Realizing the promise of care management requires a fundamental shift in the way health care is conceptualized, organized, and delivered—from a medical model of disease treatment toward person-centered care that incorporates social service provision, behavioral health care, self-management support, and family engagement alongside primary and specialty medical care.
This is done primarily through a “care manager” who oversees and provides access to all of the services an individual needs to assure he or she stays healthy and out of the emergency room and hospital. The health home model provides the basis for unified systems of care to coordinate and integrate physical and behavioral health care, chemical dependence treatment, and social services provided to health home members.
New York State’s Medicaid health home initiative offers an unprecedented opportunity to expand and improve care management for beneficiaries with intensive, high-cost service needs. New York State defines care management as the comprehensive assessment of health home members’ needs with an individual care plan carried out through specific interventions designed to provide coordinated, efficient, quality care to achieve the care plan goals and optimize health outcomes for people with complex health issues and needs.
In New York:
115-02 Ocean Promenade,
Rockaway Park, NY 11694
Tel: 718-945-2273 (CARE)
Call to Schedule your appointment Today!
Criteria for Participation
Have at least two chronic diseases (heart disease, substance abuse disorder, mental health condition, asthma, or obesity)