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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,Westchester

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

    Christine Whang
    (914) 378-6151
    chwwhan@montefiore.org

    Mary Fernandez
    (914) 378-6554
    maryfern@montefiore.org

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

    Brooklyn

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

    Danielle Cuyuch
    (718) 283-6194
    dcuyuch@maimonidesmed.org

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

    Counties serving Adults:
    Bronx, Manhattan
    Counties serving Children:
    Bronx, Kings, Manhattan, Queens

    Hillel Hirshbein
    (212) 609-1536
    Hillel.hirshbein@ccmphealthome.org 

    Nathan Smith
    ((212) 609-1543
    Nathan.smith@ccmphealthhome.org

    Community Health Care Network

    Bronx, Brooklyn, Manhattan, Queens, Staten Island

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

    Carmen Plaja-Cordero
    (212) 545-6226
    cpcordero@chnnyc,org

    Coordinated Behavioral Care Inc.
    (DBA Pathway to Wellness)

    Counties serving Adults:
    Brooklyn, Manhattan, Staten Island
    Counties serving Children:
    Bronx, Brooklyn, Manhattan, Queens, Staten Island

    Amanda Semidey
    (646) 930-8835
    asemidey@cbcare.org

    Melissa Martinez
    (646) 930-8831
    Mmartinez@cbccare.org

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

    Counties serving Adults:
    Nassau, Suffolk, Westchester
    Counties serving Children:
    Nassau, Suffolk, Westchester

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

    Christina Turiano
    (914) 829-5162
    cturiano@cbccare.org

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

    Westchester

    Stephanie Griffith
    (914) 488-6595
    sgriffith@hvcare.net

    Sean Allen
    (914) 488-6610
    seallen@hvcare.net

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

    County serving Adults:
    Manhattan
    Counties serving Children:
    Bronx, King, Manhattan, Queens, Staten Island

    Lynette Verges
    (212) 731-7931
    Lynnette.verges@mountsinai.org

    Alicia Korpi
    (212) 731-7841
    Alicia.korpi@mountsinai.org

    New York City Health and Hospital Corporation

    Bronx, Brooklyn, Manhattan, Queens

    Katherine Redfern-Shaw
    (646) 458-5617
    redfernk@nychhc.org

    Cathleen Gittens
    (646) 458-6423
    Cathleen.gittens@nychhc.org

    North Shore (formerly Northshore LIJ)

    Nassau, Suffolk, Queens, Staten Island

    Hira Ruskin
    (516) 600-1132
    hruskin@northwell.edu

    Pat McCarrick
    (516) 600-1129
    pmccarrick@northwell.edu

    Queens Coordinated Care Partners

    Bronx, Brooklyn, Queens, Manhattan

    Brian Timmermans
    (718) 906-6246
    Brian.timmermans@mountsinai.org

    Oscar Laluyan
    (718) 906-6243
    Oscar.laluyan@mountsinai.org

    NY Presbyterian

    Manhattan

    Tiffany Sturdivant-Morrison
    (212) 342-0542
    Tis9034@nyp.org

    Henley Vargas
    (212) 342-0590
    Hev9012@nyp.org

    Collaborative for Children and Families

    Bronx, Brooklyn, Manhattan, Queens, Staten Island, Nassau, Suffolk, Westchester

    Jodi Saitowitz
    (646) 459-3971
    jsaitowitz@ccfhh.org

    Alyssa Tosi
    (646) 459-3975
    atossi@ccfhh.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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