The B2H program will provide family and community support services to a proposed 3,305 children statewide that will supplement, not replace, the existing foster care and Medicaid State Plan programs. The roll-out is planned over three years beginning January 2008.
The B2H waiver application recognizes these children’s special circumstances in several ways:
The family network that will be able to be served along with the child can involve multiple families simultaneously, e.g. foster parents, biological parents, pre-adoptive parents;
A child can qualify for waiver entry only while in foster care. However, once in the waiver, the participant can generally retain the services until age 21, as long as they meet waiver eligibility. To enhance their opportunities for successful reunifications and placements, the services can follow the participant home, into adoption, to lower levels of foster care and to adulthood;
Many foster children have multiple disabilities which no single system serves well. The waivers serve three eligibility groups of children in foster care, so that cross-systems issues can be better integrated;
Health care integration agencies (HCIAs) are qualified to participate in B2H only if they are foster care providers with experience in serving people with disabilities. This design element is intended to intertwine health planning with a recognition of the child’s post-foster care permanency goal;
Individualized Health Plans, which specifies the child’s goals and the services necessary to maintain the child in his/her home community, is paramount in order to address singular traumatic events a child in care can experience, such as identifying, intervening and following through a crisis situation.
(All information here in provided from www.ocfs.ny.gov/main/b2h/)