DOH: Health Home Community MH Assessment No Longer Required!

NYAPRS Note: To expedite health home enrollments and in response to concerns from all sides, including NYAPRS, DOH/OMH/OASAS have agreed to drop the cumbersome ‘full’ community mental health assessment, requiring only the use of the briefer eligibility assessment. Kudos to the state!

Good Morning,

It is my distinct pleasure to announce to you that effective March 7, 2017, the Community Mental Health Assessment will no longer be required for HARP Medicaid Managed Care Plan Members. As you are aware the current workflow requires the NYS Eligibility Assessment followed by the Community Mental Health Assessment completed within 90 days. As a result of this change the NYS Eligibility Assessment is all that is required effective immediately. Revised guidance is imminent but please do not wait for the formal guidance to message this change to your CMAs.

Additionally the Department is working on guidance to address the payment backlog for assessments completed by CMAs. This guidance is also imminent and for an interim periodeffective April 1, 2017 CMAs will be allowed to direct bill eMedNY for assessments completed retroactively in NYC from 10/1/15 and 7/1/16 for ROS. This interim billing process will continue and will be revised with Health Home Payment in October 2017.

Many Thanks,

Health Home Program

Division of Program Development and Management

New York State Department of Health
Office of Health Insurance Programs
Corning Tower (OCP 720)

Albany, NY 12237

Tel: 518-473-5569