Home & Community Based Services

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) – is a collaborative person-directed, and individualized. These services are recommended by your therapist and can be provided at home. It is a part of a wrap-around treatment plan. The focus is on helping individuals develop skills and access resources needed to increase their capacity to be successful and satisfied in the living, working, learning and social environments of their choice

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.

Peer and Family Support Services- these services provide support from people who have been successful in the recovery process who now help others experiencing similar situations. Also, with Family Support Services the structure reflects a strength-based relationship with rehabilitation and recovery focus. Activities included must be intended to achieve the identified goals or objectives as set forth in the participant’s individualized recovery plan.


What do HARPs do?

HARPs manage the Medicaid services for people who need them. HARPs also manage an enhanced benefits 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.

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