Day treatment services for children and adolescents provide intensive, non-residential services. The programs are characterized by a blend of mental health and education services provided in a fully integrated program. Typically, these programs include education in small classes with an emphasis on individualized instruction, individual and group counseling, family services such as family counseling, crisis intervention, interpersonal skill development and behavior modification. Children and adolescents receiving day treatment services live at home or in the community but are identified by their school district as seriously emotionally disturbed and cannot be maintained in regular classrooms.

As one of the six Medicaid Funded Children's Health and Behavioral Health Services, OLP consists of three different service components: evaluation, counseling, and crisis. Service components include licensed evaluation (assessment); psychotherapy (counseling); and crisis intervention. OLP is performed by an individual who is licensed in NYS to diagnose, and/or treat individuals with a physical illness, mental illness, substance use disorder, or functional limitations at issue, operating within the scope of practice defined in NYS law and in any setting permissible under State law. OLP services can be provided to individuals, families, or groups, and can be provided on-site or off-site. Please reference the Medicaid State Plan Provider Manual for Children's BH Early and Periodic Screening and Diagnostic Testing (EPSDT) Services for definitions of service components and staffing requirements.

Programs that provide screening, diagnostic and treatment planning services for people who are experiencing acute or chronic psychiatric problems. Included is a continuum of assessment services ranging from a comprehensive psychiatric or psychological evaluation to the administration of one or a combination of psychological tests to examine a particular personality variable. Services may be provided in a variety of settings including hospitals and community-based clinics.

Action for Older Persons’ Advance Planning Program provides free, unbiased, and confidential help with many topics related to planning in advance for the last phase of life. Our goal is to ensure that everyone has two important advance directive forms: a Health Care Proxy, and a Living Will.

OMH-designated Specialty Mental Health Care Management programs, administered by Specialty Mental Health Care Management Agencies (SMH CMAs), provide services to the Health Home Plus (HH+) population. HH+ is an intensive level of Health Home Care Management provided to defined high-need adult populations with serious mental illness who are enrolled in a Health Home (HH) serving adults. To ensure the intensive needs of these individuals are met, SMH CMs must assure HH+ individuals receive a level of service consistent with the requirements outlined in the Health Home Plus for High-Need Individuals with Serious Mental Illness Program Guidance. The differential monthly rate for HH+ is higher compared to the Health Home High Risk/Need Care Management and Health Home Care Management rates, and is intended to appropriately reimburse for the intense and consistent support needed for this population.

Health Home Care Managers provide comprehensive, integrated medical and behavioral health care management to Medicaid-enrolled individuals with chronic conditions to ensure access to appropriate services, improve health outcomes, and prevent avoidable hospitalizations and emergency room visits. Health Home Care Management (HHCM) services include health promotion; transitional care, including follow-up from inpatient to other settings; patient and family support; and referral to community and social support services. Agencies who are also Specialty Mental Health Care Management agencies should report under the Specialty Mental Health Care Management code (0780) and not report under 2730 program code, effective 1/1/22 (Upstate) and 7/1/22 (NYC).

Pre-vocational services are time-limited services that prepare a participant for paid or unpaid employment. This service specifically provides learning and work experiences where the individual with mental health and/or disabling substance use disorders can develop general, non-job-task specific strengths and soft skills that that contribute to employability in competitive work environment as well as in the integrated community settings. Pre-vocational services occur over a

defined period of time and with specific person centered goals to be developed and achieved, as determined by the individual and his/her employment specialist and support team and ongoing person-centered planning process as identified in the individual's person-centered plan of care, Pre-vocational services provide supports to individuals who need ongoing support to learn a new job and/or maintain a job in a competitive work environment or a self-employment arrangement.

The outcome of this pre-vocational activity is documentation of the participant's stated career objective and a career plan used to guide individual employment support.

A SPOA is a process, led by a SPOA Coordinator, that helps Local Governmental Units achieve community based mental health systems that are cohesive and well coordinated in order to serve those individuals most in need of services. There are three types of SPOAs - Children's, Adult Case Management and Adult Housing. The SPOA process provides for the identification of individuals most in need of services, and manages service access and utilization.

Programs that provide screening, diagnostic and treatment planning services for people who are experiencing acute or chronic psychiatric problems. Included is a continuum of assessment services ranging from a comprehensive psychiatric or psychological evaluation to the administration of one or a combination of psychological tests to examine a particular personality variable. Services may be provided in a variety of settings including hospitals and community-based clinics.

Empowerment Services (Peer Support) are non-clinical, peer-delivered services with focus on rehabilitation, recovery, and resilience. They are designed to promote skills for coping with and managing behavioral health symptoms while facilitating the utilization of natural supports and community resources.

Peer Support must include the identified goals or objectives in the member's individualized service plan, with interventions tailored to the individual. These goals should promote utilization of natural supports and community services, supporting the person's recovery and enhancing the quality of their personal and family life. The intentional, goal-directed activities provided by this service emphasize the opportunity for peers to model skills and strategies necessary for recovery, thereby developing the individual's skills and self-efficacy. These services are provided through the perspective of a shared personal experience of recovery, enhancing the individual's sense of empowerment and hope.