The Health Home is a Medicaid service model which allows all of a child and families healthcare providers to communicate with one another so that the all their medical and mental health care needs are addressed comprehensively. This is done primarily through a “care manager” who oversees and provides access to all of the services a child and family needs to stay healthy, out of the emergency room, and out of the hospital. The goal is for the child and family to achieve a bright, successful future in the long term. Through the Health Home care management model, health records are shared among providers so that services are not duplicated or neglected. Health Home care management services are provided through a network of organizations called Care Management Agencies (CMAs) that are contracted by CCF. CMA care managers develop comprehensive plans of care to address the child and families medical and mental health goals. All medical and mental health services are considered collectively to become a virtual “Health Home.”
A care manager is a healthcare professional who helps you get access to healthcare services and specialists (including substance abuse and mental health) and other kinds of social supports such as food pantries and transportation.
No, there is no fee for this service.
The CCF Health Home serves children on Medicaid and their families in New York City, Westchester, Nassau, and Suffolk counties.
Our priority is serving children, young adults and their family members who may be diagnosed with chronic physical, mental and behavioral conditions. Teens with emotional disturbance, or those suffering from the effects of child abuse, complex trauma may qualify for assistance.
CCF designated lead Health Home that contracts with over 40 Care Management Agencies who provide the best quality health and wellness services at sites throughout New York City, Westchester, Nassau, and Suffolk county.
In order to be enrolled in a Health Home you must have active Medicaid coverage, have either two or more chronic conditions (this includes substance abuse disorders), OR serious emotional disturbance (SED), OR complex trauma OR HIV/AIDS. You must also be at risk and meet the appropriateness criteria for this level of care.
A care manager will provide the following core services:
Care Managers will link all your providers using Health Information Technology to stay connected and informed of your heal care plan and goals.
CCFs member organizations collectively provide access to children and families by offering a wide array of referral services based on a range of expertise that include:
Our care managers engage with each of our enrolled children and their families to provide additional support, such as securing transportation, managing their appointments, helping them get their Medicaid recertified, educating them on the importance of taking their medication as prescribed by their doctor, and connecting them to social services such as housing, food stamps and other bene
Our network of care management agencies has years of experience and deep community knowledge. We actively manage appropriate referrals, access, engagement, and follow-up to social support services.
Our services are reimbursed by Medicaid and managed care organizations. There is no cost to referring providers or to our members.
The CCF is the single best repository of expertise on the specialized services for high-need children, youth, and their families, and provides excellent opportunities for:
Navigating the old health care system could be difficult for relatively healthy Medicaid recipients and even more so for enrollees who have high-cost and complex conditions that drive frequent hospital visits. A significant percentage of Medicaid expenditures are used by this high-need subset of the Medicaid population. Appropriately accessing and managing these services, through improved care coordination and service integration, is essential in controlling future health care costs and improving health outcomes for this population.
The Health Home care management service model allows all of an individual’s caregivers to communicate with one another so that all of a patient’s needs are addressed in a comprehensive manner. Health Home Care Managers are better able to assure that the most vulnerable and medically-fragile Medicaid recipients receive everything necessary to stay healthy, out of the emergency room, and out of the hospital.
Learn more about the New York State Health Home model.