Emblem Behavioral Health Services Program

Children System Transformation

• Children System Transformation

Important Implementation Documentation

• Frequently Asked Questions
• Guide to Preauthorization

Forms & Other Important Links

• Adult Behavioral Health (BH) Home and Community Based Services (HCBS): Prior and/or Continuing Authorization Request Form
• Beacon Health Strategies, LLC. / New York Level of Care Criteria
• Special Appeal Rights — NY Attorney General Settlement
• EmblemHealth Appeal Application
• Applied Behavior Analysts
• EmblemHealth Provider Manual and Additional Resources
• Medical Necessity Checklist – A guideline for use when preparing to request authorization for care. Designed to assist with familiarizing yourself with the questions clinicians will be asking in order to help determine medical necessity. There may be follow-up questions asked depending upon responses.
• New York Best Practices

Additional New York Provider Training Resources

• Monthly Webinar Calendar
  • Monthly Webinar Invite
• Adverse Incident
  • Adverse Incident and Quality of Care Reporting Presentation Slides
  • Adverse Incident Reporting Job Aid

Notice of Admission for New York State Providers

New York Mental Health Notification of Admission Provider Communication

Notice of Admission for NYS Providers Webinar Slides

Notice of Admission for NYS Providers Webinar Recording