Health Home Implementation Funding and Workforce Training Initiative
The sections below detail two different funding opportunities meant to support the implementation of the Health Homes program as well as awarding grant funding to organizations that were positioned to retrain the health care workforce to better prepare for a number of person-centered programs, including Health Homes.Health Home Implementation Grants – July 2013 and March 2014
The Department of Health awarded $15 million in Health Home Implementation Grants authorized in the 2013–2014 budget. The Health Home Implementation Grants were awarded in two Stages. In Stage I, $2.2 million in grants were awarded to 22 Health Homes on July 24, 2013. The remaining $12.8 million in grants were awarded on March 5, 2014.
| Health Home (HH) Score Stage I Formula | Number of HHs | Award Per HH Stage I Grants Made in July 2013 | Award per Health Home Stage II Uses Formula/Score from Stage I Grants) | Total Awards Stage I and II Per Health Home |
|---|---|---|---|---|
| HHs with scores > 50 | 16 | $110,000 | $451,765 | $561,765 |
| HHs with scores = 50 | 6 | $55,000 | $426,667 | $481,667 |
| HHs with scores < 50 | 9 | $0 | $284,444 | $284,444 |
| Southern Tier TBD HH | – – | $110,000 | $451,765 | $561,765 |
| Total Grant Awards | $2.2 Million | $12.8 Million | $15.0 Million | |
Consistent with the provisions authorizing the allocation of these grants, awards are being funded from savings identified from other initiatives supported under the Global Spending Cap. The grants will help offset the critical investments made by Health Homes to launch the Health Home Program. The Health Home Program is a Medicaid Redesign Team (MRT) initiative that provides comprehensive care management and coordination services to manage the complex medical and behavioral needs of high volume, high cost users of Medicaid services. The formula used to allocate these grants considered elements required by the authorizing statute, input from the Health Home Managed Care Work Group, and the desire to allocate a limited amount of grant resources as widely and effectively as practicable.
As shown in the following tables, the formula allocates points based on the lack of access to similar funding resources; Health Information Technology (HIT) connectivity; geographic and demographic factors (i.e., Health Homes serving rural areas of the State or a small population across a large geographic area); and the prevalence of Health Home qualifying conditions (as measured by the prevalence of heart disease and poor mental health and the acuity of Health Home members).
The Department looks forward to working with CMS to advance the State Plan Amendment that will provide additional funding to ensure the success of the Health Home Program beyond its early stages of development.
Elements of Formula to Allocate Health Home Grants
| Lead Health Home Measure | Points | |
|---|---|---|
| Yes | No | |
| Does the Health Home have a defined relationship with a RHIO? | 10 | 5 |
| Did the Health Home receive resources or otherwise benefit from HEAL 17 Grants? (Based on Health Home Survey Responses) | 0 | 10 |
| Did the Health Home participant in a CMMI grant or program? (Based on Health Home Survey Responses) |
0 | 10 |
| Is the average cardiovascular death rate in the Health Home service area greater than the average of 250 per 100,000 residents? (Vital Statistics Data 2011) | 10 | 0 |
| Is the average rate of poor mental health in the Health Home service area greater than the average of 8,500 per 100,000 residents? (Centers for Disease Control and Prevention Behavioral Risk Factor Surveillance System 2008-2009) | 10 | 0 |
| Was the average acuity of the Health Home members higher than 7.5? (Based on Average Acuity of Health Home members from the May 22, 2013 Assignment Files and Members Reported in the Health Home Tracking System as of June 7, 2013) | 30 | 0 |
| Total Population of Counties Served by Health Home (2010 Census) |
Points |
|---|---|
| < 50,000 | 10 |
| 50,000 – 100,000 | 8 |
| 100,001 – 250,000 | 6 |
| 250,001 – 500,000 | 2 |
| 500,001+ | 0 |
| Geographic Region Served, Measured in Square Miles (Vital Statistics 2009) |
Points |
| < 500 square miles | 0 |
| > 500 square miles | 2 |
| > 1,000 square miles | 4 |
| > 2,000 square miles | 6 |
| > 4,000 square miles | 10 |
| Rural Percent Based on Area Served (Based on 2010 Census of Urban and Rural Classification) |
Points |
| < 50 Percent | 0 |
| > 50 Percent | 10 |
Health Workforce Retraining Initiative – 2011
The NYS Department of Health provided $28.4 in grants that were awarded in late 2011 to help retrain the health care workforce. A total of 143 projects statewide were funded under the State Health Care Reform Act through a competitive process. Some of the grant money is being used to train care managers to provide the more coordinated, patient-centered care called for in New York's health care reform initiatives including Health Homes.
Changes in the health care system are resulting in the reorganization of services and redesign of jobs for many workers. Many of these workers require assistance in developing the necessary skills for new or redesigned jobs. These funds were awarded to assist these workers in enhancing their skills. The organizations in bold type will be positioned to provide training for Health Home case managers. Organizations with specific focus on mental health case manager training are also denoted with an asterisk.
Awards by Region and Sponsor
Western
Foundation for Quality Care, Inc.
Global Healthcare Financial Services Group, Inc.
Healthcare Industry Grant Corporation
Kaleida Health
New York Association of Psychiatric Rehabilitation Services, Inc.*
Research Foundation of SUNY I
Research Foundation of SUNY II
Western New York Rural Area Health Education Center, Inc.
Rochester
Foundation for Quality Care, Inc.
Healthcare Industry Grant Corporation
New York Association of Psychiatric Rehabilitation Services, Inc.*
Research Foundation of SUNY I
Research Foundation of SUNY II
Senior Health Alliance of Greater Rochester, LLC
University of Rochester
Western New York Rural Area Health Education Center, Inc.
CENTRAL
Arnot Ogden Medical Center
Central New York Area Health Education Center
Foundation for Quality Care, Inc.
Healthcare Industry Grant Corporation
Home Aides of Central New York, Inc.
Iroquois Healthcare Association
New York Association of Psychiatric Rehabilitation Services, Inc.*
Research Foundation of SUNY I
Research Foundation of SUNY II
St. Joseph's Hospital Health Center
Western New York Rural Area Health Education Center, Inc.
Utica/Watertown
Foundation for Quality Care, Inc.
Iroquois Healthcare Association
Jefferson Community College
New York Association of Psychiatric Rehabilitation Services, Inc.*
Research Foundation of SUNY I
Research Foundation of SUNY II
Northeast
Foundation for Quality Care, Inc.
Global Healthcare Financial Services Group, Inc.
Iroquois Healthcare Association
New York Association of Psychiatric Rehabilitation Services, Inc.*
Northeastern NY EMS Education Corporation
Research Foundation of SUNY I
Research Foundation of SUNY II
St. Peter's Hospital
Northern Metropolitan
Foundation for Quality Care, Inc.
Global Healthcare Financial Services Group, Inc.
Healthcare Industry Grant Corporation
Institute for Family Health
Iroquois Healthcare Association
New York Association of Psychiatric Rehabilitation Services, Inc.*
Research Foundation of SUNY I
Research Foundation of SUNY II
Southern New York Association
Ulster County BOCES
New York City
Beth Abraham Family of Health Services
Coler-Goldwater Specialty Hospital and Nursing Facility
Foundation for Quality Care, Inc.
Generations Plus Northern Manhattan Health Network
Greater New York Hospital Foundation, Inc.
Healthcare Industry Grant Corporation
Hostos Community College
Institute for Family Health
LaGuardia Community College
New York City Health and Hospitals Corporation (HHC)
Outreach Development Corporation
Research Foundation of CUNY - JFK, Jr. Institute for Worker Education
Research Foundation of SUNY I
Research Foundation of SUNY III
Southern New York Association
Visiting Nurse Service of New York Home Care*
Long Island
Alliance of Long Island Agencies, Inc.
Foundation for Quality Care, Inc.
Healthcare Industry Grant Corporation
John T. Mather Memorial Hospital
Mental Health Association of Nassau County*
Outreach Development Corporation
Research Foundation of SUNY I
Research Foundation of SUNY II
Research Foundation of SUNY III
South Nassau Communities Hospital
Southern New York Association
Winthrop University Hospital
