Health Home

NewYork-Presbyterian Ambulatory Care Network

Health Home

Program Eligibility

Who is eligible for Health Home services?

The New York State Department of Health defines the criteria for patients to be eligible for a Health Home as follows:

  • Patients must be Medicaid eligible.
  • Patients must have at least one single qualifying chronic condition:
    • HIV/AIDS
    • Serious mental illness
    • Sickle cell disease
      OR
    • At least two or more chronic conditions (e.g. substance use disorder, asthma, diabetes)
       

See full list of qualifying chronic conditions via this link: Click here

For Health Home Enrollment, patients must also demonstrate one of the following healthcare or social needs:

  • Lack of adequate social, family, or housing support
  • Lack of adequate connectivity with healthcare system
  • Difficulty managing treatments or medications
  • Probable risk for adverse events (e.g., death, disability, inpatient or nursing home admission)
  • Recent release from incarceration
  • Recent admission to a hospital
  • Limitations in daily living activities (e.g. dressing, bathing, eating)
  • Learning or cognition issues

Please refer to the following link if you need more information on Health Home criteria: Click here