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  • About CHHUNY
    • Health Homes 101
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  • Our Provider Network
    • Make a Referral
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Make a Referral

Parent / Caregiver Information

  • PARENT INFO SHEET- VEHICLE MODIFICATIONS
  • PARENT INFO SHEET- ENVIRONMENTAL MODIFICATIONS
  • PARENT INFO SHEET- ADAPTIVE/ASSITIVE TECHNOLOGY
  • CHILDREN'S WAIVER PARTICIPANT RIGHTS & RESPONSIBILITIES
  • ADDITIONAL INFORMATION & AVAILABLE LANGUAGES HERE

Vendor/Contractor Information

  • FMS Contracted Evaluator List

Project Forms:

  • Bid Cheat Sheet
  • Care Manager Bid Justification Form
  • Change Order Form Template
  • Description and Cost Projection Form
  • Due DiligenceTemplate
  • Landlord Agreement Form
  • Parent/Caregiver Agreement
  • Pre-Project Payment Request Form
  • Project Cover Sheet & Checklist- AAT
  • Project Cover Sheet & Checklist - EMOD
  • Project Cover Sheet & Checklist - VMOD
  • Updated Final Cost Form
  • Vehicle Information Sheet

Care Manager/CYES Training & Guidance:

  • Bid Bond Webinar Slidedeck
  • Care Manager/CYES Training- Project Submission & Requirements
  • FMS Care Manager Training Webinar (Slides)
  • FMS Care Manager Training Webinar- Recording
  • Due Diligence Statement Guidance
  • Third Party Health Insurance Guidance
  • CLICK HERE TO SIGN UP FOR FMS LISTSERV EMAILS!
Project Request Submission Form

If you have any questions regarding FMS Waiver services, please contact [email protected] or call 855-209-1142, option #2.

Financial Management Services (FMS) are provided on behalf of the NYS Department of Health.

  • 2300 Buffalo Rd., 500B, Rochester, NY 14624
  • 855.209.1142
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