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Family Peer Support Services (FPSS)

Generated from the gc-benefits catalog. It lists what the owner record states. It is not an eligibility decision; confirm current rules with the program.

FPSS is directed to the Family/Caregiver for the benefit of the child, as outlined in the child's goals and treatment plan.

  • Owner record: ny/family-peer-support-services
  • Jurisdiction code: NY
  • Frame: caregiver
  • Review by: 2026-11-10
  • Authority: medicaid-cftss
  • Also called: FPSS; Family Peer Support

Offering 1: family_peer_support

Family Peer Support Services (FPSS) are an array of formal and informal activities and supports provided to families caring for/raising a child who is experiencing social, emotional, medical, developmental, substance use, and/or behavioral challenges in their home, school, placement, and/or community.

  • Availability (owner codes): {"checked": null, "intake": "unknown", "type": "unknown"}
  • Amounts (as stated by the owner): []

Conditions:

  • All of these:
  • Fact rule: recipient.age ≤ 21
  • Stated condition, not checked automatically: "This service is available for children from birth to 21 years of age."
  • Stated condition, not checked automatically: "Any child who is Medicaid or Child Health Plus eligible"
  • Any one of these:
    • Stated condition, not checked automatically: "The child/youth has a behavioral health diagnosis that demonstrates symptoms consistent or corresponding with the DSM;"
    • Stated condition, not checked automatically: "The child/youth displays demonstrated evidence of skill(s) lost or undeveloped as a result of the impact of their physical health diagnosis;"
  • Stated condition, not checked automatically: "The child/youth is likely to benefit from and respond to the service to prevent the onset or the worsening of symptoms;"
  • Stated condition, not checked automatically: "The child/youth's family is available, receptive to and demonstrates need for improvement in the following areas such as but not limited to: strengthening the family unit, building skills within the family for the benefit of the child, promoting empowerment within the family, strengthening overall supports in the child's environment;"
  • Stated condition, not checked automatically: "The services are recommended by the following Licensed Practitioners of the Healing Arts operating within the scope of their practice under State License: Licensed Master Social Worker, Licensed Clinical Social Worker, Licensed Mental Health Counselor, Licensed Creative Arts Therapist, Licensed Marriage and Family Therapist, Licensed Psychoanalyst, Licensed Psychologist, Physicians Assistant, Psychiatrist, Physician, Registered Professional Nurse or Nurse Practitioner"
  • Stated condition, not checked automatically: "The need for FPSS must be recommended by a Licensed Practitioner of the Healing Arts and included within a treatment plan."
  • Stated condition, not checked automatically: "A child with a developmental disability diagnosis without a co-occurring behavioral health condition is ineligible to receive this rehabilitative service."

Access route 1.1

  • Where: NY
  • How: Anyone can make a referral to a CFTSS designated service provider. FPSS also requires a written, signed, and dated recommendation from a Licensed Practitioner of the Healing Arts that explains the medical need for the service.
  • Url: https://omh.ny.gov/omhweb/bho/cftss_pathways_to_care.pdf
  • Phone: null

Evidence

  • /name: "### FAMILY PEER SUPPORT SERVICES (FPSS)" (source, capture 733be2214f0483521d1fd04d59090ad813f8fb40195918cd43bd7e4fb835fb14)
  • /caregiving_effect: "* Individual \n * FPSS is directed to the Family/Caregiver for the benefit of the child, as outlined in the child's goals and treatment plan." (source, capture 733be2214f0483521d1fd04d59090ad813f8fb40195918cd43bd7e4fb835fb14)
  • /offerings/0/summary: "Family Peer Support Services (FPSS) are an array of formal and informal activities and supports provided to families caring for/raising a child who is experiencing social, emotional, medical, developmental, substance use, and/or behavioral challenges in their home, school, placement, and/or community. FPSS provide a structured, strength- based relationship between a Family Peer Advocate (FPA) and the parent/family member/caregiver for the benefit of the child/youth. Services are delivered in a trauma informed, culturally and linguistically competent manner." (source, capture 733be2214f0483521d1fd04d59090ad813f8fb40195918cd43bd7e4fb835fb14)
  • /offerings/0/rules: "Family Peer Support Services (FPSS): Family Peer Support Services (FPSS) are an array of formal and informal activities and supports provided to families caring for/raising a child who is experiencing social, emotional, medical, developmental, substance use, and/or behavioral challenges in their home, school, placement, and/or community. FPSS provide a structured, strength-based relationship between a Family Peer Advocate (FPA) and the parent/family member/caregiver for the benefit of the child/youth. \n \nThe service is needed to allow the child the best opportunity to remain in the community. Activities included must be intended to achieve the identified goals or objectives as set forth in the child/youth's treatment plan. \n \nThis service is needed to achieve specific outcome(s), such as: strengthening the family unit, building skills within the family for the benefit of the child, promoting empowerment within the family, and strengthening overall supports in the child's environment. \n \nPlease refer to \"Medicaid State Plan Children and Family Support and Treatment Services Provider Manual for Children's BH Early and Periodic Screening and Diagnostic Treatment (EPSDT) Services\" for additional information regarding this service. This service is available for children from birth to 21 years of age.\nGuidelines for Medical Necessity\nAdmission to Family Peer Support Services Continued Stay Discharge\nCriteria 1 OR 2, AND 3 AND 4 AND 5 must be met:\n 1. The child/youth has a behavioral health diagnosis that demonstrates symptoms consistent or corresponding with the DSM; OR\n 2. The child/youth displays demonstrated evidence of skill(s) lost or undeveloped as a result of the impact of their physical health diagnosis; AND\n 3. The child/youth is likely to benefit from and respond to the service to prevent the onset or the worsening of symptoms; AND\n 4. The child/youth's family is available, receptive to and demonstrates need for improvement in the following areas such as but not limited to: \n 1. strengthening the family unit,\n 2. building skills within the family for the benefit of the child,\n 3. promoting empowerment within the family,\n 4. strengthening overall supports in the child's environment; AND" (source, capture 733be2214f0483521d1fd04d59090ad813f8fb40195918cd43bd7e4fb835fb14)
  • /offerings/0/rules: " 5. The services are recommended by the following Licensed Practitioners of the Healing Arts operating within the scope of their practice under State License: \n * Licensed Master Social Worker\n * Licensed Clinical Social Worker\n * Licensed Mental Health Counselor\n * Licensed Creative Arts Therapist\n * Licensed Marriage and Family Therapist\n * Licensed Psychoanalyst\n * Licensed Psychologist\n * Physicians Assistant\n * Psychiatrist\n * Physician\n * Registered Professional Nurse or\n * Nurse PractitionerAll criteria must be met:\n 1. The child/youth continues to meet admission criteria; AND\n 2. The child/youth is making progress but has not fully reached established service goals and there is a reasonable expectation that continued services will increase the Child/youth meeting services goals; AND\n 3. Family/caregiver(s) participation in treatment is adequate to meaningfully contribute to the child/youth's progress in achieving service goals; AND\n 4. Additional psychoeducation or training to assist the family/caregiver understanding the child's progress and treatment or to care for the child would contribute to the child/youth's progress; AND\n 5. The child/youth does not require an alternative and/or higher, more intensive level of care or treatment; AND\n 6. The child/youth is at risk of losing skills gained if the service is not continued; AND\n 7. Treatment planning includes family/caregiver(s) and/or other support systems, unless not clinically indicated or relevant.Any one of criteria 1-6 must be met:\n 1. The child/youth and/or family no longer meets admission criteria; OR\n 2. The child/youth has successfully met the specific goals outlined in the treatment plan for discharge; OR\n 3. The family withdraws consent for services; OR\n 4. The child/youth and/or family is not making progress on established service goals, nor is there expectation of any progress with continued provision of services; OR\n 5. The child/youth and/or family is no longer engaged in the service, despite multiple attempts on the part of the provider to apply reasonable engagement strategies; OR\n 6. The family/caregiver(s) no longer needs this service as they are obtaining a similar benefit through other services and resources.\n " (source, capture 733be2214f0483521d1fd04d59090ad813f8fb40195918cd43bd7e4fb835fb14)
  • /offerings/0/rules: "* A child with a developmental disability diagnosis without a co-occurring behavioral health condition is ineligible to receive this rehabilitative service." (source, capture 733be2214f0483521d1fd04d59090ad813f8fb40195918cd43bd7e4fb835fb14)
  • /offerings/0/rules: "The addition of these new services offers opportunities to better meet the behavioral health needs at earlier junctures in a child/youth's life to prevent the onset or progression of behavioral health conditions. This expansion of access to and range of these services will also help to prevent the need for more restrictive and higher intensity services for children and youth. These following six services will be available to any child eligible for Medicaid and Child Health Plus who meets relevant medical necessity criteria:" (source, capture 733be2214f0483521d1fd04d59090ad813f8fb40195918cd43bd7e4fb835fb14)
  • /offerings/0/rules: "Children and Family Treatment and Support Services State Plan services are intended to better meet children's needs, expand access to clinical treatment services, and provide a greater array of approaches for rehabilitative interventions. By creating these services, children and families/caregivers can more readily access the services regardless of what \"door\" they may have entered. Therefore, any child who is Medicaid or Child Health Plus eligible and is identified as having a health or behavioral health need can access services with greater flexibility and choice." (source, capture 733be2214f0483521d1fd04d59090ad813f8fb40195918cd43bd7e4fb835fb14)
  • /offerings/0/access: "Referral : when an individual or service provider identifies a behavioral health need in a child/youth and/ or their family and makes a linkage/connection to a CFTSS designated service provider for the assessment for and provision of a service that can meet that need. This can simply include finding a provider in the child/youth's Medicaid Managed Care network, or a local provider if a child/youth has regular Medicaid. A behavioral health need can be identified, and a referral to CFTSS can be made by multiple sources, including: " (source, capture 05ed8bf74c4b28d8295bf65f1c684a1851220438b274111f617aa66515f2b888)
  • /offerings/0/access: "For Rehabilitative Services ( currently CPST , PSR , and FPSS ), anyone can make a referral for services, but a recommendation for service provision must also be made by a Licensed Practitioner of the Healing Arts (LPHA) 1 who can determine and document medical necessity. For OLP, anyone can refer for this service, the practitioner is responsible for determining medical necessity. " (source, capture 05ed8bf74c4b28d8295bf65f1c684a1851220438b274111f617aa66515f2b888)
  • /offerings/0/access: "Recommendations must be: " (source, capture 05ed8bf74c4b28d8295bf65f1c684a1851220438b274111f617aa66515f2b888)
  • /offerings/0/access: "1. In writing " (source, capture 05ed8bf74c4b28d8295bf65f1c684a1851220438b274111f617aa66515f2b888)
  • /offerings/0/access: "2. Signed and dated; " (source, capture 05ed8bf74c4b28d8295bf65f1c684a1851220438b274111f617aa66515f2b888)
  • /offerings/0/access: "3. Include an explanation of the medical need for the service; and " (source, capture 05ed8bf74c4b28d8295bf65f1c684a1851220438b274111f617aa66515f2b888)