As a reminder, EmblemHealth requires preauthorization for the following Medicaid Children’s Home and Community Based Services (HCBS):
- Palliative Care
Beginning Sept. 6, 2021, we will no longer cover these services without preauthorization.
As of July 1, 2024, the following HCBS are covered by Medicaid fee-for-service:
- Environmental Modification
- Vehicle Modification
- Adaptive and Assistive Technology
Review, payment, and approval of all requests for these services have transitioned to the Children’s Health Home of Upstate NY (CHHUNY), who serve as the designated Financial Management Services provider in conjunction with the New York State Department of Health.
For further information on preauthorization requirements for HCBS, refer to Appendix E of the Children's Home and Community Based Services Manual.
JP 64624 12/2024