Residential treatment providers are encouraged to apply for certification under Part 820 - Residential Services. Programs will transition from the current Part 819 - Chemical Dependence Residential Services and/or Part 816.9 Medically Monitored and Withdrawal and Stabilization certification to Part 820 - Residential Services certification that will include Elements (Stabilization, Rehabilitation and/or Reintegration) that the program has been approved to provide.
A program may apply for any combination of Elements and must complete the Residential Redesign Conversion Application, including the specific proposals for each Element of care that is proposed. There are general program narrative requirements and specific proposal requirements for each Element.
Residential redesign is intended to increase flexibility for programs to provide needed services within residential settings based on the needs of each resident. LOCADTR 3.0, a web-based tool that is used by substance abuse treatment providers, Medicaid Managed Care plans, and other referral sources to determine the most appropriate level of care for a client with a substance use disorder, can be used to assist in the identification of the Element of care most appropriate to the needs of the individual prospective resident.
Residents should enter treatment at the Element that most meets their needs and may move through the Elements as their individual needs require. The Elements are not linear, and not all residents will need to move from one Element to another or require all Elements. Movement between Elements is based on the clinical needs of the resident and not time in treatment.
The New York State Office of Addiction Services and Supports (OASAS) and the NYS Department of Health, Office of Health Insurance Programs (OHIP) are releasing the attached guidance: “NYS Medicaid Managed Care Plan Resource Guide: OASAS Certified Title 14 NYCRR Part 820 Residential Services Programs”. This guidance has been updated to reflect the Chapter 57 of the Laws of 2019.