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  • Directory > Health Homes

    A Health Home is a care management service model whereby all of an individual's caregivers communicate with one another so that all of a patient's needs are addressed in a comprehensive manner. This is done primarily through a "care manager" who oversees and provides access to all of the services an individual needs to assure that they receive everything necessary to stay healthy, out of the emergency room and out of the hospital. Health records are shared among providers so that services are not duplicated or neglected. Health Home services are provided through a network of organizations – providers, health plans and community-based organizations. When all the services are considered collectively they become a virtual "Health Home."

    It is very important for our physical health network practitioners to be aware of their patients’ mental health and substance use disorders. We ask our PCPs to screen their patients for depression and other potential issues and to take these diagnoses into consideration when developing treatment plans. Where possible, please identify and coordinate care with your patient’s behavioral health providers.

    The following Enhanced Care Prime Network Health Homes support our Medicaid Managed Care and HARP benefit plans.

    EmblemHealth Medicaid Health Homes

    Health Home/ DBA Partnerships

    Counties

    Contact

    Bronx Accountable Healthcare Network (BAHN)

    Bronx

    Antonette Mentor
    (914) 378-6086
    amentor@montefiore.org

    Jacqueline Santiago
    (914) 378-6171
    jacsantiago@montefiore.org

    Bronx Lebanon Hospital Center

    Bronx

    Virgilina Gonzalez
    (718) 901-8927
    vgonzalez@bronxleb.org

    Yunelly Tejada
    (718) 579-7059
    ytejada@bronxleb.org

    Brooklyn Health Home (Maimonides)
    (under Southwest Brooklyn Health Home)

    Brooklyn

    Madeline Rivera
    (718) 283-7098
    Mrivera2@maimonidesmed.org

    Sara Kaplan Levenson
    (718) 283-7858
    slevenson@maimonidesmed.org

    Community Care Management Partners LLC
    (under Visiting Nurse Service of New York Home Care)

    Bronx, Manhattan

    Teresa Hill
    (212) 465-2741
    Teresa.hill@vsny.org 

    Phil Opatz
    (212) 290-6467
    Phil.opatz@vnsny.org

    Community Health Care Network

    Bronx, Brooklyn

    Alyssa Lord
    (212) 545-2469
    alord@chnnyc.org

    Elizabeth Malave
    (212) 545-6206
    emalave@chnnyc.org

    Coordinated Behavioral Care Inc.
    (DBA Pathway to Wellness)

    Brooklyn, Manhattan, Staten Island

    Amanda Semidey
    (212) 590-2574
    asemidey@cbcare.org

    Danika Mills
    (212) 590-2407
    dmills@cbcare.org

    Inna Borik
    (212) 590-2573
    iborik@cbcare.org

    Hudson River Healthcare Inc.
    (DBA Community Health Care Collaborative)

    Columbia, Dutchess, Greene, Nassau, Orange, Putnam, Rockland, Suffolk, Sullivan, Westchester

    Nicole Jordon Martin
    (914) 734-8543
    njmartin@hrhcare.org

    Kathleen Clay
    (914) 734-8513
    kclay@hrhcare.org

    Linda Assante
    (914) 425-0891
    lassante@hrhcare.org

    Hudson Valley Care Coalition
    (under Open Door Family Medical Centers)

    Dutchess, Orange, Putnam, Rockland, Sullivan, Westchester

    Sherry Saturno
    (914) 502-1374
    ssaturno@hvcare.net

    Noel Sander
    (914) 502-1435
    nsander@hvcare.net

    Mt. Sinai Health Home
    (under St. Luke's-Roosevelt Hospital Center)

    Manhattan

    Arielle Rosner
    (212) 824-8132
    Arielle.rosner@mountsinai.org

    Kristina Monti
    (212) 523-5002
    Kristina.monti@mountsinai.org

    Alicia Korpi
    (212) 523-1897
    Alicia.korpi@mountsinai.org

    New York City Health and Hospital Corporation

    Bronx, Brooklyn, Manhattan, Queens

    Deborah Rose
    (212) 442-4065
    Deborah.rose@nychhc.org

    Jared Pitt-Lavi
    (212) 788-5437
    Jared.pitt-lavi@nychhc.org

    North Shore Long Island Jewish

    Nassau, Suffolk, Queens

    Khadeja Kauser
    (631) 465-3065
    kkausar@nshs.edu

    Rick McElroy
    (516) 776-5450
    rmcleroy@nshs.edu

    Queens Coordinated Care Partners

    Queens

    Valentine Cruz
    (917) 510-7278
    vcruz@chnnyc.org

    Cady Herman
    (718) 883-1194
    cherman@chnnyc.org

    For more information on Health Homes and other Medicaid covered services, please see the Medicaid section of the Provider Networks and Member Benefit Plans chapter.
    For more information on EmblemHealth’s Behavioral Health Services Program, please see the Behavioral Health Services chapter.

     

     

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    Glossary terms found on this page:

    Conditions that affect thinking and the ability to figure things out that affect perception, mood and behavior.

    A health insurance product offered by a health plan company that is defined by the benefit contract and represents a set of covered services. Also called a health benefit plan.

    The evaluation of the medical necessity, appropriateness and efficiency of the use of health care services, procedures and facilities under the provisions of the applicable health benefit plan. It is sometimes called utilization review or utilization management.

    A medically necessary service for which a member is entitled to receive partial or complete coverage under the terms and conditions of the benefit program, is within the scope of the practitioner's practice and the practitioner is authorized to render pursuant to the terms of the agreement.

    Means a medical or behavioral condition, the onset of which is sudden, that manifests itself by symptoms of sufficient severity, including severe pain, that a prudent layperson, possessing an average knowledge of medicine and health, could reasonably expect the absence of immediate medical attention to result in (a) placing the health of the person afflicted with such condition in serious jeopardy, or in the case of a behavioral condition, placing the health of such person or others in serious jeopardy; (b) serious impairment to such person’s bodily functions; (c) serious dysfunction of any bodily organ or part of such person; or (d) serious disfigurement of such person.

    An institution which provides inpatient services under the supervision of a physician, and meets the following requirements:

    • Provides diagnostic and therapeutic services for medical diagnosis, treatment and care of injured and sick persons and has, as a minimum, laboratory and radiology services and organized departments of medicine and surgery
    • Has an organized medical staff which may include, in addition to doctors of medicine, doctors of osteopathy and dentistry
    • Has bylaws, rules and regulations pertaining to standards of medical care and service rendered by its medical staff
    • Maintains medical records for all patients
    • Has a requirement that every patient be under the care of a member of the medical staff
    • Provides 24-hour patient services
    • Has in effect agreements with a home health agency for referral and transfer of patients to home health agency care when such service is appropriate to meet the patient's requirements

    Acronym for Medicare Advantage. An alternative to the traditional Medicare program in which private plans run by health insurance companies provide health care benefits that eligible beneficiaries would otherwise receive directly from the Medicare program.

    Any form of health plan that uses selective provider contracting to have patients seen by a network of contracted providers and that requires prior approval of certain services.

    A jointly funded federal and state program that provides hospital and medical coverage to the low-income population and certain aged and disabled individuals.

    An individual and each of his or her eligible dependents, including Medicare beneficiaries who are enrolled or participate in a benefit program and who are entitled to receive covered services from the practitioner pursuant to such benefit program and the terms of the practitioner's agreement.

    Conditions that affect thinking and the ability to figure things out that affect perception, mood and behavior.

    The group of physicians, hospital, and other medical care providers that a specific plan has contracted with to deliver medical services to its members.

    A family physician, family practitioner, general practitioner, internist or pediatrician who is responsible for delivering or coordinating care. Also called a primary care physician.

    A type of health benefit plan that allows enrollees to go outside the health plan's provider network for care, but requires enrollees to pay higher out-of-pocket fees when they do. Also called Point of Service.

    A health plan that offers benefits in-network and out-of-network. In-network services are available to enrollees at lower out-of-pocket cost than the services of non-network providers. In addition, PPO enrollees may self-refer to any network provider at any time. Also called a Preferred Provider Organization.

    A medical practitioner or covered facility recognized by EmblemHealth for reimbursement purposes. A provider may be any of the following, subject to the conditions listed in this paragraph:

    • Doctor of medicine
    • Doctor of osteopathy
    • Dentist
    • Chiropractor
    • Doctor of podiatric medicine
    • Physical therapist
    • Nurse midwife
    • Certified and registered psychologist
    • Certified and qualified social worker
    • Optometrist
    • Nurse anesthetist
    • Speech-language pathologist
    • Audiologist
    • Clinical laboratory
    • Screening center
    • General hospital
    • Any other type of practitioner or facility specifically listed in the member's Certificate of Insurance as a practitioner or facility recognized by EmblemHealth for reimbursement purposes

    A provider must be licensed or certified to render the covered service. The covered service must be within the scope of the Provider's license or certification.

    A set of providers contracted with a health plan to provide services to the enrollees.

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