Health Home Care Management

Need Help?

Call or Text (518) 798-4384

Located at 333 Glen Street, Suite 701, in Glens Falls, NY 12801

About the Program

Health Home is not a place; it is a care management service that connects community and social supports with health care, and provides better organization of medical and behavioral health care. Health Home Care Management services will:

  • Identify what is important
  • Structure support & services for client’s individual situation
  • Assist with becoming independent of program supports
  • Collaborate with supports and providers
  • Advocate for clients

Ultimately, our mission is to provide a “person-centered” approach to advocate for advancements toward self-reliance and self-improvement. 

Who is eligible?

Children’s Health Home Care Management ages 0 to 21 who are NYS Medicaid eligible and meet other health, behavioral, or social risk factors as defined by CANS-NY.

Adult Health Home Care Management ages 18+ who are NYS Medicaid eligible and meet other health, behavioral, or social risk factors
Redheaded mother on couch with toddler and baby looking at ipad

Program Services

Approved Categories of Health Home Care Management Services:

 

  • Comprehensive Case Management
  • Care Coordination & Health Promotion
  • Comprehensive Transitional Care
  • Member & Family Support
  • Referral of Community and Social Support Services

OUR ROLE

To coordinate medical and behavioral health care by connecting community and social supports with health care for high-risk NYS Medicaid members with:

  • two or more other chronic conditions
  • a serious persistent mental illness
  • HIV/AIDS

Additionally, any of the following risk factors must be a part of the person’s situation:

  • Homelessness or risk of homelessness
  • Lack of social/family support
  • Inadequate connectivity to the health care system and/or other systems of care
  • Deficits in activities of daily living
  • Non-adherence to treatments
  • Learning or cognitive issues
  • Recent release from incarceration, placement, detention or psychiatric hospitalization.

Ask for help.

My case manager listened attentively, and when I was finished, she warmly wrapped me up in a hug and told me she was proud of me. In this moment, I didn’t feel like I was talking to a staff member. I felt like I was talking to a friend, to a family member, to someone who understood and who loved and cared about me.” — Aly