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Office of Mental Health

Plan Qualification Process

NYS Request for Qualification (RFQ)

Managed care plans are required to submit applications to New York State demonstrating that they have the organizational capacity and culture to ensure the delivery of effective behavioral health care and facilitate system transformation. These applications are reviewed against specific administrative, performance, and fiscal standards.

Applications

Children’s Health and Behavioral Health Transition

New York State Children’s Health and Behavioral Health Benefit Administration: Medicaid Managed Care Organization Children’s System Transformation Requirements and Standards (Open)

Adult Behavioral Health Transition

Complete Rest of State Request for Qualification Application (Closed; Deadline 9/18/15)

New York City Request for Qualification Application (Closed; Deadline 6/6/14)

Supplemental Documents

Calendar Year 2015 HARP NYC Capitation Rate Development

Data Book for Mainstream Managed Care Organizations and Health and Recovery Plans (HARPs) (updated from December 2013 distribution)

HARP and Mainstream Personnel Requirements Table

In-state and Out-state Requirements

Preliminary premium for the Rest of State Health and Recovery Plan (HARP) benefit

Potential HARP enrollees by Plan