Frequently Asked Questions


Q. What is a health home?

A. A Health Home is a care management service model where all of the professionals involved in a client's care communicate with one another so that all needs (medical, behavioral health and social service) are addressed in a comprehensive manner. The goal of the Health Home is to keep you out of the hospital and reduce unnecessary visits to the emergency department. Health Home services are provided through partnerships between health care providers, health plans and community based organizations. All of these services and partners together are considered a Health Home.

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Q. Who can participate in a health home?

A. All adult medicaid recipients are eligible for enrollment.

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Q. How are Health Home Services Provided to the Medically Needy?

A. The Medicaid program has several population groups who have complex medical, behavioral, and long term care needs that drive a high volume of high cost services including inpatient and long term institutional care.

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Q. What is the criteria to be a member in a Health Home?

A. NYS elects to offer Health Homes Services to individuals with:

  • Two chronic conditions
  • One chronic condition (HIV/AIDS) – and the risk of developing another
  • One serious mental illness

From the list of conditions below:

  • Mental Health Condition
  • Substance Use Disorder
  • Asthma
  • Diabetes
  • Heart Disease
  • BMI over 25

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Q. What are the target populations for health home services?

A. The major categories are:

  • Alcohol and Substance Abuse
  • Mental Health
  • Cardiovascular Disease (High Blood pressure and Congestive Heart Failure)
  • HIV/AIDS
  • Metabolic Disease (Chronic Renal Failure and Diabetes)
  • Respiratory Disease (Asthma and Chronic Obstructive Pulmonary Disease)

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Q. What is a Care Coordinator?

A. A Care Coordinator is a member on our team who oversees and provides access to all of the services you need to assure that you stay healthy, out of the emergency room and out of the hospital.

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Q. Is there a fee to join?

A. No, there are no out of pocket expenses.

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Q. Will New York State make Health Homes mandatory for Medicaid recipients?

A. Not at this time, however, you will not be able to receive care coordination unless you are enrolled in a health home.

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Q. Is there a special consent form?

A. There is a patient consent form for use by the Health Homes which will allow for patient information to be shared between the Health Home partners, including RHIOs and address HIV/AIDS, mental health and substance abuse information.

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Q. Can children join the health home?

A. At this time enrollment is limited to children who are HIV positive.

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Q. Will I have to get a new physician?

A. No, you will be able to keep all of your current medical providers.

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Q. Will the Health Home provide transportation to medical appointments?

A. We don’t drive you; however, we can help you arrange transportation to clinical appointments.

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