N.Y. Comp. Codes R. & Regs. tit. 14 § 841.11

Current through Register Vol. 46, No. 45, November 2, 2024

Section 841.11 - Medical assistance payments for children and family treatment and support services

(a) The provisions of this section are applicable to rehabilitative health and behavioral health services provided by programs or providers certified or designated pursuant to Part 823 to provide Children and Family Treatment and Support Services (CFTSS).

(b) Billable Services: Billable services are those authorized and defined in the Children and Family Treatment Support Services Manual posted on the Department of Health website:

(1) Crisis Intervention (CI);

(2) Other Licensed Practitioners (OLP);

(3) Community Psychiatric Support and Treatment (CPST);

(4) Psychosocial Rehabilitation (PSR);

(5) Family Peer Support Services (FPSS); and

(6) Youth Peer Support and Training (YPST).

(c) Approved Modality and Setting.

(1) Modality. Unless otherwise authorized, services should include face-to-face interaction with the child/youth and their family, as appropriate. Any such interactions, or the reason(s) such interaction could not be completed, should be documented in the patient treatment/recovery plan and case record.

(2) Setting. Services may be provided in a variety of settings, including an emergency room, health or behavioral health clinic setting, or other community location where the child/youth lives, attends school, works or engages in social activities. Services should be offered in the best setting suited for the desired outcomes and as referenced in the Manual.

(d) Rate Setting. Rate of reimbursement is as posted on the Department of Health website. The rate development methodology is composed of provider cost modeling, provider compensation studies and cost data. The following list outlines components which may be used in determining rate development:

(1) staffing assumptions and staff wages;

(2) employee-related expenses;

(3) program-related expenses; and

(4) program billable units.

N.Y. Comp. Codes R. & Regs. Tit. 14 § 841.11

Amended New York State Register December 9, 2015/Volume XXXVII, Issue 49, eff. 11/20/2015

Adopted New York State Register January 26, 2022/Volume XLIV, Issue 04, eff. 1/26/2022