New Medicaid Services for Youth and Families

Below you will find detailed information about each new service, as well as resources to learn more.
Stay tuned to this page as we will be updating regularly as new resources become available.

black house icon with a white question mark in the center above the door

What’s a Health Home?

A ‘Health Home’ is not a place, it’s a group of health care and service providers working together to make sure you get the support you need to stay healthy. Once you are enrolled in a Health Home, you will have a Care Manager that works with you to develop a care plan. This care plan maps out the supports and services you need to be healthy and safe in your community.

Health Homes support you in:

  • Connecting to health care, mental health, and substance abuse providers
  • Connecting to needed medications
  • Help with housing
  • Social services (such as food, benefits, and transportation) or
  • Other community programs that can support and assist you.

To Enroll in a Health Home:

Talk to your current service provider or contact a Health Home at any time to find out if you are eligible. For more information, call the Medicaid Helpline toll-free line at 1-800-541-2831 or the New York State Department of Health’s Health Home Line 518-473-5569.

For a list of Health Homes in the county where you live or to receive services, visit health.ny.gov/HealthHomesContacts

icon of people holding hands in a circle

What’s CFTSS?

Children and Family Treatment and Support Services (CFTSS) are new behavioral health services covered by NYS Medicaid. CFTSS help young people with with mental health and substance use needs. These services work with young people to provide care in a way that works best for them and their families.

These services help by:

  • Identifying needs early
  • Providing support in the home and community
  • Preventing the need for emergency room visits, hospital stays, or out of home placements

 

Who can get these services?

Young people who are:

  • Enrolled in Medicaid
  • Under the age of 21

And who:

CFTSS Includes:

Therapy Services 

Rehabilitation Services 

Family Peer Support Services

Youth Peer Support and Training*

Crisis Intervention (CI)*

*Available through CFTSS beginning January 2020

Read below for more information on each of these services!

Therapy Services

illustration of doctor holding clipboardOther Licensed Practitioner (OLP)

Treatment services for mental health and substance use needs by licensed professionals. These professionals start the process – they do the assessment, determine medical necessity and make the recommendation for services.

What it includes:

  • Assessments for mental health and/or substance use needs
  • Identify strengths and abilities through individual and group therapies
  • Get individual, group, or family therapy where you a most comfortable

Rehabilitative Services

outline of person in center with different icons circling around to represent the 8 dimensions of wellnessCommunity Psychiatric Support and Treatment (CPST)
Psychosocial Rehabilitation (PR)

What it includes:

  • Support at home and in the community to help improve relationships with family, friends, and others.
  • Incorporate goals you set in therapy into everyday life
  • Learn self-care strategies and use coping skills to manage emotions
  • Get extra help working on treatment goals

Family Peer Support Services

icon of two people sitting at a table with chat bubbles above their heads​Families of young people experiencing social, emotional, medical, developmental, substance use, and/or behavioral challenges can get support from a peer with similar lived experiences.

Family Peer Advocates provide support with:

  • Locating information and resources available to meet the young person & family’s needs
  • Making informed decisions
  • Building and strengthening natural supports and resources
  • Skill development
  • Supporting families to advocate for themselves

 

Youth Peer Support & Training

Young people who are experiencing social, medical, emotional, developmental, substance use, and/or behavioral challenges in home, school, placement, and/or community can receive support from a peer with similar lived experiences.

Youth Peer Advocates provide support with:

  • Developing skills for wellness, resiliency, recovery, and independence
  • Locating information and resources available to meet goals
  • Understanding services, supports, and needs to make informed decisions
  • Building and strengthening natural supports and resources
  • Supporting young people to advocate for themselves

Crisis Intervention

illustration of arm reaching out with life preserver to individual in water

​Mobile services provided to young people who need immediate support to address personal distress and develop skills to minimize or prevent these situations in the future. These are provided by the clinician and can occur in a variety of places, including in the community where the young person lives, attends school, receives support, socializes, and/or works.

How do we get these services?

To get one or more of these services, you need to find a CFTSS provider. You can find providers by:

  • Asking current healthcare providers
  • Contacting your Medicaid Managed Care Plan
  • Asking the Health Home care manager
  • Talking to your local county, such as the Single Point of Access (SPOA )
    To find your county information, click here.

Anyone who knows a young person who may need these services, including young people themselves, can make a referral to a CFTSS provider to get these services. Once referred, you will need to get a recommendation.

A recommendation for CFTSS works like a prescription. You can get one from your pediatrician, therapist, or a CFTSS provider can help you get one. Your provider can determine if you are eligible for CFTSS.

* The recommendation is the key to access the services.

Where can we find out more? 

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