OMH Children's HCBS Waiver 1915c ChangesIMPLEMENTATION MEETING SERIES

JUNE 15, 2017

Housekeeping‣ Slides will be distributed electronically and posted to

the CTAC website following the meeting series

‣ A Q&A resource will be developed and distributed

‣Web-based support will be offered this summer to

review ongoing implementation and additional

questions

‣ Reminder: All information is current and accurate as of

the date of presentation

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Schedule of Offerings

‣Buffalo: Thursday, May 25th, 9:30 am - 12:30 PM

‣Syracuse: Wednesday, May 31st, 9:30 AM - 12:30 PM

‣Lake George: Thursday, June 1st, 9:30 AM - 12:30 PM

‣New York City: Monday, June 5th, 10 AM - 1 PM

‣Poughkeepsie: Thursday, June 8th, 1:30 - 4:30 PM

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Today’s Agenda

I. Administrative Concerns

II. Programmatic Concerns

III. Expanding Populations and Services

IV.Preparing for the Future

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PresentersNYS Office of Mental

Health:

◦ Meredith Ray-LaBatt

◦ Joyce Billetts

◦ Shannon Fortran

◦ Steve Vroman

Community Technical

Assistance Center of New

York:

◦ Boris Vilgorin

◦ Andrew Cleek

◦ Yvette Kelly

◦ Dan Ferris

◦ Caitlin Cronin

◦ Meg Baier

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How Did We Get Here?AND WHAT DO WE DO NOW?

Overview of Shift‣Why are these changes occurring?

• Renewal application to CMS of Waiver authority

• CMS requirements based on changes in federal policies

• Alignment and preparation for future initiatives (health homes, Medicaid managed care, Medicaid redesign)

‣What have we heard? Addressing your concerns:

• Impact on families

• Impact on staff and program model

• Fiscal viability

• Managing the multitude of concurrent system changes

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How Can Agencies Prepare?

I. Administrative Concerns

i. Organizational Restructuring

ii. Staffing Implications

iii. Billing, Rates, and Limitations

iv. Fiscal Implications

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Organizational Changes

Organizational RestructuringConflict Free Case Management (CFCM): The same agency but

NOT the same individual can provide unbundled services. ICC

agencies are required to:

‣ Create administrative and supervisory firewalls between care

coordination and HCBS Wavier services/functions (complete

separation of care coordination from direct service)

‣ Discontinue ICC from providing any other HCBS service to those

they are providing care coordination

‣ Ensure family choice of HCBS service provider and right to

change service provider if desired or dissatisfied

‣ Inform child/family of right to file complaint and/or grievance

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Example Organizational Chart

Executive Director/CEO

Cabinet or Executive Level Manager/

Program Director

Cabinet or Executive Level Manager/ProgramDirector

Cabinet or Executive Level Manager/

Program Director

Care Coordinator Supervisor

HCBS Wavier Services Supervisor

Quality Assurance and Quality

Management Supervisors

Care CoordiantorsHCBS Wavier Service

Provider StaffQuality Management

Staff

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Aligning Agency Services

Care Coordination Direct Services

HCBS State Plan Services

Health Homes IIHS Clinic

ICC – OMH HCBS Waiver CRS PROS

B2H HCIA Respite Day Treatment

Non-Medicaid Former TCM FPSS

New Services: YPA,

Pre-Voc., Supported

Employment

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Programmatic Changes

‣Staffing Implications

• Unbundling/CFCM

• Increase in ICC case ratios

• Repurposing/reassignment of staff

Slots ICC Now ICC Future Reassigned Staff

168 28 19 9

54 9 6 3

18 3 2 1

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Staffing Considerations‣ Multiple questions regarding whether ICC can also be part

time IIHS and/or CR for children for who they do not

coordinate care.

‣ This requires very clear FTE separations to ensure adherence

to CFCM, cost allocations and requirement for family choice

‣ Other considerations: Is this feasible with pending time and

motion study and cost reporting/reconciliation? Will this

create confusion in paperwork and documentation? How does

this impact CFCM compliance and supervisory structures?

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Rates and Billing

Rate Rationale & Methodology

• NYS provided CMS with the Time and Motion study; found

75% of ICC time devoted to care coordination – informed

the proposed unbundled rates

• Services outside of the bundle comparable to current

rates with trending for inflation

• Proposed rates are interim, with the understanding the

State has agreed to a retrospective cost reconciliation

process and time and motion study, as well as the

expectation the 1915c Waiver will transition to Medicaid

managed care & ICC would convert to Health Homes

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Billing Rates (Current Services)SERVICE UNIT UPSTATE DOWNSTATE

1a. Intensive Care Coordinator Monthly $1,173.33 $1,232.01

2a. Respite Care, Individual 15 min $14.82 $15.61

2b. Respite Care, Group 15 min $8.15 $8.59

2c. Respite Care, Group of Three 15 min $5.92 $6.24

3a. Family Support Services, Individual 15 min $17.04 $17.50

3b. Family Support Services, Group of 2 15 min $9.38 $9.63

3b. Family Support Services, Group of 3 15 min $6.81 $7.00

3b. Family Support Services, Group of 4 15 min $5.11 $5.25

3b. Family Support Services, Group of 5-8 15 min $4.27 $4.38

4a. Intensive In Home, Brief, 30 min minimum 30 min $102.65 $110.86

4b. Intensive In Home, Full, 60 min minimum 60 min $124.04 $133.96

4c. Intensive In Home, Extended, 90 min minimum 90 min $166.81 $180.16

5a. Crisis Response, Brief, 30 min minimum 30 min $128.31 $138.58

5b. Crisis Response, Full, 60 min minimum 60 min $158.25 $170.92

5c. Crisis Response, Extended, 90 min minimum 90 min $187.34 $202.33

5d. Crisis Response, Triage - by telephone 15 min $23.17 $25.99

6a. Skill Building, Individual 15 min $17.04 $17.50

6b. Skill Building, Group of 2 15 min $9.38 $9.63

6c. Skill Building, Group of 3 15 min $6.81 $7.00

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Billing Rates (New Services)

SERVICE UNIT UPSTATE DOWNSTATE

7a. Youth Peer Advocate, Individual* 15 min $14.82 $15.61

7b. Youth Peer Advocate, Group of 2* 15 min $8.15 $8.59

7c. Youth Peer Advocate, Group of 3* 15 min $5.92 $6.24

8. Supported Employment, Individual * 15 min $17.04 $17.50

9a. Pre-Vocational Services, Individual* 15 min $17.04 $17.50

9b. Pre-Vocational Services, Group of 2* 15 min $9.37 $9.63

9c. Pre-Vocational Services, Group of 3* 15 min $6.80 $7.00

Transitional Case Management (TCM) 15 min $32.32 $34.02

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Billing CodesCode Description

4650 ICC Full Month

4651 ICC Half Month

4653 Respite – Individual, 15min

4655 Family Support Individual, 15mins

4656 Skill Building – Individual, 15min

4657 Intensive In–Home Brief, minimum 30min

4658 Intensive In–Home Full, minimum 60min

4652 Intensive In-Home Extended, minimum

90min

4659 Crisis Response Brief, minimum 30min

4660 Crisis Response Full, minimum 60min

4654 Crisis Response Extended, minimum 90min

4372 Respite – Group of 2, 15min

4373 Respite – Group of 3, 15min

4374 Family Support – Group of 2, 15min

4375 Family Support – Group of 3, 15min

4376 Family Support – Group of 4, 15min

4377 Family Support – Group of 5-8, 15min

4378 Skill Building – Group of 2, 15min

4379 Skill Building – Group of 3, 15min

New Services

4380 Youth Peer Advocate Individual

4381 Youth Peer Advocate – Group of 2

4382 Youth Peer Advocate – Group of 3

4666 Pre-Vocational Services Individual

4667 Pre-Vocational Services – Group of 2

4668 Pre-Vocational Services – Group of 3

4665 Supported Employment Services Individual

4398 Flexible recipient service dollars (state

funded only as of 1/1/15)

1148 Crisis Response by Telephone, 15min

1149 Transitional Case Management, 15min

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Limitations

‣ Case ratio for the HCBS Waiver under the 1915c for the ICC

service is 1:9 (will move to 1:12 for children scoring high acuity

when HCBS services move to Medicaid Managed Care and ICC

to Health Homes)

‣ ICCs will maintain number of required contacts to assure quality

of care, monitoring of child and family through programmatic

shifts

‣ ICC Agencies must also stay within overall budget limits per

year and slot/child enrolled in Waiver as outlined in the fiscal

worksheets supplied by OMH and follow required procedures for

approval of budgets that exceed annual limits

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LimitationsChildren’s HCBS

Wavier Service

Current OMH Waiver

Service Limitations

Proposed OMH Waiver Service Limitations

Individualized Care

Coordination

One billed case rate a

month per participant

One billed case rate a month per participant

Respite Maximum billing of 6

hours a day

Limit of 6 hours a day

Skill Building None Limit of up to 4 hours a day not to exceed 10 hours a week

Family Peer

Support

None Limit of up to 4 hours a day not to exceed 10 hours a week. One billable

service a day

Intensive In Home N/A - Bundled Limit of up to 4 hours a day not to exceed 24 hours a month

Crisis Response N/A – Bundled Limit of 2 Face to Face units per day (pre-authorization for billing if more

is needed). Limit of up to Two (2) -15 minute units for telephone contact

and no more than two units daily

Youth Peer

Advocate

N/A Limit of up to 4 hours a day not to exceed 10 hours a week. One billable

service a day

Pre-Vocational

Services

N/A Limit of up to 4 hours a day not to exceed 8 hours a week. One billable

service a day. Child must be 14 or older.

Supported

Employment

N/A Limit of up to 4 hours a day not to exceed 8 hours a week. One billable

service a day. Child must be 14 or older.

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Billing Rules for ICCCURRENT RULES:

(*May be subject to change pending CMS approval):

‣ ICC Full Month Billing: 6 required face-to-face contacts per

month at least 3 with child and other 3 can be family member or

other service provider (collateral).

✓Minimum of 15 minutes each.

✓Must be enrolled for at least 21 consecutive days in the calendar

month

‣ ICC Half Month Billing: at least 3 face to face contacts, 2 with

child and 1 with collateral. Minimum of 15 mins each and enrolled

at least 11 consecutive days in the calendar month.

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Transitional Case Management

‣ Transitional Case Management (TCM) is designed to

provide coordination and continuity of care by supporting

youth and family/natural support system in transition from

an inpatient or residential setting to a community setting.

TCM provides case management prior to transitioning to

Waiver from an inpatient or residential setting, and also to

youth enrolled in Waiver that require temporary inpatient

care.

‣ Previously referred to as “ICC inpatient”

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Transitional Case Management

‣ As part of the shift and unbundling, providers to bill case-

by-case transitional care management for youth in

inpatient or residential settings

• TCM prior to enrollment in waiver can be claimed for a

maximum of 30 days (between the signing of the Waiver

Application and enrollment date)

‣ Taking over what would previously be billed as ICC in-

patient

‣ Billed in 15 minutes increments in one claim AFTER

discharged from setting and back in the community

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Billing Rules: IIH and CRSCurrently:

‣ IIH & CRS telephone and face to

face: reimbursement for an average

of 65 IIH and/or CRS contacts per

slot included in the monthly case

payment

‣ IIH and CRS face to face: Billed

monthly per 15 minute

contacts(contacts must be minimum

of 30 minutes each to bill)

‣ CRS telephone calls: billable for up

to 48 phone contacts annually per

slot of a minimum of 15 min. each

contact

Moving Forward:

‣ IIH

• Face to face to the child or child

and family

• Minimum of 30 mins for brief, 60

mins for full, 90 mins for extended

• Limit of up to 4 hours a day not to

exceed 24 a month

‣ CRS

• Face to face or telephone contact

◦ 30 min, 60 min, or 90 min units

for face to face

◦ 15 min unit for telephone

• CRS cap to bill twice per day up

to 90 minute units 25

Billing Rules: Crisis Response

‣Up to two 15 minute telephone contacts are

allowed to be billed per day, if needed

‣CR face-to-face can be provided in 30, 60 or 90

minute units for up to two a day (up to a 90 minute

contact each)

‣ If an additional face-to-face contact is needed, the

agency must receive pre-authorization prior to

billing, once verifying documentation has been

provided to the state

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Discussion of Caseload Models:DOWNSTATE AND UPSTATE

Fiscal Implications

CMS Requirements

‣Although CMS modified rates significantly, in order

to get the interim rates and enhance fiscal

integrity, CMS required a number of actions to

consider renewal of the Waiver, including:

◦ Audits by the Office of the Medicaid Inspector General

(OMIG)

◦ A Retrospective Cost Reconciliation to CFR Reports

◦ A Time and Motion Study of the ICC service

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OMIG Audit‣OMH worked with the OMIG to develop audit

protocols based on the HCBS Guidance

Document

‣Case records will be reviewed based on existing

HCBS Waiver requirements

‣Audits for the calendar year 2014-2015 will begin

June 2017

‣Some agencies may have already been contacted

and notified they will subject to audit

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Clear Documentation‣ Initial planned delivery of service and annual recertification must be

authorized by LGU and documented in the child's service plan. Quality

reviews at 90 days by ICC supervisor.

‣ The services provided must align with the definition and description of the

service in the guidance document and support the achievement of the

Waiver child’s identified goals.

‣ A Progress Note must be written for every contact and all fields must be

completed.

‣ Clear documentation of what service is provided, by whom, and for which

goal must be noted.

‣ A qualified individual providing multiple services must delineate between

services, goals, timeframes, and those served in documentation.

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Time & Motion Study‣ The objective of the survey is to account for all time spent

by the care coordinators in delivering services, traveling,

performing non- billable activities AND personal time

during a specified timeframe.

‣ The State will employ an independent evaluator to conduct

the above referenced time and motion study to be

completed and reported in summary to CMS no later than

December 31, 2017.

‣ The study will help to substantiate the rate request and

demonstrate the time and effort spent by care coordinators

per child enrolled in the HCBS Waiver

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Cost Reconciliation‣ CMS is requiring that OMH engage in a retrospective

reimbursement reconciliation process using service provider

cost of all services compared to the final allowable Medicaid

reimbursement rate by service.

‣ FFP would be limited to the actual cost of the service(s) at the

service provider level.

‣ If service providers received reimbursement in excess of their

cost, the State would (1) reduce reimbursement to the service

providers actual cost (2) any excess of actual cost could not be

claimed for FFP and any excess would have to be refunded to

CMS.

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New Program Codes for CFR Reporting2230 Children’s HCBS Waiver Individualized Care Coordination (includes

transitional case management (TCM)– anticipate to be the same person)

2240 Children’s HCBS Waiver Respite

2250 Children’s HCBS Waiver Family Support

2260 Children’s HCBS Waiver Crisis Response

2270 Children’s HCBS Waiver Skill Building

2280 Children’s HCBS Waiver Intensive In-Home

2350 Children’s HCBS Waiver Supported Employment

2360 Children’s HCBS Waiver Pre-Vocational Services

2370 Children’s HCBS Waiver Youth Peer Advocate

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Program Services

How Can Managers Prepare?

II. Programmatic Concerns

i. Orienting Children and Families to a “new way”

ii. Operationalizing New Staff Roles

iii. Opportunities for Staff Assignments

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Messages for Families

‣ The Waiver program is intended to “wrap” services

and supports around a child and family.

‣ Families must be aware that Waiver involves a “team”

of providers working together to support their

individualized needs

‣ Through collaboration and coordination, families have

access expert staff that specialize in particular areas

focused on helping to address their unique needs

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Services Review

‣Unbundled Services

• ICC, Crisis Response, and Intensive In-Home

‣Existing Services

• How do the unbundled core services interact with and

compliment the additional available services below

• Current Services: Family Peer Support, Respite, and Skill

Building

• New Services: Prevocational, Supported Employment,

Youth Peer Support (Transitional Case Management)

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ICC – Care Coordination

• ICC will be responsible for the overall coordination

of the services for the child.

• Controls the flow of information

• This will include regular contact with the child/family

as well as frequent collateral contacts

• Utilization of community resources

• Documentation

• The ICC role includes the services provided under

Transitional Care Management

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HCBS Waiver TransformationCategory of

Change

PAST: Current

1915c

NOW: 1915c

Application

Renewal

FUTURE: SPA/

Health Home/

Managed Care

Service Bundled (ICC/ IIH/

CRS)

Unbundled

Services

Individual

Services

Rates ~$2300

downstate/

bundled

~$1200

downstate/ ICC

~$800 downstate/

high acuity

Conflict of Interest

Requirement

N/A Conflict Free

Case

Management

Conflict of Interest

Case Ratio 1:6 1:9 1:12 (High Acuity)

Care Coordination Service: bundled

with other

services

Coordination of all

care

Coordination of all

care

Staff

Qualifications

Preferred Masters Align with Health

Home (Bachelors)

Bachelors Degree

Proposed New Protocols ‣ Required Monthly Contacts and Activities

• Submitting proposal to modify contacts and activities

• Reduce face-to-face requirements

• Increase other required contacts with collaterals and

providers

‣ Required Documentation for Service Plans

• Considering removing requirement for 30-day review

• Enhance expectations for Initial Service Plan

• Utilize addendums for updating Service Plans and

modifying needs and services

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ICC – Care CoordinationRedefining the Role of the ICC: Considerations

‣ Expanding to include Transitional Aged Youth (TAY):

Knowing community resources

‣ Increased attention to health care needs

‣ Increased facilitation role in accordance with

Wraparound approach

‣ “Warm hand-off”: Introducing family to Waiver providers,

community resources, discharge planning/ options

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Intensive In-Home

‣ IIH works with family on the goals outlined in the

Waiver Service Plan, with consideration to the existing

Treatment Plan (implemented by clinical provider).

‣The Intensive In-Home (IIH) worker provides services

that support the child's social and emotional

development and learning.

‣Articulating the needs, strengths and priorities of the

family back to the ICC

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Intensive In-Home (cont.) Redefining the Role of IIH: Considerations

‣ Conceptualizing the role

• Relationship

• IIH provider is providing clinical interventions (e.g., coping

strategies, behavior de-escalation, etc.)

‣ IIH has a unique role in providing interventions that address

the clinical aspects of the child and family’s needs which

requires the highest qualified and trained provider (as well as

Crisis Response) in the Waiver program.

‣ Time Management

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Crisis Response‣ Crisis Response Services (CR) reinforce the agreed upon safety

plan that the child and family have developed and attempts to

stabilize occurrences of child/family crises when they arise.

‣ These services may include:

• assessment

• consultation

• linkage

• immediate intervention wherever necessary, for example, in

schools, at home and work.

‣ This service is available 24 hours a day, seven days a week.

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Crisis Response (cont.)Considerations:

• Service provider’s role when a crisis develops while

with the family/ youth: Skilled in behavioral de-

escalation, updated on Safety Plan

• When to call Crisis Response or emergency services

• Fluid communication with ICC: Follow-up

• Parameter of service provision: billing considerations,

best practice

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Process & Case Examples

ICC

Other

HCBS

ServicesCRSIIH

Family

Community

ResourcesOther

Providers

47

Family Support‣ Family Support is designed to enhance the health and growth of

children and adults in the family unit to ultimately develop safe, stable, and supportive families who are connected to their communities.

‣ Family Support Services:

• provide resources, including, but not limited to education, training, advocacy and supports

• assist the family by introducing and connecting them to activities in the community (e.g., educational, cultural, recreational) which would foster family cohesion

• may be provided to Waiver parents/guardians and family members who have frequent and regular caretaking responsibilities for the Waiver child

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Skill Building‣ Skill Building Services (SBS) focus on helping the child be

successful in the home, community and school by acquiring

both social and environmental skills associated with his/her

current developmental stage.

‣ Utilizes an individualized, strength based approach to assist

the child recognize functional assets/strengths and those that

need developing.

‣ Skill Building may also assist youth to develop skills for

independent living and by facilitating access to, monitoring

and supporting vocational training.

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Respite Services‣ Respite Services (RS) provide a needed break for the family

and the child to ease the stress at home and promote

overall wellness for the child and his/her family.

‣ Activities include: providing supervision and recreational

activities that match the child's developmental stage and/or

community outings with child

‣ Respite care may be provided on a planned or emergency

basis, day or night, in the child's home or in the community

by trained respite workers with one Waiver child or a group

of Waiver children

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How Can Expansion Help?

III. Expanding to New Populations/Services

i. Serving TAY in Expanded Enrollment Age

ii. Providing New Waiver Services

a. Youth Peer Advocates

b. Pre-Vocational Services

c. Supported Employment

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New ServicesNYS working through amendment and waiver process with

CMS with the intent to:

‣ Expand the allowable age of enrollment from up to the age

of 18 to up to 21 years old

‣ Add three new services: Youth Peer Advocate, Pre-

Vocational Services, and Supported Employment

**No designation process for current waiver providers, they

can elect to provide if they have qualified staff and follow

subcontractor approval process

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New Services‣ Youth Peer Advocate

• Offer positive youth development-centered services for a waiver participant who is at a developmentally appropriate age with a resiliency/recovery focus.◦ Promoting skills for coping and symptom management and the use of available resources.

‣ Pre-vocational

• Individually designed to prepare a youth age 14 or older with serious emotional disturbance to engage in paid work, volunteer work or career exploration. ◦ Not job-specific

◦ Geared toward facilitating success in any work environment

‣ Supported Employment

• Provide assistance to waiver participants age 14 or older with severe disabilities as they perform in a work setting.

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Looking Ahead

How Will This Prepare Me?

IV.Readying Staff for Future Services

i. Future of Care Coordination

ii. New SPA Services

iii. Opportunities of New HCBS services Array

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Future of HCBS Waiver‣ Moving to Health Homes

• Integrated Care

• Focus on Whole Health

• Collaboration/Coordination with Array of Healthcare

Providers

‣ Moving to Medicaid Managed Care

• Assuring Quality of Care

• Demonstrating Outcomes

• Value Based Payments

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Updated Children’s System Transformation Timeline

‣ Updated Children’s Behavioral Health and Health Medicaid

Redesign Implementation dates as submitted to CMS as part

of amendment to the 1115 New York Medicaid Redesign

Waiver

• July 1, 2018

◦ Transition 1915(c) Children’s Waivers to Health Home

◦ Align Children’s Home and Community Based Services for Level of Care

Population

◦ Children’s Behavioral Health Benefits Transition to Managed Care

• January 1, 2019

◦ Foster Care Population Transitions to Managed Care

◦ Expansion of Children’s HCBS for Community Eligible and Family of One Level

of Need Population

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What the transition timeline means for Waiver Services?

‣Moving towards new structures and processes that

align with redesign and managed care

‣Creating more seamless programmatic and fiscal

transitions to new services

‣Preparing for changing ways of “doing business” that

focus more on individualized service arrays and less

on programs

‣Develop capacity and specializations in areas that will

continue in new services and models

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Moving to Health Homes‣ Aligned staffing qualifications of ICC to be commensurate

with Health Home high acuity

‣ Create opportunities for specialization in care coordination

efforts and approaches to whole health

‣ Orient staff to the wide array of available services from

multiple child-serving systems

‣ Establish relationships with common health care practices

and providers to better integrate care

‣ Move towards value based approaches focused on

outcomes correlated with research

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Staff QualificationsICC Staff qualifications now align with required qualifications for staff

serving Health Homes “High Acuity” youth:

• Bachelor’s degree or a NYS Teacher's Certificate and two years’ experience*

providing direct services for children in the children’s service system with a

preference for the mental health field/working with children with SED

-- OR -- a Master’s degree and one year experience* providing direct services

to children, or providing linkage to services, for children, in the children’s

service system with a preference for the mental health field/working with

children with SED.

‣ Also applies to Transitional Case Management

*Qualifying experience may be pre-or post-degree. Candidates may qualify

by meeting the qualifications for the NYS Intensive Case Manager position

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Readying Staff for Future

Waiver Service Redesign Service Qualifications

ICC HHCM Same

IIHS SPA - CPST Bachelors/Masters

Skill Building PSR/ Habilitative SB High School Diploma

FPSS/YPA SPA - FPSS/YPSAT Training/Credential

Crisis Response SPA - Crisis Intervention Licensed Practitioner

Respite HCBS - Respite High School Diploma

B2H – F/CSS HCBS - C/FSS ------

B2H - SNCAS HCBS- CSATS ------

There will be many opportunities for staff at varying levels in the Waiver

program to provide an array of services under the new State Plan

services and expanded array of HCBS services.

Next Steps

Technical Assistance‣ Slides will be distributed electronically following the

series

‣ A Q&A resource will be developed and distributed

‣ A web-based office hour will be offered in late

June/July to talk through ongoing implementation and

additional questions

‣ Please send questions to: ctac.info@nyu.edu

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Ongoing OMH Updates

‣Regular Monthly Webinars

‣ Impromptu Webinars, as needed

‣ Issuance of New Guidance Document with CMS

Approval of Waiver renewal

‣Policy Change Notices

‣Notification emails

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Thank you! Discussion/Q&A

HCBS Waiver Unit Email & Main Division Phone

Number:

dcfs@omh.ny.gov &

(518) 474-8394

Contact the Community Technical Assistance

Center at ctac.info@nyu.edu

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