Home & Community Based Services

Find support. Gain strength.

The Home & Community-Based Service (HCBS) program provides services to children between the ages of 5 and 21 who face the likelihood of residential placement or hospitalization due to a Serious Emotional Disturbance (SED).

We are here to coordinate an individually tailored plan of care that is designed to meet the needs of the child and his/her family by using their strengths and building a supportive home and community-based environment.

Our Program
Ours is a “family-driven” process. The family is completely involved in every stage and every aspect of the process.

  • An Individualized Care Coordinator (ICC) is assigned to work intensively with the child and family to determine what it will take to allow the child to remain at home and in the community.
  • Together we identify individual and family strengths and create a plan of services to meet the needs of the family.
  • FCA works with several other community-based agencies to ensure adequate services are available to each family. This collaboration also offers the family a choice of provider (for all services except ICC).



Under this program, NYS is able to “waive” some of the customary rules that govern Medicaid reimbursement. The most significant of these is the ability to consider only the child’s income (not the parents’) and the addition of the following services:

  • Individualized Care Coordination to ensure the development of a customized plan of services.  READ MORE
  • Respite Services to provide needed temporary relief to the primary caregiver(s) as well as companionship and positive role-modeling for the child.
  • Skill-Building Services to assist the child to acquire and develop the specific skills needed to function more successfully in the community.
  • Family Support Services designed to enhance the child’s ability to function as part of a family, and the family’s ability to care for the child in the home. READ MORE
  • Intensive In-home Services to provide on-going interventions in the home that support the child’s social and emotional development and learning. READ MORE
  • Crisis Response Services to help stabilize situations whenever and wherever they may occur.


  • Age: The child must be at least 5 but not older than 21.
  • Illness: “Serious Emotional Disturbance” is defined by a DSM IV diagnosis (excluding substance disorders, organic brain syndromes, developmental disabilities and social V code conditions.) and has experienced functional limitations due to emotional disturbance over the past 12 months
  • Placement Risk: The child must meet the eligibility criteria for placement in a residential mental health facility.
  • Capability: The child must be capable of being cared for in the community if provided appropriate services.
  • Voluntary Participation: The child has a viable and consistent living environment with parents/guardians and both child and family are willing to participate in services.
  • Medicaid Eligibility: The child’s income and resources (without reference to parents) must meet Medicaid eligibility.
  • Fiscal Eligibility: The child must be capable of being served in the community at the federally approved average yearly cost.

Support Group Info: 2018 Monthly Parent Support Groups

Parents or professionals working with a child/family can make referrals by contacting:

SPOA Unit/Children’s Services Nassau County Department of MH/MR/DD
60 Charles Lindbergh Blvd. Uniondale, NY 11553
(516) 227-7057
Fax (516) 227-7076
Click here for SPOA Brochure
Click here for SPOA Application

Call (516) 485-5976