AHI 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.

Our Role

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

Additionally, any of the following risk factors must be a part of the person’s situation. These reasons include, but are not limited to:

  • Homelessness or risk of homelessness;
  • Lack of social/family supports;
  • Deficits in activities of daily living;
  • Non-adherence to treatments;
  • Learning or cognitive issues.

Goal

The AHI Health Home Care Management 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.

Learn More

Watch this introductory video on the AHI Health Home Care Management program – what it is and the benefits it offers – for prospective enrollees.

Resources

Complete the AHI Health Home Community Referral Form.

Read Success Stories to see how the AHI Health Home Care Management program has impacted the lives of our community members.

Contact Us for more information.