Health Homes Serving Individuals with Intellectual and/or Developmental Disabilities (Care Coordination Organization/Health Home (CCO/HH))
In April 2018, the New York State Department of Health (DOH) and the New York State Office for People With Developmental Disabilities (OPWDD) received approval from the Centers for Medicare and Medicaid Services (CMS) to expand the Health Home Care Management program to serve individuals with intellectual and/or developmental disabilities (I/DD) through Care Coordination Organization/Health Homes (CCO/HHs). Effective July 1, 2018, CCO/HHs began serving individuals with I/DD who chose to receive this comprehensive model of Care Management.
The expansion, tailoring, and implementation of the Health Home Care Management model was the first phase and foundation for OPWDD’s transition to Managed Care. OPWDD is committed to helping individuals with I/DD live richer lives, and creating stronger person–centered services, now and in the future. The CCO/HH model provides a strong, stable, person–centered approach to holistic service planning and ensures the delivery of integrated quality care that supports the needs of individuals with I/DD.
To access CCO/HH services, please visit OPWDD's website: https://opwdd.ny.gov/opwdd_services_supports/service_coordination
CCO/HH Provider Policy and Guidance Manual and CCO/HH Policy Updates
The CCO/HH Provider Policy and Guidance Manual (released in July 2018) and subsequent updates to CCO/HH policy can be found on OPWDD’s website at the link below:
Specialized Managed Care Transition for Individuals with Intellectual and/or Developmental Disabilities
Please see the Specialized Managed Care Transition for Individuals with Intellectual and/or Developmental Disabilities page for more information.
CCO/HH Application to Serve Individuals with I/DD
The New York State Department of Health (DOH) and the New York State Office for People With Developmental Disabilities (OPWDD) released Part I of the draft CCO/HH Application and Attachments for stakeholder review and comment in June 2017. Part I of the Application contained background and policy information for serving individuals with I/DD in CCO/HHs.
Comments on Part 1 of the draft CCO/HH Application and Attachments were submitted using the Comment Submission Form in Attachment A. The deadline to submit comments was August 11, 2017. Interested entities were also required to submit a Letter of Intent to the State.
The Final CCO/HH Application (Parts I and II) was released on October 6, 2017. Applicants were required to complete and submit: Part II of the Application, the CCO/HH Network Partner List (Attachment D), other requirements, and any desired supplementary attachments electronically to the State.
The following table identifies important dates and activities related to the implementation of CCO/HHs for individuals with I/DD.
|Part I of Draft CCO/HH Application and Attachments Released||June 30, 2017 - Completed|
|Due Date to Submit Comments on Part I of Draft CCO/HH Application and Attachments||August 4, 2017 - Due date extended to August 11, 2017 - Completed|
|Due Date to Submit Letters of Interest||August 4, 2017 - Completed|
|Final CCO/HH Application Released (Parts I, II, and Attachments)||October 6, 2017 - Completed|
|Due Date to Submit CCO/HH Application||November 30, 2017- Completed|
|Review and Approval of CCO/HH Applications by the State||December 1, 2017 to February 28, 2018- Completed|
|Due Date to Submit Updated Attachment D||February 15, 2018 - Due date extended to April 13, 2018 - Completed|
|CCO/HH and Network Partner Readiness Activities||March 1, 2018 to June 30, 2018 - Completed|
|State Webinars, Training, and Other Readiness Activities||Through June 30, 2018 - Completed|
|Transition to CCO/HH Care Management for Individuals with I/DD||July 2018 - Completed|
CCO/HH Application Documents
- Care Coordination Organization/Health Home Application Part I: Background and Policy Information for Serving Individuals with Intellectual and/or Developmental Disabilities (PDF)
- Care Coordination Organization/Health Home Application Part II: Care Coordination Organization/Health Home Application to Serve Individuals with Intellectual and/or Developmental Disabilities (PDF)
- Response to Public Comment on Part I of the Draft CCO/HH Application (PDF) October 6, 2017
Application Attachments Attachment Title Attachment A (PDF) Form for Submitting Comments on Draft CCO/HH Application (Comment period is closed) Attachment B (PDF) Letter of Interest Submission Form (Submission period is closed) Attachment C (PPTX) CCO/HH Model Graphic Attachment D (XLSX) CCO/HH Network Partner List Attachment E (PDF) Mercer Data Summary
Care Coordination Organization/Health Home (CCO/HH) PMPM
Care Coordination Organization /Health Home (CCO/HH) PMPM (Effective 7/1/18) Acuity Level Ongoing PMPM Initial One Time PMPM Upstate Downstate Upstate Downstate Tier 1 $338 $361 $951 $1,011 Tier 2 $407 $436 $951 $1,011 Tier 3 $489 $522 $951 $1,011 Tier 4 $619 $661 $951 $1,011
State Plan Amendments (SPA)
- On April 9, 2018, the Centers for Medicare and Medicaid Services (CMS) approved State Plan Amendment (SPA) #17-0025, authorizing the implementation of Health Homes for Individuals with Intellectual and/or Developmental Disabilities, known as CCO/HHs.
- Medicaid State Plan Amendment (#17–0025)
State Plan Amendment – #17–0025 (PDF)
- Medicaid State Plan Amendment (#17–0025)
- For links to approved SPAs for all Health Home programs, please visit our Medicaid Health Homes - State Plan Amendments page.
CCO/HH Coverage Chart
- CCO/HH Coverage Chart (PDF)
Frequently Asked Questions
- Please see the Letters of Interest page for a list of entities that indicated an interest in submitting a Health Home Application to Serve Individuals with Intellectual and/or Developmental Disabilities.