As a Medicaid funded service, CHDFS has partnered with Healthcare Integration Agencies through a referral system to provide B2H services to qualifying candidates. Participants then work with their waiver providers who serve as a bridge between participants and stakeholders. These include: clinicians, adoptive parents, parent/caregivers, local social service departments, educators, representatives from New York State Agencies, and themselves.

By supporting children in the home or community setting, the B2H Waiver Program provides opportunities for improving the health and well-being of the children served. The goal of B2H is the supportive and planned permanency of the child with their caregiver. Within the B2H program, children are served in the least restrictive, home- community like setting possible. B2H services work to compliment the other services provided to a child and family – not to replace them. CHDFS is eligible to work with Seriously Emotionally Disturbed (SED), Developmentally Disabled (DD), and Medically Fragile (MedF) individuals. B2H Services Include:

• Planned Respite
• Skill Building
• Family/Caregiver Support Services
• Special Needs Community Advocacy & Support
• Prevocational Services
• Supported Employment
• Crisis Avoidance, Management and Training
• Immediate Crisis Response
• Intensive In-Home Services and Support
• Day Habilitation

Our Waiver Providers diligently work with participants to help fulfill their self-determined goals, and goes beyond to provide the best care possible. We believe in the potential of the individual, the bonds of family, and the strength of community. Our B2H Waiver Providers serve as guides, mentors, and role models – all so that the foundations of a child’s strength can be rebuilt to reach new heights. At CHDFS, we believe every child has skill, talent and potential. It is our commitment to help them achieve these goals in order to overcome any challenge they face.


To be eligible to participate in the B2H Waiver Program, a child must meet several criteria including: 

  1. be in the custody of a Local Departments of Social Services (LDSS) Commissioner or the custody of the Office of Children and Family Services (OCFS) Commissioner in the Division of Juvenile Justice and Opportunities for Youth (DJJOY),
  2. be Medicaid eligible,
  3. have an appropriate and documented qualifying diagnosis of Serious Emotional Disturbance (SED), Developmental Disability (DD), or Medical Fragility (MedF) (see below, Section 3, Qualifying Diagnoses),
  4. be eligible for admission to a medical institution and assessed to meet the Level of Care criteria for one of the waivers in the B2H Waiver Program
  5. be able to be cared for in the community if provided access to B2H Waiver services:
  • B2H SED: At enrollment a child must be in foster care and under 19 years of age. If other criteria are met, services may continue until age 21 regardless of foster care status.
  • B2H DD and MedF: At enrollment a child must be in foster care or DJJOY community services supervision and under 21 years of age. If other criteria are met, services may continue until age 21 regardless of foster care status,

Contact the B2H Department

For questions and to see if you qualify for the B2H Program contacts Jonathan Dennehy (Waiver Director) at (212) 695-4564 or send us a message.