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Health Home

Comprehensive care management for patients with complex needs

Essen Health Care's Health Home program is a New York State Medicaid program designed for individuals with multiple chronic conditions or a single qualifying condition such as HIV/AIDS or a serious mental illness. As a designated Health Home, we provide intensive care management that coordinates all aspects of a patient's care, including medical, behavioral health, and social services. Our care managers develop personalized care plans, monitor progress, and ensure patients are connected to all available resources.

What We Provide

  • Comprehensive care assessment and planning
  • Coordination across all healthcare providers
  • Health promotion and self-management education
  • Referrals to community and social support services
  • Transition of care management (hospital to home)
  • Chronic disease monitoring and follow-up

Eligibility

  • Medicaid recipient
  • Two or more chronic conditions (e.g., diabetes, heart disease, asthma, substance use disorder)
  • OR one qualifying condition: HIV/AIDS, serious mental illness, or substance use disorder

We Accept Most Major Insurance Plans

Essen Health Care works with a wide range of insurance providers to ensure accessible care for our community.

1199
Aetna
Affinity
Agewell
Amerigroup
AmeriChoice / CommunityChoice
Amida Care
Blue Cross Blue Shield (HMO)
Center Plan for a Healthy Life
Centerlight
Cigna
Direct Medicare

Refer a Patient to Care Coordination

Submit a referral to connect a patient with our care coordination services.