Health Home Program
While home is where the heart is, a Health Home is not a place, it is a program that helps individuals manage all the care and services they need through comprehensive providers to live thriving lives.
Little Treasures-Petits Trésors SLP, PLLC (Little Treasures), is a community-based agency with the most comprehensive providers and is dedicated to providing exceptional services to children and adults with special healthcare needs, delivering care into the homes of thousands of developmental disability individuals with a wide spectrum of health conditions. We dedicate ourselves to children and adults with developmental disabilities and with medically complex conditions. Our goal is to ensure that reliable and remarkable care providers provide services that will help individuals regain independence and achieve a quality of life.
Little Treasures Health Home Care Managers work closely with individuals of all ages who require specialized medical, educational and rehabilitative care to help them and their families better understand and manage their conditions. Once the individuals are enrolled in a Health Home Program, a specially-trained Care Manager will be assigned to work with them to develop a care plan that will meet all of their physical, mental health, and social service needs. A care plan maps out the services the individual needs, to put his/her on the road to better health. The Health Home Care Manager will help individuals find the services and programs that are right for them. The goal is to improve the experience of care, improve health outcomes for chronically ill individuals and promote optimal care.
What is a Health Home?
A Health Home is not a place; it is an incredible team of health care managers and service providers working together to make sure individuals receive the best care and services needed to stay healthy.
A Health Home is part of the NYS Medicaid program and is available to Medicaid-eligible children and adults who have developmental disabilities, medical/mental health concerns and conditions. These individuals may benefit from the careful planning and service coordination provided by Health Home Care Managers. An assigned Care Manager works with you to create a plan of care that meets all of your physical, mental health, and social service needs.
Who is Eligible to enroll in a Health Home?
To be eligible for Health Home services, an individual must be enrolled in Medicaid and must have:
- One single qualifying chronic condition: HIV/AIDS or Serious Mental Illness (SMI) (for Adults) or Serious Emotional Disturbance (SED) or Complex Trauma (for Children)
- Two or more chronic conditions (e.g., Substance Use Disorder, Asthma, Diabetes, Obesity, etc.)
For a complete list of chronic conditions, visit the Department of Health website: https://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/docs/hh_chronic_condition_update_dd_conditions.pdf
How to get Enrolled?
Enrollment is an easy, timeless process. States have taken two approaches to enrolling eligible patients in Health Homes. Health Home enrollment can be passive, where the state automatically assigns enrollees to Health Homes, or active, where potentially eligible individuals sign themselves up. Little Treasures’ Care Management Agency was created to make sure its individuals get the best care and services they need. Our Health Home Care Managers will help individuals and families complete the necessary paperwork and explain everything to them in detail.
Each option presents challenges that need to be addressed as enrollment procedures are developed. Care Managers will support whichever method that ensures all eligible individuals to be aware of the Health Homes Program, while offering the flexibility for individuals to choose the care that best meets their needs.
Enrollment in the Health Home Program is your choice. You do not have to enroll in a Health Home Program, if you do not want to. Once you have decided to enroll, you may choose to dis-enroll at any time.
How can a Health Home help me?
Once you are enrolled in a Health Home, your Care Manager can:
- Work with you to set up a care plan and appointments with your doctor or a specialist for you, and work with your providers to make sure you get the care you need
- Connect you to other community programs that will support and assist you
- Help you understand your chronic health conditions and give you information to help manage problems like diabetes, asthma, or high blood pressure
- Assist you with housing applications, legal resources, transportation, or other issues
What if I am part of a Waiver or Early Intervention Program?
If you are part of a waiver or early intervention program and are interested in a Health Home, you will simply get transitioned to a Health Home and sign all necessary consents. Any services you were receiving under the waiver or early intervention program will continue; the services will have a different name, but the services will remain the same.