HOME AND COMMUNITY BASED SERVICES (HCBS)
Home and community-based services (HCBS) provide opportunities for Medicaid beneficiaries with behavioral health conditions to receive services in their own home or community.
Psychosocial Rehabilitation (PSR) -Rehabilitation, counseling, recovery activities, interventions and support with skills necessary for the individual to improve self-management of and reduce relapse to substance use, the negative effects of psychiatric , or emotional symptoms, that interfere with a person’s daily living, and living skills that are critical to remaining in home, school, work, and community.
Habilitation-Habilitation services may help individuals develop skills necessary for community living and recovery with ongoing assessment of individuals’ functional status and development of rehabilitative goals.
Empowerment Services/Peer Support Services-The structured, scheduled activities provided by this service emphasize the opportunity for peers to support each other in the restoration and expansion of the skills and strategies necessary to move
forward in recovery.
Family Support Services-Training and support necessary to facilitate engagement and active participation of the family in the treatment planning process and with the ongoing instruction and reinforcement of skills learned throughout the recovery process. A person centered or person-directed, recovery oriented, trauma-informed approach to partnering with families
and other supporters to provide emotional and information support, and to enhance their skills so that they can support the recovery of a family member with a substance use disorder/mental illness.
What do HARPs do?
HARPs manage the Medicaid services for people who need them. HARPs also manage an enhanced benefit package of Home and Community-Based Services (HCBS).
HARPs provide enhanced care management for members to help them coordinate all their physical health, behavioral health and non-Medicaid support needs.
Who is eligible for HARPs?
People must be 21 or older to join a HARP, be insured only by Medicaid and be eligible for Medicaid managed care. They also have to be eligible for a HARP. People who are eligible will get a letter in the mail from New York State or New York Medicaid Choice.
Care Management is an important part of being in a HARP
Individuals identified as HARP eligible must be offered care management through a Health Home designated by NYS. Individuals working with their care manager will determine which home and community based services they are eligible for.