For additional information or to make a referral please call 716-828-9699
 
 

Health home services for children

Health Home Services for Children

 
A Health Home is a care management service model whereby all of an individual's caregivers communicate with one another so that all of a patient's needs are addressed in a comprehensive manner. The care manager oversees and provides access to all of the services an individual needs to assure that they receive everything necessary to stay healthy, out of the emergency room and out of the hospital. Health Home services are provided through a network of organizations - providers, health plans and community-based organizations.
 
A Health Home is a care management service model whereby all of an individual's caregivers communicate with one another so that all of a patient's needs are addressed in a comprehensive manner. 
 

Health Home Services Comprehensive care management

  • Care coordination
  • Health promotion
  • Comprehensive transitional care/follow-up
  • Patient and family support
  • Referral to community and social support services
 

Eligibility Criteria for Health Home services

  • Medicaid
  • Two or more chronic conditions
 
One single qualifying condition of:
  •  HIV/Aids
  • Serious Mental Illness (SMI) Serious Emotional Disturbance (SED)
  • Complex Trauma
 

Appropriateness Criteria for Health Home Eligibility

Individuals meeting the Health Home eligibility criteria must be appropriate for Health Home care management.  Assessing whether an individual is appropriate for Health Homes includes determining if the person is:
 
  • At risk for an adverse event (e.g., death, disability, inpatient or nursing home admission, mandated preventive services, or out of home placement)
  • Has inadequate social/family/housing support, or serious disruptions in family relationships;
  • Has inadequate connectivity with healthcare system;
  • Does not adhere to treatments or has difficulty managing medications
  • Has recently been released from  incarceration, placement, detention, or psychiatric hospitalization
  • Has deficits in activities of daily living, learning or cognition issues
  • Is concurrently eligible or enrolled, along with either their child or caregiver, in a health home