NYS Implementation of Health Homes
April 26, 2012
Implementation of Health Homes for Medicaid enrollees with chronic conditions was recommended by the Governor Cuomo's Medicaid Redesign Team. As a result, this initiative was included in the Governor's SFY11/12 Budget and was adopted into law effective April 1, 2011. Social Services Law (SSL) Section 365-L authorizes the Commissioner of Health, in collaboration with the Commissioners of the Office of Mental Health, Office of Alcohol and Substance Abuse Services, and the Office of People with Developmental Disabilities, to establish health homes for NYS Medicaid enrollees with chronic conditions.
The Department is in the process of developing the Health Home program. More information about health homes will be available on this website in the coming weeks.
- MRT Health Home Proposal #89 document (PDF, 6.64MB, 245pg.
- MRT Health Home Proposal #89 work plan (XLS, 836KB)
- Additional information on SSL 365-L
- Preliminary NYS Health Home Rollout Plan (PDF, 183KB, 3pgs.)
Questions and/or comments regarding New York's implementation of health homes can be directed to hh2011@health.state.ny.us.
Implementation Documents
- NCQA Health Plan Accreditation- Implications for Health Home
- Implications of Health Homes for NCQA Health Plan Accreditation (PDF, 250KB, 4pgs.)
- NEW Proposed FACT-GP.pdf (PDF, 78KB, 3pgs.)
- NEW Proposed Case Management Metrics (DOC, 51KB)
- Medicaid State Plan Amendment (#11-56) Approved by CMS -2/6/12
- Health Home Quality Measures (PDF, 166KB, 5pgs.)
- High Cost Population Characteristics (PDF, 20KB, 1pg.)
- Health Home Patient Flowchart (PDF, 110KB, 1pg.)
- Letters of Intent for Health Homes - DRAFT (This contains the following tabs: Central, Hudson Valley, Long Island, Northern, NYC, and Western) (XLS, 705KB)
Contract Clauses
The following contract clauses were developed by the Department with input from designated Health Homes and Managed Care Organizations. Making changes to the key provisions is permissible; however, it is strongly encouraged that the key provisions be included unaltered as an attachment (with incorporation language) or included within the body of the agreement. This will assure an expeditious review of the agreements. Agreements are expected to be submitted to the Department by May 15, 2012, for review with execution anticipated for June 1, 2012. Please do not submit the agreements to the Department for approval until the Health Home contract statement and certification form and guidelines are posted, which will occur shortly.
