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  • November 25, 2019

Home and Community Based Services (HCBS)

Federation of Organizations provides Home and Community Based Services (HCBS) for individuals receiving Medicaid, who are living with mental health and/or substance use conditions.  A range of services are offered to provide people with a path to achieve recovery. Services are provided in one’s home or at a location where they are most comfortable in the community.  


Habilitation services are provided on a 1:1 basis and are designed to assist individuals with a behavioral health diagnosis (i.e., SUD or mental health) in acquiring, retaining and improving skills such as communication, self-help, domestic, self-care, socialization, fine and gross motor skills, mobility, personal adjustment, relationship development, use of community resources and adaptive skills necessary to reside successfully in home and community-based settings. These services assist individuals with developing skills necessary for community living and, if applicable, to continue the process of recovery from an SUD disorder. Services include things such as: instruction in accessing transportation, shopping, and performing other necessary activities of community and civic life including self-advocacy, locating housing, working with landlords and roommates and budgeting. Services are designed to enable the participant to integrate full into the community and ensure recovery, health, welfare, safety, and maximum independence of the participant.

Education Support Services

For individuals interested in advancing their education or attending a formal training program, Federation can help. We provide hands on assistance with selecting a program or school, filling out applications, and accessing financial aid programs. Once accepted, we provide support through the process to help with successful completion. Services offered include but are not limited to, accompanying individuals to classes, providing support through tests, helping access student supports and services on campus while teaching self-advocacy skill in the educational setting.

Pre-Vocational Services

Pre-vocational services are time-limited services that prepare an individual for paid or unpaid employment. This service specifically provides learning and work experiences where the individual with mental health and/or disabling substance use disorders can develop general, non-job-task-specific strengths and soft skills that that contribute to employability in competitive work environment as well as in the integrated community settings.

Transitional Employment

This service is designed to strengthen the individual’s work record and work skills toward the goal of achieving assisted or unassisted competitive employment at or above the minimum wage paid by the competitive sector employer. This service is provided, instead of Intensive Supported Employment, only when the individual specifically chooses this service and may only be provided by clubhouse, psychosocial club program, OASAS recovery center, or agency previously in receipt of a BH HCBS designation for this service. This service specifically provides learning and work experiences where the individual with behavioral health and/or substance use disorders can develop general, non-job-task-specific strengths and soft skills that contribute to employability in the competitive work environment in integrated community settings paying at or above minimum wage. The outcome of this activity is documentation of the individual’s stated career objective and a career plan used to guide individual employment support.

Intensive Supported Employment (ISE)

ISE services that assist recovering individuals with MH/SUDs to obtain and keep competitive employment. These services consist of intensive supports that enable individuals to obtain and keep competitive employment at or above the minimum wage. This service uses evidence-based principles of the Individual Placement and Support (IPS) model. This service is based on Individual Placement Support (IPS) model which is an evidence-based practice of supported employment.

Non-Medical Transportation

Non-Medical Transportation (NMT) is an Adult Behavioral Health Home and Community Based Service (BH HCBS). The NMT benefit is in addition to any medical transportation. In addition to transportation to BH HCBS and CORE services in community-based settings, Non-Medical Transportation is intended to help initiate new goal-related activities for an enrollee. NMT is not available for routine events, such as transportation to and from a job or school. For example, an enrollee may be transported to a job interview or workplace orientation, but not to work on a daily basis. Similarly, an enrollee may be transported to a college fair or a meeting with an admissions counselor, but not to classes on a regular basis. 

Ongoing Supported Employment

This service is provided after an individual successfully obtains and becomes oriented to competitive and integrated employment. Ongoing follow-along support is available for an indefinite period as needed by the individual to maintain their paid competitive employment position. Individual employment support services are individualized, person centered services providing supports to individuals who need ongoing support to learn a new job and maintain a job in a competitive employment or self-employment arrangement.


Community Oriented Recovery and Empowerment Services (CORE)

Federation of Organizations provides Community Oriented Recovery and Empowerment Services (CORE) for individuals seeking supportive services to assist them in their path to recovery. Services can be provided at home or at a location in the community depending on the individual’s preference. 

Community Psychiatric Support and Treatment

A mobile treatment team will visit each person in their own home, where they are most comfortable. Services are available to individuals who are experiencing mental or physical health issues that prevent them from attending traditional clinical services. The team will work in partnership with individuals, and those identified as a support, to help them get to a place where they feel better and are able to participate in other services.

Psychosocial Rehabilitation (PSR)

Psychosocial Rehabilitation (PSR) is designed to assist an individual in improving their functional abilities to the greatest degree possible in settings where they live, work, learn, and socialize. Rehabilitation counseling, skill building, and psychoeducational interventions provided through PSR are used to support attainment of person-centered recovery goals and valued life roles. Approaches are intended to develop skills to overcome barriers caused by an individual’s behavioral health disorder and promote independence and full community participation.

Family Support and Training

Families can be a great source of support to help individuals in their recovery. Federation provides trainings and information for loved ones, and will work with them to create a supportive atmosphere. With a better understanding of the individual’s experiences and the resources available, they will be more equipped to support the individual through their journey.

Empowerment Services – Peer Support Services

Peers engage individuals on a personal level as they share their own experiences to help them take charge of their situation, re-establish hope, and provide proof that recovery is possible. Peers have knowledge of services and supports in the community such as, entitlements, housing, mental and medical health services as well as self-help resources. Wellness Recovery Action Planning (WRAP), Psychiatric Advance Directive (PAD), and development of self-directed care are offered through these services.

Accessing these services is easy.  Just email us at hcbs@fedoforg.org