Servicios de tratamiento y apoyo para niños y familias (CFTSS)
Describe la cobertura de Fidelis Care para Servicios de tratamiento y apoyo para niños y familias (CFTSS) para niños menores de 21 años con necesidades de salud conductual, incluyendo nuevos servicios disponibles desde el 1 de enero de 2020.
Fidelis Care cubrirá servicios adicionales de CFTSS a partir del 1 de enero de 2020.
Incluye apoyo y capacitación de Youth Peer proporcionado por representantes certificados con experiencia juvenil.
Incluye Intervención ante una crisis: ayuda profesional en domicilio o comunidad para niños o adolescentes en angustia.
Coverage Criteria for CFTSS
CFTSS coverage overview
Covered when ALL of the following are met
Services may be delivered in the home or community
Document lists these as additional CFTSS available from 1-Jan-2020
The policy describes the scope of Covered Family and Treatment Support Services (CFTSS) as benefits for children and youth with behavioral health needs who are under 21 years. Services may be delivered in the home or community and include the additional supports listed below that became available effective 1-Jan-2020. The document also notes that some of these services may already be covered for certain eligible children and that members currently receiving these services will not have their care changed.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.