Additional 29-I VFCA
Health Facility Services

Service

Description

Nursing Support & Medication Management

Nursing services provided using one of the following:

• Nurse’s office.
• Exam/triage rooms (not to exceed three rooms).
• Combination of the above.

Skill Building

Counseling and intervention provided by licensed behavioral health practitioners (LBPHs) including:

• Psychoanalyst
• Clinical social worker
• Marriage and family therapist
• Mental health counselor
• Master social worker (MSW)

Skill-building activities include:

• Establishing and meeting treatment goals for children using historical and current health-related information in collaboration with the care team.
• Providing psychiatric support, including therapy. This may include individual counseling and treatment, substance abuse counseling and treatment, trauma-informed counseling and treatment, family and group counseling, and transitional counseling.
• Promoting integration with community resources and skill-building.
• Providing psycho-education and wellness education.
• Enhancing compliance with behavioral expectations.
• Structuring interventions to decrease problem behavior and increase developmentally appropriate pro-social behavior. These interventions are drawn from evidence-based psychotherapeutic methodology.

Medicaid Treatment and Discharge Planning

The VFCA must develop a treatment plan for the Medicaid services provided to the child. This should include:

• Treatment planning
• Discharge planning
• Exchange of health information
• Documentation of medical escorts, transportation, and supervision to health care appointments.

Clinical Consultation/Program Supervision Services

Clinical Consultation/Program Supervision services may include:  

• Establishing and meeting treatment goals for children using historical and current health-related information in collaboration with the care team.
• Prescription and non-prescription medication review.
• Medical eligibility recommendations for foster care rates pertaining to health care conditions.
• Advising the local department of social services and VFCA executive directors of the medical needs of the children in their care and/or care and custody.
• Reviewing and approving required medical and behavioral health forms.
• Engaging with biological families, guardians, foster families, and caseworkers as needed.
• Clinical supervision of medical and behavioral health staff in compliance with applicable laws, rules, and regulations. These may include New York State Education Department requirements as applicable.
• Quality oversight and improvement services.
• Emergency medical and behavioral health consultation services.

VFCA Medicaid Managed Care Liaison Services/Administrator

VFCA and Medicaid managed care liaisons ensure a coordinated approach to the child’s healthcare. In addition, the VFCA must have a program administrator with the ability to oversee functions as related to Article 29-I licensure.