RFI: Electronic Health Record (EHR) Systems for New York State Designated Home and Community Based Services (HCBS) Providers


The Fund for Public Health in New York City, on behalf of the New York City Department of Health and Mental Hygiene and the New York eHealth Collaborative (NYeC), is inviting software vendors to submit information about their systems in the area of Electronic Health Records (EHR) for the Behavioral Health field. Potential users of these solutions will be Home and Community Based Services (HCBS) providers who are serving patients within the Medicaid Health Home Service Model. Interested parties may obtain the full RFI and submission requirements at:

BHIT HCBS Technical Specs and Additional Documentation

The following documentation has been approved by the New York State Department of Health and the Office of Mental Health for organizations designated as Home and Community Based Services (HCBS) Providers for the State of New York

BHIT Additional Documentation

Adult BH HCBS Technical Specs v3.4 for EHR or EMR (PDF, 2.0 MB)

Key document approved by NYS Department of Health that specifies all technical specs required for Electronic Record Systems (EHR) or Electronic medical Systems (EMS). Includes Business workflows, Case Documentation and Billing Specifications.

Summary of changes to HCBS BH Tech Specs v3.3 for EHR or EMR (PDF, 198 kb)

List all changes made to the previous Technical Specs v3.3.

Adult BH HCBS Technical Specs v3.4F for EBS (PDF, 198 kb)

Key document approved by NYS Department of Health that specifies all technical specs required for Electronic Billing Systems.

Adult BH HCBS Billing Warning Alerts v3.4F (PDF, 86 kb)

Automatic billing notifications created to minimize claim rejections.

Summary of changes to HCBS Warning Alerts v3.3 (PDF, 86 kb)

List all changes made to the previous HCBS Warning Alerts v3.3.

Authorization Request Form re Adult BH HCBS services NYS (PDF, 132 kb)

Approved form from NY State Dept. of Health to be sent from the HCBS Providers to the MCOs requesting approval of services

BH HCBS Fee Schedule Updated Jan 29 2016 (PDF, 126 kb)

CMS approved codes, modifiers and fees for HCBS Services. Updated by January 29th, 2016 (MS Excel and PDF format)

Document and Questionnaire about Security Parameters BHIT Technical Specifications (PDF, 131 kb)

Document prepared by New York State, Department of Health about Security Parameters. Software vendors need to answer how their systems address these Security Parameters

Frequent Asked Questions (FAQ v1.0) (PDF, 91 kb)

Summary of common questions and answers about the Adult BH HCBS Technical Specs v3.3

HCBS Provider Manual – 04.20.20.16 (PDF, 390 kb)

Complete description of Home and Community Based Services (HCBS) approved by CMS as Medicaid billable. Includes all information about services, provider qualifications and credentials, consumer eligibility criteria, service requirements, limitations and exclusions, clustering of services and allowed modes of delivery. Updated version by April 20th 2016

New York State HARP-Managed Care BH Billing and Coding Manual – Updated September 2015 (PDF, 369 kb)

Manual that details claiming requirements necessary to ensure proper behavioral health claim submission with respect to Mainstream Medicaid Managed Care Plans (MMCs) and Health and Recovery Plans (HARPs). It applies only to behavioral health services that can be billed under Medicaid fee-for-service rate codes by OMH-licensed or OASAS-certified programs and to the HCBS services that will be delivered by OMH and OASAS “designated” providers