*This is a New York State, Medicaid Reimbursed service only

We are pleased to present to you our bilingual Home and Community Based Services. It is our hope that your time with us will be helpful to your recovery process.

A Health and Recovery Plan (HARP) will use HCBS to provide person-centered recovery services to eligible people with substance use disorders. Home and community-based services (HCBS) provide opportunities for Medicaid beneficiaries with behavioral health conditions to receive services in their own home or community.


These are the main areas of support we provide:

  • Health: Managing one’s addiction as well as living in a holistic healthy way.
  • Home: A stable and safe place to live.
  • Purpose: Meaningful activities such as a job, school, volunteerism and independence to participate in society.
  • Community: Relationships and social networks that provide support, friendship,  love, and hope.




Peer Support services are peer-delivered services with a rehabilitation and recovery focus. They are designed to promote skills for coping with and managing behavioral health symptoms while facilitating the utilization of natural resources and the enhancement of recovery-oriented principles (e.g. hope and self-efficacy, and community living skills). Peer support uses trauma-informed, non- clinical assistance to achieve long-term recovery from Substance Use Disorders (SUD) issues.

Activities included must be intended to achieve the identified goals or objectives as set forth in the participants individualized recovery plan, which delineates specific goals that are flexibly tailored to the participant and attempt to utilize community and natural supports. The intent of these activities is to assist recipients in initiating recovery, maintaining recovery, sustaining recovery and enhancing the quality of personal and family life in long-term recovery.

The structured, scheduled activities provided by this service emphasize the opportunity for peers to support each other in the restoration and expansion of the skills and strategies necessary to move forward in recovery. Persons providing these services will do so through the paradigm of the shared personal experience of recovery.




Assistance seeking and obtaining benefits and entitlements, food, shelter, and permanent housing.

  • Assisting recipients in participating in shared decision making (e.g. WRAP).
  • Linkage to and systems navigation within behavioral health and allied human services systems to access appropriate care (e.g. Peer Advocates).
  • Benefits advisement and planning.
  • Development of a Recovery Integration Plan directives (RIP).
  • Assistance advocating for self-directed services.


Outreach and Engagement


Companionship and modeling of recovery lifestyle, including participation in recovery activities that might be beyond the scope of treatment providers (e.g., eating together at a restaurant, attending or participating in a sporting event, attending a social event such as a concert or recovery celebration event).

  • Raising the awareness of existing services, pathways to recovery and helping a person to remove barriers that exist for access to them.
  • Interim visits with individuals after discharge from Hospital Emergency Rooms, Detox Units or Inpatient Residential Units to facilitate community tenure and increased readiness, while waiting for the first post-discharge visit with a community-based mental health provider, treatment provider or appropriate system of care.


Self-Help Tools


Assist selecting and utilizing self-directed recovery tools such as Wellness Recovery Action Plan (WRAP) or Individualized Recovery Plan.

  • Assist selecting and utilizing the things that bring a sense of passion, purpose and meaning into his/her life and coaching the person as they identify barriers to engaging in these activities.
  • Assist individuals to help connect to natural supports that enhance the quality and security of life.
  • Connecting individuals to “warm lines”.
  • Connections to self-help groups in the community.


Recovery Supports


Recovery education and coaching for individuals and their family members.

  • One to one peer support.
  • Person centered goal planning that incorporates life areas such as community connectedness, physical wellness, spirituality, employment, self-help.
  • Assisting with skills development that guides people towards a more independent life.


Transitional Supports


  • Bridging from Jail or prison to a person’s home (note: that peer supports while in Jail are not Medicaid reimbursable).
  • Bridging from institutions to a person’s home (note: that peer supports while in an institution are not Medicaid reimbursable).
  • Bridging from general hospitals to a person’s home.
  • Bridging from a person’s home to the community.


Pre-Crisis and Crisis Supports


  • Providing companionship when a person is in an emergency room or crisis unit or preparing to be admitted to detox, residential or other service to deal with crisis.
  • Providing peer support in the person’s home or in the community to support them before (or in) a crisis or relapse.
  • Developing crisis diversion plans or relapse prevention plans.