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Free Medicaid program: Health Homes

Programs and Services

What is Health Homes?

The name is very deceiving. It should be called ‘Care Management’ because that’s what a Health Home does. It provides members with a Care Manager who assists them with working to get the care and services they need to stay healthy.  Everyone needs different things to help with this, and that’s part of what makes Health Homes so exciting.  Care Managers work together with members to focus on what the person’s needs are and tailor the care management services to them.

How do you know if Health Homes is for you or a loved one?

First, you must be a Medicaid recipient or believe you may qualify for Medicaid. It’s a free Medicaid program!  Ask yourself the following questions:

  • Do you have chronic or mental health conditions for which you need regular doctor’s care?
  • Do you have a doctor you can see when you need to?
  • Do you visit the emergency room, hospital, or urgent care more than you’d like?
  • Do you have a safe place to live?
  • Do you have someone in your life to help you whenever you need help?
  • Do you have difficulty keeping medical appointments?

If the answer to any of these questions is cause for concern, then there is a good chance you or your loved one may be eligible for Health Homes.

How do I get started?

If you are in Rochester, NY or Monroe County visit https://arcmonroe.org/health-homes/ or call us at (585) 271-0660 x 2576.  We are happy to assist you in applying for services.  The Arc of Monroe is a member of the Greater Rochester Health Home Network (GRHHN) and we provide care management to adults (over 18).

Examples of how we help new members

  1.  Member receiving medical bills from their insurance for ‘services provided out of network.’ The Care Manager works with the member, their insurance, and the provider to have the bill submitted and paid by the insurance company.
  2. The member is homeless so needs help getting furniture. The Care Manager helps the member apply and receive a grant from a charitable foundation that purchases furniture.
  3. Member needs assistance picking up and using a new hearing aide. The Care Manager meet them at the provider’s office and works with the client to understand how to use it.
  4. Member had not been to a Primary Care Doctor in years.  The Care Manager works with the member to pick out an in-network provider, and assists with calling and scheduling an appointment.
  5. Member struggles with supporting themselves while managing their children’s medical issues. The Care Manager assisted with getting the children set up with a Care Manger through a Children’s Health Home.
  6. Member struggles with paperwork, but needs to fill out an application to receive assistance through Monroe County DHS.  Care Manager assists the client with gathering needed info and submitting the referral.

 

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Scott Patanella

Article by Scott Patanella, Assistant Director Health Homes.  Scott assisted in the launch of the Health Homes service at the Arc of Monroe.