• Office of Mental Health (OMH) Serious Emotional Disturbance (SED) waiver #NY.0296;
• Department of Health (DOH) Care at Home (CAH) I/II waiver #NY.4125;
• Office for People with Developmental Disabilities (OPWDD) Care at Home waiver #40176; and
• Office of Children and Families (OCFS) Bridges to Health (B2H) SED waiver #NY.0469, B2H Developmental Disability (DD) waiver #NY.0470, and B2H Medically Fragile waiver #NY.0471.

The 1915(c) Children’s Waiver will:

• Streamline the children’s HCBS administration to have more consistent eligibility processes and benefits across all populations.
  Provide a single HCBS benefit package to children meeting institutional level of care (LOC) functional criteria.
• Over a three-year period, eliminate the use of waiting lists related to HCBS capacity under the waiver. All of the HCBS services authorized under the six current 1915(c) children’s waivers will continue as either an HCBS Waiver service or a new State Plan service.
• Provide Health Home care management to children eligible for HCBS and an administrative alternative for children that may opt out of Health Home.

Children enrolled in Medicaid may request assessment for HCBS eligibility from their Health Home Care Manager or from the NYS designated entity, Child & Youth Evaluation Service (C-YES) for children that opt out of Health Home.

If a child is not already eligible for Medicaid,  and meets the HCBS/LOC target criteria, risk factors, and functional criteria (eligibility determined by C-YES), the child can be considered for Medicaid eligibility under the Family of One financial criteria.

NYS Children's  Home and Community Services Information

Children's HCBS Services for eligible youth include the following: 

• Community Habilitation
• Day Habilitation
• Family Peer Supports Services
• Youth Peer Supports
• Caregiver/Family Supports and Services
• Community Self-Advocacy Training and Supports
• Prevocational Services
• Supported Employment
• Respite
• Palliative Care
• Environmental Modifications
• Vehicle Modifications
• Adaptive and Assistive Equipment
• Non-Medical Transportation