Skip to main content
  • Medicaid Provider Alert: Provider revalidation has begun and those not completing the process risk disenrollment.  Check your account now to learn when your revalidation is due. More information here.
Elizabeth M. Whitehorn, Director

Provider Notice Issued 10/15/2020

​Date:    October 15, 2020

To:       All Medical Assistance Program Providers

Re:      Update on Integrated Health Homes and New Behavioral Health Initiatives for Children with Complex Behavioral Health Needs

 

 

 

 

 

This notice provides an update to stakeholders on the Department’s modified implementation strategy for care coordination and other community-based behavioral health services.

 

New Behavioral Health Services for Children

HFS is introducing a comprehensive array of community-based services for children with complex behavioral health needs, consistent with the requirements of the N.B. Consent Decree. Children with complex behavioral health needs will have access to specialized care coordination and intensive services such as: High-Fidelity Wraparound/ Intensive Care Coordination, Intensive Home-Based Services, Respite, Therapeutic Mentoring, and Family Peer Support. This expanded service array will significantly enhance the community-based behavioral health service for children, providing children and families with the services necessary to support their success at home, school, and in the community. HFS anticipates implementing these new services effective July 1, 2021.

 

Update on the Integrated Health Home (IHH) Program

HFS is updating its IHH program eligibility criteria to target children and adults with chronic physical health conditions, or who are at risk of developing chronic health conditions due to the presence of unmet social or environmental needs (e.g. housing, food security, employment, safety). Under this approach, IHHs will focus on addressing social determinants of health and health disparities for the Department’s most medically complex individuals.

 

IHHs will demonstrate positive health outcomes for participants through enhanced engagement, outreach, disease management, and care coordination services that are individualized, person-centered, integrated, and community based. HFS does not anticipate implementing IHHs before July 1, 2021.

 

Additional information on these initiatives will be shared as it becomes available.

 

 

Kelly Cunningham

Interim Medicaid Administrator