Health Home Care Management


Health Home Care Management is a community-based service model whereby all of a child’s caregivers and providers communicate with one another so that all of a child’s needs are addressed in a comprehensive manner. This is done primarily through a Health Home Care Manager who oversees and provides access to all of the services a child needs to ensure that they receive everything necessary to stay healthy, out of the emergency room and out of the hospital.

The Health Home program also serves as a gateway to Home and Community-Based Services (HCBS) for children that are at risk of being removed from their homes.

Youth must reside in one of the following counties to qualify for our Managed Care Services: Onondaga, Oneida, Madison, Herkimer, Cayuga, Oswego, Cortland, Tioga, Tompkins, Chenango, Broome.

Eligibility Requirements

  • Children/Youth from birth to age 21
  • Must be enrolled in Medicaid
  • Must meet one of the following criteria for eligibility:
    • Serious Emotional Disturbance (Axis 1 Diagnosis)
    • Two Chronic Conditions (Only one of which can be a developmental diagnosis)
    • HIV/AIDS
    • Complex Trauma (client will be assessed for this in the absence of a diagnosis in one of the above categories)
    • Must have functional limitations related to their eligibility criteria
    • Sickle Cell Disease

Target Population

  • Children/Youth from birth to age 21

Services

The Health Home Care Manager shares health records among providers so that services are not duplicated or neglected. 

The core services include:

  • Comprehensive Health Home Care Management
  • Care Coordination and Health Promotion
  • Comprehensive Transitional Care
  • Individual and Family Support
  • Referral to Community and Social Services

Referral Process

Any parent/guardian, community member, or service provider can make a referral, with consent from the client’s medical consenter. Submit to ManagedCareReferrals@elmcrest.org.

Contact

For Questions or more information, please contact:

Heather Weller (Program Manager of Health Home Care Management) p. 315-463-9415 ext. 212 e. hweller@elmcrest.org


For Questions or more information about Medicaid Managed Care Programs in general, please contact: Chelsey Wild, Managed Care Director, p. (314) 446-6250 e. cwild@elmcrest.org