Health Home Care Management
Coordinating Care. Supporting Lives.
We provide free, comprehensive Care Management services to individuals with Medicaid insurance, to assist in the coordination of services to address medical or mental health needs.
Free
For Medicaid Members
NY State
Approved Program
HIPAA
Compliant & Private
Personalized care coordination without changing your doctor or health plan
Care Management Services
Care Coordination
We work alongside your doctors and health plan to ensure seamless, well-coordinated care tailored to your individual needs.
No-Cost Support
For eligible Medicaid members, care management services are provided at no additional out-of-pocket cost.
Person-Centered Plans
We develop individualized care plans based on each client's unique health goals, needs, and circumstances.
Benefits Navigation
Assistance with Medicaid, managed care enrollment, and community program navigation so you receive every benefit you're entitled to.
Community Connections
Referrals to housing, transportation, food assistance, mental health services, and other community supports.
Ongoing Monitoring
Continuous monitoring of progress and advocacy to help clients access appropriate services as their needs evolve.
Common Client Qualification Categories
Who May Qualify
Clients may qualify for care management services if they need assistance coordinating healthcare, home care, behavioral health services, community supports, benefits, housing, transportation, or other services necessary to remain safe and stable in the community. Eligibility may depend on Medicaid status, medical conditions, disability status, functional needs, and the specific New York State program.
A client may be eligible if they have one or more of the following:
Medicaid eligibility
Chronic medical conditions
Mental health or behavioral health needs
Substance use-related needs
Developmental disability
Physical disability
Traumatic brain injury
Need for long-term care or home care services
Difficulty managing appointments, providers, medications, benefits, or services
Housing instability, food insecurity, transportation issues, or other social needs
Care Management Services
What Our Care Managers Do
Our care management services are designed to support individuals and families in navigating New York State's healthcare and community service systems. We assist clients with identifying their needs, developing a person-centered care plan, coordinating medical and social services, connecting with providers, and monitoring ongoing progress.
Services may include:
Comprehensive assessment of needs
Development of a person-centered care plan
Coordination of medical, behavioral health, and social services
Assistance with Medicaid, managed care, and community program navigation
Referrals to home care, housing, transportation, food assistance, and mental health services
Communication with doctors, hospitals, specialists, and service providers
Monitoring of client progress and changing needs
Support with appointments, documentation, and follow-up
Advocacy to help clients access appropriate services
For Medicaid Health Home care management, the focus is often on individuals with chronic medical conditions, mental health needs, substance use concerns, or complex social needs. The care manager helps coordinate services so the person's providers communicate with one another and work toward the same care goals.
Care Management Is Free
Care management is free for eligible clients because it is paid for by Medicaid, managed care plans, or other New York State-approved programs. Clients do not pay us directly. The goal of the program is to make sure individuals receive the right services and support so they can stay safe, healthy, and independent in the community.
What Our Clients Say
Client Testimonials
Health Home Client
"My care manager helped me navigate my Medicaid benefits and connected me with the home care services I needed. I don't know what I would have done without this support."
Medicaid Member
"The care coordination team made sure all my doctors were communicating with each other. For the first time, I felt like someone was truly looking out for my health."
Care Management Client
"They helped me find housing resources, get my medications sorted, and connect with community programs. The service is free and the support is invaluable."
FAQs
Frequently Asked Questions
Care management is a service that helps individuals and families coordinate healthcare, home care, behavioral health, social services, and community supports. A care manager helps connect clients with the right providers and programs, assists with care planning, and provides ongoing support to help the client remain safe, healthy, and independent.
Clients may qualify if they have medical needs, chronic health conditions, behavioral health needs, disabilities, long-term care needs, or difficulty managing services on their own. Eligibility may depend on the specific New York State program, Medicaid status, and the client's individual needs.
Yes, care management may be free for eligible clients. In many cases, services are covered through Medicaid, managed care plans, waiver programs, or other approved funding sources. When a client qualifies, there is usually no out-of-pocket cost to the client.
A care manager can help with coordinating doctors, home care services, transportation, housing resources, behavioral health services, benefits, community programs, and other supports. Care managers also help with referrals, follow-ups, paperwork, communication with providers, and monitoring changes in the client's needs.
Getting started is simple. Contact us and our team will review your needs, explain available options, and help determine whether you may qualify for care management services. If eligible, we will guide you through the next steps and help connect you with the appropriate services and supports.
We're Here to Help
Get in Touch
Fill out the form below and one of our care managers will contact you to discuss your needs and available services.
Ready to Get Started?
Our care managers are available to help you navigate healthcare and community services. Contact us today to learn whether you or your loved one may qualify.
Contact Us
Or call 716-610-1100