NYS Medicaid Health Homes Update

Designated Phase I Health Homes

Provider-Lead Designated Health Homes

Bronx

Montefiore Medical Center (establishing the Bronx Accountable Healthcare Network) with Acacia Network; Albert Einstein College of Medicine; Morris Heights Health Center; St. Barnabas Hospital; & Union Community Health Center

NYC Health and Hospitals Corporation + MetroPlus Health Plan

Visiting Nurse Service of New York Home Care + Institute for Family Health; Argus Community; Help PSI Inc.; Urban Health Plan, Inc.; & Community Healthcare Network

Bronx Lebanon Hospital Center + CBC/FEGS Health and Human Services System, Inc., IHealth/Help PSI Inc.; Bronxworks; Allmed Medical Centers; Corinthian IPA, Essen Medical.

Brooklyn

Maimonides Medical Center + Lutheran Medical Center; Institute for Community Living; FEGS Health and Human Services System, Inc.; Visiting Nurse Service of New York; First to Care Home Care; Jewish Board of Family and Children Services; Promoting Specialized Care and Health; Center for Urban and Community Services

NYC Health and Hospitals Corporation + MetroPlus Health Plan

Community Health Care Network

Institute for Community Living + Coordinated Behavioral Care, Inc.

Long Island /Nassau

North Shore – Long Island Jewish Health System + LI Federally Qualified Health Center (LIFQHC) and Nassau University Medical Center (NuHealth)

FEGS Health and Human Services System, Inc. + Nassau County Mental Health, Chemical Dependency and Developmental Disabilities Services

Schenectady

Visiting Nurse Service of Schenectady County, Inc. + Ellis Hospital; Hometown Health Center; Capital District Physicians Health Plan

Northern Region (Clinton, Essex, Franklin, Hamilton, Warren, Washington cos.)

Adirondack Health Institute, Inc. + Hudson Headwaters Health Network; Community Partners, Inc.; & Adirondack Health

Glens Falls Hospital + Capital District Physicians Health Plan

View the full list of network partners by region and/or county. (XLS, 147KB)

Managed Care Plans

Below are the Managed Care Plans that applied to operate Health Home services by region. While DOH will approve these applications so plans may assist with provider health home services, plans will contract through the above-designated entities to provide members access to Health Home services.

  • Contracting with State Designated Provider Lead Health Homes is required in areas with sufficient approved State Designated Provider Based Health Homes capacity.
  • Plans should only directly provide health home services in areas where such approved capacity is insufficient as agreed upon by the State and the Health Plan.
  • In instances where the plan is contracting with State Designated Provider Lead Health Homes the plan may:
    • choose which State Designated Provider Lead Health home(s) to contract with.
    • assist with the provision of certain health home services (e.g., data management) as contractually agreed to by the State Designated Provider Lead health home and the health plan – in this case any funds retained by the plan shall be proportional to effort.

Bronx

  • Affinity Health Plan
  • Amerigroup New York, Inc.
  • AmidaCare
  • Fidelis Care
  • HealthFirst PHSP, Inc.
  • HealthPlus PHSP
  • NY-Presbyterian System Select Health, LLC
  • UnitedHealthcare Community Plan

Brooklyn

  • Affinity Health Plan
  • Amerigroup New York, Inc.
  • AmidaCare
  • EmblemHealth
  • Fidelis Care
  • HealthFirst PHSP, Inc.
  • HealthPlus PHSP
  • NY-Presbyterian System Select Health, LLC
  • UnitedHealthcare Community Plan

Long Island/Nassau

  • Affinity Health Plan
  • EmblemHealth
  • Fidelis Care
  • HealthFirst, PHSP, Inc.
  • HealthPlus PHSP
  • UnitedHealthcare Community Plan

Schenectady

  • Fidelis Care New York

Northern region (Clinton, Essex, Franklin, Hamilton, Warren, Washington cos.)

  • Fidelis Care
  • UnitedHealthcare Community Plan

via http://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/prov_lead_designated_health_homes.htm

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