Together We Can
Strengthen our Communities and Build Healthier Lives
Health Home Care Management
AHI is a New York State-designated lead Health Home and serves all ages. A Health Home is not a place; it is a care management service that connects community and social supports with health care, and provides better organization of medical and behavioral health care. A Health Home ensures all caregivers involved with a person talk to one another so they can focus on their client’s needs.
We coordinate medical and behavioral health care by connecting community and social supports with health care for high-risk Medicaid members with:
- HIV/AIDS; or
- a serious persistent mental illness; or
- two or more other chronic conditions
- Homelessness or risk of homelessness;
- Lack of social/family supports;
- Deficits in activities of daily living;
- Non-adherence to treatments;
- Learning or cognitive issues.
The AHI Health Home Care Management program goal is to improve care coordination for high-risk Medicaid individuals, reduce duplicate services, reduce emergency department visits and inpatient admissions, and lower costs.
The AHI Heath Home Care Management program is a partnership of primary care providers, hospitals, and several behavioral health and community-based organizations.