Health Home

NewYork-Presbyterian Ambulatory Care Network

Health Home

Program Eligibility

What are the patient eligibility criteria for Health Homes?

The New York State Department of Health defines two main criteria for patients to be eligible for a Health Home:

Patients must also demonstrate an unmet social need, which can include:

  • Probable risk for adverse events (e.g., death, disability, inpatient or nursing home admission);
  • Lack of or inadequate social/family/housing support;
  • Lack of or inadequate connectivity with healthcare system;
  • Non-adherence to treatments or medication(s) or difficulty managing medications;
  • Recent release from incarceration or psychiatric hospitalization;
  • Daily living activities limitations (e.g., dressing or eating); and
  • Learning or cognition issues

 

What insurances does the NYP Health Home accept?

  • Amida Care
  • Dual eligible Medicaid/Medicare
  • EmblemHealth-HIP (Health Ins. Plan of GTR NY)
  • Fidelis (NYS Catholic Health Plan)
  • Healthfirst NY
  • Medicaid FFS
  • Medicaid/ADAP (Spendown must be met)
  • Molina Health Plan
  • United Healthcare Community Plan
  • VNSNY Choice
  • Wellcare