About the Program
How Your Care Management Team Can Help:
- Connect you with primary care, specialty care and behavioral health services
- Help schedule and manage medical appointments
- Coordinate home care services and long-term support resources
- Assist with housing, food, transportation, benefits and Medicaid resources
- Connect you with mental health and substance use treatment services
- Support you after hospitalizations and emergency room visits
- Help you transition from incarceration back into the community
- Provide advocacy and coordinate care across healthcare and social service systems
- Help identify whether you may be eligible for Health Home Care Management or Home and Community-Based Services
We Support Participants Who Need:
Help managing multiple chronic health conditions and complex healthcare needs
Assistance accessing healthcare, behavioral health services and community resources
Coordination among medical, behavioral health, rehabilitation, specialty care and long-term support providers
Support accessing home care, personal care services, durable medical equipment and mobility support
Assistance following frequent hospitalizations or emergency room visits
Advocacy and guidance to reduce barriers to healthcare and improve health outcomes
Who Can Join?
- Adults age 21 and older with active, unrestricted Medicaid
- People with two or more chronic health conditions, HIV, Serious Mental Illness, Sickle Cell Disease, physical disabilities or other qualifying health needs
- People who need support navigating healthcare and community resources
- People who could benefit from Health Home Care Management or Home and Community-Based Services
Health & Recovery Plan
What is Health and Recovery Plan (HARP)?
HARPs are specialized Medicaid Managed Care Plans. These plans are designed for people with more extensive or ongoing mental health and/or substance abuse conditions. HARPs have all the same services and benefits of “mainstream” Medicaid plans. These plans aim to help with recovery and wellness in the community through Home and Community Based Services (HCBS).
What do Health and Recovery Plans do?
- HARPs manage the Medicaid services for people who need them.
- HARPs also manage an enhanced benefit package of Home and Community Based Services (HCBS)
- HARPs offer enhanced care management for members to help them plan all their health needs, and non-Medicaid supportneeds.
Who is eligible for HARP?
- Must be 21 or older
- Be insured only by Medicaid and be eligible for Medicaid managed care.
- People who are eligible may get a letter in the mail from New York State or New York Medicaid Choice.
Health Home and Home and Community-Based Services
For eligible people living with HIV, Serious Mental Illness and other qualifying conditions, CHN can help connect participants with:
- Comprehensive Health Home Care Management
- Home and Community-Based Services
- Psychosocial rehabilitation and community support services
- Employment, education and independent living support
- Services that promote community integration, independence and overall well-being
Why Refer to CHN
Why Refer to CHN
- High quality care coordination as recognized by New York State
- Partnership with community based organizations in all five boroughs
- Access to Federally Qualified Health Centers under our Health Home through our Care Management Agencies
- Over 10 languages spoken at our agencies, with access to on staff interpreters and telephonic language lines.
- In field provider education about the Health Home program, run by Health Home staff. Want to know more about the program and how it will help you and your patients? We’ll come to you
- Personalized care coordination for people with disabilities, chronic health conditions, justice involvement and specialized health needs
- Coordination among medical, behavioral health, rehabilitation, specialty care, long-term support and social service providers
- Support during transitions following hospitalization, emergency room visits or incarceration
Want to make a referral?
Complete and send the CHN Health Home Referral Form via secure and confidential email or fax number below:
Email: [email protected]
Fax: 212-725-7766
Agencies We Refer To
Agencies
Our care management agencies have years of experience in care coordination. Many have been serving their communities for over 20 years. All have a wide range of resources to help and connect Health Home members to care they need. They service all five boroughs of New York City.
- Argus Community
- Bailey House
- Bridging Access to Care
- Brightpoint Health
- BOOM Health
- CABS Home Care
- CAMBA
- Community Health Action of Staten
- Island (CHASI)
- Community Healthcare Network
- Essen Healthcare
- Federation of Organizations
- Fortune Society
- HeartShare St. Vincent’s
- Housing Works
- Mental Health Providers of
- Western Queens
- Metro CMA
- National Association on Drug AbuseProblems (NADAP)
- OMH – Kingsboro Psychiatric Center
- Puerto Rican Family Institute
- The Bridge
- Transitional Services for New York (TSINY)
Want to make a referral?
Complete and send the CHN Health Home Referral Form via secure and confidential email or fax number below:
Email: [email protected]
Fax: 212-725-7766
How can the Health Home help a potential member?
In addition to general care coordination, CHN provides personalized support based on each member’s healthcare needs, circumstances and personal goals.
Support for People with Physical Disabilities
Our Care Management team can provide:
Coordination with rehabilitation, specialty care and long-term support providers
Assistance accessing home care, personal care attendants and community-based support
Referrals for durable medical equipment, assistive technology and mobility devices
Help arranging transportation services and accessibility accommodations
Advocacy during medical appointments and care transitions
Assistance navigating Medicaid benefits and long-term services and support
Coordination among multiple providers to support independence and community living
An individualized care plan focused on health goals, safety and quality of life
Justice-Involved Reentry Support
For people transitioning from incarceration back into the community, our team can provide:
Connections to primary care, behavioral health and specialty healthcare services
Help obtaining health insurance, medications and medical appointments
Referrals to housing, employment, education, legal assistance and other community resources through the Health Justice Network
Ongoing care coordination to support successful reentry and community integration
Support for Transgender and Gender-Diverse People
Our Care Management team can provide:
Referrals to gender-affirming healthcare providers and specialty services
Help accessing hormone therapy and other gender-affirming care
Advocacy and support during medical and specialty appointments
Coordination of mental health services and supportive counseling
Individualized health goals focused on overall wellness and gender-affirming care
Assistance accessing benefits, housing, food resources and other supportive services
Our Commitment
CHN Health Home Care Management helps people remain healthy, connected and independent by coordinating care and connecting members with the services and resources they need to thrive in their communities.
Contact CHN Health Home Care Management
Phone: 646-634-9766
Email: [email protected]
Address: 44 W 28th Street, 5th Floor, New York, NY 10001
Free. Voluntary. Person-centered.
Coordinating care. Supporting independence.