Information for Care Management Agencies

General Information 

The Children and Youth Evaluation Service (C-YES) is a New York State program that determines a child/youth's eligibility for Home and Community-Based Services (HCBS) covered by Medicaid. C-YES staff also provide HCBS coordination services to children/youth who are not enrolled in a managed care plan or Health Home (HH).

At present, C-YES is only accepting referrals from New York State-designated Care Management Agencies (CMAs).  All other organizations interested in Medicaid covered HCBS on behalf of a client should contact the child/youth's local Department of Social Services. 

Referrals to C-YES

CMAs may refer clients who choose to opt out of their Health Home and receive HCBS without Health Home Care Management.

Click on the links below for a PDF version of required C-YES forms

Referral Instructions

C-YES Referral Form

Click on the link below for another required form, the Health Homes Opt-Out Form (DOH 5059) from the NYS Department of Health

NYS Department of Health Forms for Health Homes Serving Children


For assistance with making a referral to C-YES or to report a problem with this website, call: 833-333-2937.