• New Medicaid Benefits – Children's Home and Community Based Services

  • As of October 1, 2019, Affinity Health Plan has covered Children’s Home and Community Based Services (HCBS) for members participating in the Children’s Waiver and provides care management for these services.

    These new services give children and their families the ability to improve their quality of life by identifying needs early, and providing support in the home or community. Children’s HCBS offer personal, flexible services to meet the needs of each child/youth, where children/youth and their families are most comfortable, and supports them as they work toward individual goals and achievements.

    Children’s HCBS are for children and youth who:

    • need extra care and support to remain at home/in the community.
    • have complex health, developmental and/or behavioral health needs.
    • want to avoid going to the hospital or a long-term care facility.
    • are eligible for HCBS and participate in the Children’s Waiver.

    Members under age 21 will be eligible for the following services:

    • community habilitation
    • day habilitation
    • caregiver/family support and services
    • community self-advocacy training and support
    • prevocational services (must be age 14 and older)
    • supported employment (must be age 14 and older)
    • respite services (planned and crisis respite)
    • palliative care
    • environmental modifications
    • vehicle modifications
    • adaptive and assistive equipment

    Children/youth participating in the Children’s Waiver must receive care management. Care management provides the member with an associate who will procure the services that are right for them.

    For more information visit the  New York State Department of Health website, www.health.ny.gov.