Attention NYS Council Children’s Providers re: YPTS and CI Services

January 15, 2020

We have previously reported to you regarding the proposed SPA amendment submitted by the NYS Department of Health to CMS, modifying requirements for Youth Peer Support and Treatment Services (YPSTS). The full copy of the SPA submission, dated December 31, 2019 in the State Register, can be found here: https://www.health.ny.gov/regulations/state_plans/status/non-inst/index_2020.htm.

At a meeting with advocates and the State on January 14th, it was further clarified that the YPTS and children’s Crisis Intervention (CI) services are live as of January 1st, as per the State’s timeline, with the proposed amendment considered approved, according to DOH, based on their communication with CMS. Providers can bill for services rendered, however payment will be delayed, pending official SPA approval and the subsequent rate approval required by the Department of Budget (DOB).

Enhanced rates for YPTS are now in effect until June 30, 2020.  We have previously reported to you regarding the proposed SPA amendment submitted by the NYS Department of Health to CMS, modifying requirements for Youth Peer Support and Treatment Services (YPSTS). The full copy of the SPA submission, dated December 31, 2019 in the State Register, can be found here: https://www.health.ny.gov/regulations/state_plans/status/non-inst/index_2020.htm.

At a meeting with advocates and the State on January 14th, it was further clarified that the YPTS and children’s Crisis Intervention (CI) services are live as of January 1st, as per the State’s timeline, with the proposed amendment considered approved, according to DOH, based on their communication with CMS. Providers can bill for services rendered, however payment will be delayed, pending official SPA approval and the subsequent rate approval required by the Department of Budget (DOB).

Enhanced rates for YPTS are now in effect until June 30, 2020.  Those rates can be found here:

https://www.health.ny.gov/health_care/medicaid/redesign/behavioral_health/children/docs/fpss_bh_kids_ffs_rates.pdf .

Crisis rates and codes remain the same as adult crisis services, including crisis services rate increases effective as of January 1, 2020.  Crisis Intervention rates can be found here: https://www.health.ny.gov/health_care/medicaid/redesign/behavioral_health/children/docs/2019-12-19_child-family_rate_summary.pdf (note that these are the CI rates, although the document is labeled generally as child/family rate summary.