MedicaidCoverageMedium impact
Child Health Plus (CHPlus) Children’s Home and Community Based Services (HCBS)
EmblemHealth·Pediatrics, Physical Therapy, Occupational Therapy +1 more·Provider News
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Starting January 1, 2025, EmblemHealth will cover Home and Community Based Services (HCBS) for eligible Child Health Plus members. These services support children in non-institutional settings to help them remain at home and in the community, or transition safely from institutional care.
Action Required
By January 1, 2025: Billing team must verify eligibility for CHPlus members seeking HCBS and review the covered services list (JP 68152 01/2025) at emblemhealth.com. Update billing procedures to include HCBS coverage verification for pediatric patients transitioning from institutional care or requiring home-based services.