Health Home Care Management Services

Health Home Care Management Services

The Sayville Project’s Health Home Care Management Program has partnered with Community Health Care Collaborative (CCC) of Sun River Healthcare in the New York State Medicaid Health Home Initiative. The Sayville Project currently serves over 400 adults with chronic health and mental health conditions in the south shore and central Suffolk communities of Long Island.

Health Home Care Management support individuals who have active Medicaid and are living with 2+ chronic health conditions* or a serious mental health condition. The goal is to help support individuals in managing their chronic health conditions and coordinating their health care needs to maximize positive health outcomes, prevent future hospitalizations and assist with increasing independence of our community members. If deemed eligible, individuals are assigned a Care Manager who will help the member to develop personalized care plan goals, support in coordination of their care, link to community resources, assist with securing, maintaining benefits/entitlements, explore housing resources, and facilitate communication between medical and behavioral health providers.

Individuals eligible for Health Home services must be enrolled in Medicaid and have:

·       Two or more chronic conditions (e.g., Substance Use Disorder, Asthma, Diabetes*) OR

·       One single qualifying chronic condition:

      • HIV/AIDS or
      • Serious Mental Illness (SMI) (Adults) or
      • Sickle Cell Disease

*Examples of chronic health conditions include, but are not limited to Diabetes, Hypertension, Asthma, Substance Use Disorder, Obesity, HIV/AIDS, and Sickle Cell Disease.

For more information or refer an individual for services contact:

Alison Auer, LMSW 
Care Management Supervisor
Phone: (631) 563-2290 ext. 246
Email: Alison.Auer@stonybrook.edu