS for nonMCO (OASAS Service) enrollees Inpatient treatment Yes inpatient 42 CFR TANF and SNA only; FFS for all SSI Managed care for Yes for MCO — (OASAS service) 440.10 Medicaid recipients TANF and SNA; enrollees FFS for SMI, SSI and duals. Rehabilitation No Rehabilitation option per No FFS Yes for MCO services for 42 CFR 440.130 enrollees residential SUD treatment supports (OASAS service) Inpatient psychiatric Yes inpatient 42 CFR TANF and SNA only; FFS for all SSI Managed care for Yes for MCO — services (OMH 440.10 Medicaid recipients TANF and SNA; enrollees service) FFS for SSI and duals Rehabilitation Yes rehabilitation No FFS Yes for MCO — services for option per 42 CFR enrollees in year 2 residents of 440.130 community residences
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
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