AHI Health Home Care Management Partners

Program Goals

The AHI Health Home Care Management program’s goals are to:

• Lower Medicaid costs;
• Reduce preventable hospitalizations and emergency room visits; and
• Improve patient outcomes.

In order to meet our goals, we offer Health Home Care Management to members using our robust network of care management agencies listed below:

Care Management Agency (CMA Name)	Counties Served	Specialties	Population (Age)
AHI Community Access Team	Warren, Washington, and Saratoga	Behavioral Health, Transition Care, HARP	Adults
Alliance for Positive Health	Clinton, Essex, Franklin, Saratoga, Warren, and Washington	HIV/AIDS, HARP	Adults
Behavioral Health Services North	Clinton	Foster Care, Severe Emotional Disturbance, HARP	Adults and Children
Capital District Psychiatric Center	Embedded into GFH	Former OMH, Severe Emotional Disturbance	Adults and Children
Catholic Charities Care Coordination Services	Saratoga	Behavioral Health, Complex Medical Needs, Transition Care, HARP	Adults
Citizen Advocates	Franklin (+ parts of Clinton, Essex, and St. Lawrence)	Severe Emotional Disturbance, HARP	Adults and Children
Community Connections of Franklin County	Franklin	HCBS, HARP, Behavioral Health, Care Transitions	Adults
Community Maternity Services	Warren and Washington	Behavioral Health, Complex Medical Needs, Transition Care	Adults
Essex County Mental Health Services	Essex	Behavioral Health, HARP	Adults
Families First in Essex County	Essex	Severe Emotional Disturbance	Children
Fort Hudson Care Management	Clinton, Essex, Hamilton, Saratoga, Warren, and Washington	Complex Medical Needs, Behavioral Health, Transition Care	Adults
Glens Falls Hospital	Warren and Washington	Severe Emotional Disturbance, Complex Medical Needs, HARP	Adults and Children
Hamilton County Community Services	Hamilton	Behavioral Health	Adults
HCR Care Management LLC	Clinton, Essex, Warren, and Washington	Complex Medical, Transition Care, HARP	Adults
Hudson Headwaters Health Network	Clinton, Essex, Hamilton, Warren, and Washington	Complex Medical, Primary Care, Transition Care	Adults and Children
Mental Health Association in Essex County	Essex	Behavioral Health, HARP	Adults
Salvation Army	Saratoga	HARP, Behavioral Health, Care Transitions	Adults
St. Anne Institute	Clinton, Warren, and Washington	Foster Care, Severe Emotional Disturbance, Behavioral Health	Children
St. Lawrence Psychiatric Center	Embedded into BHSN	Former OMH	Adults and Children
Transitional Services Association	Warren and Washington	Assisted Outpatient Treatment	Adults
United Helpers Mosaic	St. Lawrence	Assertive Community Treatment, HARP	Adults and Children
UVMHN/Champlain Valley Health Network	Clinton, Essex, and Franklin	Complex Medical Needs	Adults
Warren-Washington Association for Mental Health	Warren and Washington	Severe Emotional Disturbance, HARP	Adults and Children