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ABOUT HEALTH HOME

Health Home Care Management in Western New York (WNY) is a program designed to provide coordinated, comprehensive care for Medicaid recipients with chronic medical conditions, mental health challenges, or substance use disorders. The goal is to connect individuals with the necessary services and resources to improve health outcomes, enhance quality of life, and reduce unnecessary hospitalizations or emergency room visits.

Key Features of Health Home Care Management in WNY:

Comprehensive Care Coordination:

  • A dedicated Care Manager collaborates with an individual’s healthcare providers, social service agencies, and community organizations to develop and implement a personalized care plan.

  • This ensures all aspects of a person’s physical and behavioral health needs are addressed in a cohesive manner.

Holistic Support Services:

  • Beyond medical care, Health Home Care Managers assist with social determinants of health, including housing, legal assistance, and involvement in social or community activities.

  • This holistic approach supports the “whole person,” addressing various factors that contribute to overall well-being.

Extensive Provider Network:

  • Through affiliations with multiple Health Homes and over 90 Care Management Agencies, individuals have access to a wide range of physical and behavioral health providers and community services.

  • This extensive network ensures that clients receive comprehensive and coordinated care tailored to their unique needs.

Eligibility Criteria:

  • To qualify, individuals must be Medicaid recipients and meet one of the following conditions:
    • Have two or more chronic health conditions (e.g., asthma, diabetes, heart disease, mental health condition, or substance use disorder).

    OR

    • Have a significant mental illness, Sickle Cell Disease, or be living with HIV/AIDS.
Organizations like Health Homes of Upstate New York (HHUNY), formed in 2013, play a pivotal role in coordinating these services, providing administrative support, and ensuring quality care through a network of Health Homes and Care Management Agencies.

The Key Role of Care Navigators in WNY:

Care Navigators, a trusted Care Management Agency and a new department of Buffalo Homecare Inc., is central to providing Health Home Care Management services in WNY. With a professional team of experienced Care Managers, Care Navigators focuses on delivering high-quality, personalized care to individuals who need it most.

Care Navigators’ contributions include:

Expert Care Management:

Care Navigators' professional Care Managers help clients navigate complex healthcare systems, ensuring they receive the services and support they need.

Local Expertise:

As a part of the WNY community, Care Navigators understands the unique challenges and resources available in the region, allowing them to connect clients with appropriate, local resources.

Individualized Care Plans:

The team at Care Navigators takes pride in creating customized care plans that address medical, social, and emotional needs, empowering clients to achieve better health and quality of life.

Commitment to Excellence:

Building on the reputation of Buffalo Homecare Inc., established in 2016, Care Navigators provides compassionate, client-centered services that are essential to improving outcomes for individuals enrolled in Health Home programs.

Through their expertise and commitment, Care Navigators has become a vital partner in Health Home Care Management in WNY, helping individuals access the coordinated, holistic care they need to thrive.