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The following updates have been made to your CDPHP Medicaid plan:

Infertility Services
(Effective October 2019)

If you are unable to get pregnant, CDPHP will be covering services and medications that may help.

This benefit will be limited to coverage for 3 cycles of treatment per lifetime, and is available to CDPHP Medicaid members who are:

  • 21-34 years old, and are unable to get pregnant after 12 months of regular, unprotected sex.

  • 35-44 years old, and are unable to get pregnant after 6 months of regular, unprotected sex.

Services covered by this benefit can be found on page 10 of your Medicaid Managed Care handbook, or page 11 of your HARP handbook.

 

Children Home and Community Based Services
(Effective October 2019)

These services are available for children identified by a Health Home as requiring support and extra care at home and in the community, and who are at risk of going to the hospital or a long term care facility. To access these services, children/youth and their families can speak with a Health Home care manager by calling (518) 473-5569 or emailing hhsc@health.ny.gov.

» Find locations where you can access these services.

 

Children and Family Treatment and Support Services
(Effective January 2019, with additional services added in July 2019)

These new mental health and substance use services (therapy, rehabilitation, and family/peer support services) give children/youth (under age 21) and their families the power to improve their health, well-being, and quality of life. These services strengthen families, and help them make informed decisions about their care. Services are provided at home or in the community.

Effective July 1, 2019, CDPHP Medicaid members under age 21 will be covered for additional behavioral health services. A full list of these services is available on page 13 of the Medicaid Managed Care member handbook.

CDPHP will cover these services for all eligible children and youth under age 21, including those:

  • With Supplemental Security Income (SSI);

  • Who have federal Social Security Disability Insurance (SSDI) status; or

  • Who have been determined certified disabled by a New York State Medical Disability Review.

To find out if you qualify for Medicaid, fill out this form and a CDPHP representative will contact you.