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OASAS Provider Readiness

Behavioral Health Transition to Managed Care: OASAS Provider Readiness PowerPoint PDF Document is now available.

Managed Care Complaint Mailbox

In the event of a complaint, please submit your email to managed care complaint mailbox

New York State's Department of Health (DOH), Office of Mental Health (OMH) and Office of Alcoholism and Substance Abuse Services (OASAS) are working to implement fully managed Medicaid reimbursement for Substance Use Disorder and Behavioral Health Care.

OASAS Vision

Fully integrated treatment where behavioral and physical health are valued equally and patients' recovery goals are supported through a comprehensive and accessible service system.

Guiding Principals

The Medicaid Redesign Team Behavioral Health Sub-committee guiding principals for this transition are:

  • person-centered care management;
  • integration of physical and behavioral health services;
  • recovery-oriented services;
  • patient/consumer choice;
  • protection of continuity of care;
  • ensuring adequate and comprehensive networks;
  • linking payment to outcomes;
  • tracking physical and behavioral health spending separately;
  • reinvesting savings to improve services for behavioral health populations; and
  • addressing the unique needs of children, families and older adults.

Home and Community Based Services (HCBS) Setting Rule

Recently, the Centers for Medicare and Medicaid Services (CMS) published the final rule related to Home and Community Based Services Settings (HBCS) for Medicaid-funded long term services and supports provided in non-institutional residential settings. This rule implements a number of changes to home and community based waivers, finalizes regulatory changes to the 1915(i) state plan home and community based services and imposes new requirements on what is considered an appropriate home/community based residential setting for all the authorities in its scope.

An informational webinar on the HCBS Settings rule and the State's HCBS transition plan for Monday, July 7, 2014. The one-hour webinar will begin at 3:00 PM. The webinar will provide background and context to the federal rule and New York State's transition plan. RegisterLeaving OASAS website! for the webinar.

Complaints and Appeals

In the event of a complaint, visit the NYS DOH complaints and appeals pageLeaving OASAS website! or submit your email to managedcarecomplaint@health.ny.gov.