Health Home MCO and CM Standards - New York State Department 2025

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Income and Resource Limits for New York State Public Health Insurance Programs 2025 FEDERAL MEDICAID MONTHLY INCOME LIMITS MAGI (
The New York State Department of Health defines the criteria for patients to be eligible for a Health Home as follows: Patients must be Medicaid eligible. For Health Home Enrollment, patients must also demonstrate one of the following healthcare or social needs: Lack of adequate social, family, or housing support.
Medicaid Analytics Performance Portal (MAPP) The Medicaid Analytics Performance Portal (MAPP) Health Home Tracking System (HHTS) is a performance management system that will provide tools to the Health Home network to support providing care management for the Health Home population.
To be eligible for Health Home services, an individual must have either two chronic conditions (see Appendix A - Health Home Chronic Conditions List) or one single qualifying condition, as follows: HIV/AIDS, or. Serious Mental Illness (SMI) (Adults), or. Sickle Cell Disease (both Adults and Children), or.
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