Policy and Standards

The policies and standards for Health Homes Serving Adults (HHSA), and Health Homes Serving Children (HHSC) are currently being updated and reorganized. The provider manual version 2014–1 will remain operational until otherwise noted. Any new or updated policies to the provider manual will be listed below. Please check back here for future updates.

New Health Home Policy Updates!

Please click on the Health Home Policy and Updates section below to view all existing policy and updates for the Health Home program.
Please note that the Health Homes Provider Manual is being revised. As policy is updated or created the documents will be listed above under the " New Health Homes policy updates" section. All policy is considered effective in the current policy manual unless otherwise noted. Please continue to check back for updates.
This section lists all Health Home policy manual updates and guidance provided by the State. All new, updated, or existing policies will be located on the Health Home Policy and Updates page until the entire manual has been revised.

The Health Home Standards and Requirements explains and clarifies the roles and responsibilities of Lead Health Homes, downstream Care Management providers, and Managed Care Organizations (MCOs) for the provision of Health Home services.

Click here for the Standards and Requirements for Health Homes, Care Management Providers and Managed Care Organizations (PDF).

This document contains the following sections:

  1. State Plan Standards and Requirements for Health Homes
  2. Additional Health Home Standards and Requirements
  3. Additional Health Home Standards and Requirements for Assisted Outpatient Treatment (AOT) enrollees
  4. Additional Health Home Standards and Requirements Related to the Provision of Home and Community Based Services to HARP Enrollees and HARP–eligible HIV SNP Enrollees.
  5. Additional Health Home Standards and Requirements for Health Homes Serving Adult Home Class Members Pursuant to a Stipulated Order and Settlement
  6. Additional Health Home Standards and Requirements for Health Homes Serving Children
  7. Standards and Requirements for MCOs Related to the Provision of Health Home Care Management Services
Medicaid Health Homes State Plan Amendments: The Health Home Program´s State plan amendments are official documents that describe the nature and scope of a state´s Medicaid program that has been approved by the Federal Department of Health & Human Services (DHHS).
In order to assist Health Homes in achieving the goals of increased quality of care as well as reduction in the cost of treatment, the New York State Office of Health Insurance Programs, Medicaid, partnered with the New York State Office of Quality and Patient Safety (OQPS) in an effort to leverage HIT. HIT can provide the tools for providers to better coordinate care for Medicaid patients at highest risk for severe medical outcomes. Visit the Health Information Technology Standards page.

Regular Editions

December 2012

Special Editions

November 2012
April 2012