Starting on Feb. 1, 2022, four Adult Behavioral Health Home and Community Based Services (BH HCBS) will be changing to Community Oriented Recovery and Empowerment (CORE) services. EmblemHealth will cover CORE services for eligible members.
New York State is making this change because CORE services are easier to get than BH HCBS. Eligible members can get CORE services through a recommendation from a qualified provider.
The services moving from BH HCBS to CORE services are:
Psychosocial Rehabilitation (PSR)
This service helps with life skills, like making social connections, finding or keeping a job, starting or returning to school, and using community resources.
Community Psychiatric Supports and Treatment (CPST)
This service helps members manage symptoms through counseling and clinical treatment.
Empowerment Services – Peer Supports
This service connects members to peer specialists who have gone through recovery. Members will get support and assistance with learning how to:
- Live with health challenges and be independent,
- Make decisions about their own recovery, and
- Find natural supports and resources.
Family Support and Training (FST)
This service gives family and friends the information and skills to help and support the member.
What’s changing?
These CORE services are almost the same as they were in BH HCBS. There are two changes:
- Members now have more options for services to support goals related to work and school. They can work with a CORE PSR provider to help them:
- Get a job or go to school while managing mental health or addiction struggles,
- Live independently and manage their household, and
- Build or strengthen healthy relationships.
- Short-term Crisis Respite and Intensive Crisis Respite are now called Crisis Residential Services and are still available.
What’s not changing?
These seven services are still available under BH HCBS:
- Habilitation
- Education Support Services
- Pre-Vocational Services
- Transitional Employment
- Intensive Supported Employment
- Ongoing Supported Employment
- Non-Medical Transportation
Will members have to change their BH HCBS provider to get CORE services?
If a member is getting CPST, PSR, FST, or Peer Support as BH HCBS before Feb. 1, 2022, they can keep getting the same services from their provider under CORE.
Do members need an assessment for BH HCBS?
Yes, members need to complete the New York State Eligibility Assessment with their care manager or recovery coordinator to get a BH HCBS.
Do members need an assessment for CORE services?
No, members do not need the New York State Eligibility Assessment to get CORE services. They can get a CORE service if it is recommended by a qualified provider, like a doctor or social worker.
How can a member find a qualified provider to recommend CORE services?
Primary care doctors or therapists may be able to make a recommendation for CORE services. If members need help finding a qualified provider, they can contact Customer Services at 855-283-2146. Members can also ask their care manager for help.
JP #56547 1/2022
