Health Homes Serving Individuals with Intellectual and/or Developmental Disabilities (Care Coordination Organization/Health Home (CCO/HH))
The New York State Department of Health (DOH), in collaboration with the New York State Office for People With Developmental Disabilities (OPWDD), is working to expand the Health Home program to serve individuals with intellectual and/or developmental disabilities (I/DD). Initial enrollment of individuals with I/DD in Health Homes is anticipated to begin July 2018.
OPWDD is committed to helping individuals with I/DD live richer lives, and creating stronger person–centered services, now and into the future. To support this commitment, the Health Home model will provide the strong and stable person–centered approach to holistic service planning and coordination required to ensure delivery of quality care. Health Homes designated to serve individuals with I/DD will also be known as People First Care Coordination Organization Health Homes (CCO/HHs) and are referred to as such throughout this webpage.
The delivery of specialized Health Home services for the I/DD population will be the first phase and foundation for the transition to managed care serving the I/DD population. It is anticipated that CCO/HHs will expand and transition from the provision of Health Home care management to specialized Managed Care Organizations (I/DD MCOs) or enter agreements with existing I/DD or other MCOs to provide Health Home care management to the I/DD.
To access CCO/HH services, please visit OPWDD's website: https://opwdd.ny.gov/opwdd_services_supports/care_coordination_organizations
Individuals with Intellectual and/or Developmental Disabilities (I/DD) 1115 Waiver Transition
Please see the Individuals with Intellectual and/or Developmental Disabilities (I/DD) 1115 Waiver Transition page for more information.
Health Home Application to Serve Individuals with Intellectual and/or Developmental Disabilities
The New York State Department of Health (DOH) and the New York State Office for People With Developmental Disabilities (OPWDD), herein after referred to as "the State," will be seeking Applications from qualified parties interested in becoming a designated Health Home to serve individuals with I/DD.
As a first step in the Application process, the State released a draft of Part I of the Health Home Application to Serve Individuals with I/DD for stakeholder review and comment. The response to the Public Comment on the draft Part I of the Application, dated October 6, 2017, can be found below. The draft Application included Part I, Attachments, and Appendices of the Application. The State also invited interested parties to submit a letter of interest.
Comments on the draft Part I of the Application, using the Comment Submission Form in Attachment A, and Letters of Interest were due on or before August 4, 2017 and were submitted to HHIDD@health.ny.gov. Please see the draft Application and attachments in archive for additional information. The deadline to submit comments was extended to August 11, 2017.
The release of the Final Application includes an additional section "Part II,” which is the CCO/HH Application to Serve Individuals with I/DD. Qualified parties interested in becoming designated to be a Health Home Serving Individuals with I/DD will be required to complete and submit: Part II of the Application, the Health Home Network Partner Form (Attachment D), other requirements, and any desired supplementary attachments electronically to HHIDD@health.ny.gov.
The following table includes important dates regarding the Application and the anticipated schedule for the implementation of I/DD Health Homes.
|Draft I/DD Health Home Application Released||June 30, 2017 - Completed|
|Due Date to Submit Comments on Draft Health Home Application to Serve Individuals with I/DD||August 4, 2017 - Due date extended to August 11, 2017 - Completed|
|Due Date to Submit Letter of Interest||August 4, 2017 - Completed|
|Final Health Home Application to Serve Individuals with I/DD Released||October 6, 2017 - Completed|
|Due Date to Submit Health Home Application to Serve Individuals with I/DD||November 30, 2017- Completed|
|Review and Approval of Health Home Applications to Serve Individuals with I/DD by the State||December 1, 2017 to February 28, 2018- Completed|
|Applicants may submit an updated Attachment D||February 15, 2018 - Due date extended to April 13, 2018|
|Health Home 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|
Note: Instructions for completing Attachment D of the CCO Application, as it relates to identifying network partners (other than MSC agency affiliations/CMAs), have been revised. The MSC affiliations must be completed and submitted by 11/30/17 with the entire Part II Application. In order to provide CCO/HH applicants with sufficient time to develop network partners, applicants may submit an updated Attachment D, as it relates to identifying network partners (other than MSC agency affiliations/CMAs), by no later than 2/15/18. This will allow NYS to evaluate the identified network partnerships in advance of the readiness review.
- Part I: Background and Policy Information for Serving Individuals with Intellectual and/or Developmental Disabilities (PDF)
- Part II: Care Coordination Organization/Health Home Application to Serve Individuals with Intellectual and/or Developmental Disabilities (PDF)
- Response to Public Comments on the Draft of Part I of the Application (PDF) October 6, 2017
Application Attachments Attachment Title Attachment A (PDF) Form for Submitting Comments to Draft Application (Comment period is closed) Attachment B (PDF) Letter of Interest Submission Form (Submission period is closed) Attachment C (PPTX) Health Home Model Graphic Attachment D (XLSX) Health Home Network Provider Information 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)
- As of April 9, 2018, the State Plan Amendment (SPA) approving Health Homes Serving Individuals with Intellectual and/or Developmental Disabilities (CCO/HH) has been approved.
- 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 (PDF)
- Lead Health Home Resource Center – Forms (including consent), templates, administrative requirements, and more
- Policy and Standards – Existing Health Homes policies and standards
- Performance Management – Performance Measures that are specific to the CCO/HH program will be updated here after program implementation
Frequently Asked Questions
As part of our ongoing effort to support the transition to People First Care Coordination, the Office for People With Developmental Disabilities (OPWDD) is offering a series of Informational Sessions for Medicaid Service Coordinators (MSCs).
The Informational Sessions will be available via a 30-minute webinar every second and fourth Wednesday of the month at noon.
Webinar Schedule and Previous Webinar Materials
- CCO/HH Webinar Resource Page (External link to OPWDD site)