Behavioral Health Services

Offering comprehensive care management services to Medicaid recipients

What is a Health Home?

The Resource Center Health Home provides Care Coordination services to help make sure everyone involved in an individual’s care is working well together and sharing information that is important in supporting a person’s recovery. A Health Home Care Coordinator is expected to help coordinate not just medical, mental health and substance abuse services, but the social service needs of the individual as well.

How can a Health Home help me?

A Health Home is about improving not just your physical health, but your mental and social health as well. TRC’s Health Home assists you to:

• Get involved in activities to improve your health
• Obtain housing, legal assistance, food and other essential needs
• Learn more about meaningful social and community activities to include in your life
• Positively move from one type of care to another
• Make sure everyone involved in your care understands goals and the care plan created with you to help meet your goals

Who is Eligible?

• Medicaid recipients, including those who are already members of a Managed Care Organization. Individuals who have both Medicaid and Medicare are also eligible.
• Those eligible need to meet one of the following conditions of eligibility:
  – Two or more chronic health conditions, such as asthma, diabetes, heart disease, mental health condition or substance use disorder.
  – A significant mental illness
  – Living with HIV/AIDs

“Health Homes has helped me go from being homeless to permanent housing and I am very happy to be where I am.” – Eric L, Successful client

How is it different from other Care Management?

TRC’s Health Home Care Coordinators are trained to consider all of your needs: the needs of the whole person. Therefore, you receive support in areas you may not have had assistance with before including housing, legal and becoming involved in social or community activities. The help you receive is driven by your goals and the needs you identify in meeting those needs.

What are the people that I would be working with like?

TRC’s Health Home Care Coordinator Team are caring individuals who talk with you about your goals, your needs and what will make your life meaningful. They also know where to go and who to talk with in order to make sure these needs are met as quickly as possible and you have the supports needed for recovery.

Who do I speak with if I have questions or want to sign up?

If you would like to speak to someone directly about The Resource Center’s Health Home Care Coordination service, please call 716.485.7224. Our Health Home Care Coordination team would be more than happy to answer any questions you might have. Our team will also assist you in completing an application and consent form to determine your eligibility for Health Home Care Coordination services.

“Health Homes has been a great ladder back to living, helping me get back on track in life, one step at a time.” – Robert D, Successful client

What happens to my primary care physician and counselor?

TRC’s Health Home Care Coordinator shares the Care Plan that you have developed together with your physician, your counselor and other service providers. The Care Plan explains the work being done by TRC’s Health Home team to support your goals. Every person involved in your Care Plan works together to make sure your well being is a top priority.

What if I am a member of a Managed Care Organization?

Members of Medicaid Managed Care Organizations are eligible to receive Health Home Care Coordination from The Resource Center. Once you complete the application and consent from, the Health Homes of Upstate New York (HHUNY) team will contact your Managed Care Organization to inform them.

Who pays for Health Home Services?

Medicaid pays for Care Coordination services for those who are eligible. It does not cost you anything to enroll.

Contact TRC’s Health Homes Care Coordination Team

Jamestown

880 East Second Street | Jamestown, NY | Ph: (716) 485-7224

Dunkirk

186 Lakeshore Drive West | Dunkirk, NY | Ph: (716) 485-7224

What is a Children’s Health Home?

A Children’s Health Home is a care management service model where ALL of a child’s caregivers communicate with one another so that a family’s needs are addressed appropriately. The Resource Center will provide a care manager to eligible families, children and youth to provide access to services assuring they have everything necessary to stay healthy, out of the emergency room and out of the hospital. The Care Manager supports services that a family may already be receiving and will help families get new ones if necessary.

Who is eligible to enroll?

Children from birth to age 21 must be enrolled in Medicaid and have two or more chronic health conditions OR one single qualifying condition:

• Could benefit from this level of care management
• HIV/AIDS
• Severe Emotional Disturbance
• Complex Trauma

The Resource Center has experts on staff that will be happy to work with you to determine if a child is eligible.

What does a Children’s Health Home do?

• Comprehensive Care Management
• Care Coordination and Health Promotion
• Comprehensive Transitional Care
• Individual and Family Support
• Referral to Community and Social Support Services

Why would I want to enroll my child in a Health Home?

At The Resource Center, we understand caring for your child can be a complicated and often exhausting experience. In response to the needs of the families we serve, we are proud to have joined together with the Children’s Health Home of Upstate New York (CHHUNY) to provide Care Management Services that put your family first.

Key Point of Contact

We understand families spend countless hours being transferred from department to department trying to get critical answers and information regarding your child’s services. When you enroll in a Health Home, your Care Manager becomes your key point of contact in managing the services for your child.

Service Coordination

Critical to a healthy child is ensuring each service provider works together and always in the best interest of the child. A family’s Care Manager will have access to information on each service their child is receiving, enabling them to stay in constant communication and eliminating redundancy of service. The vast network also provides linkages to related services such as Adult Health Homes and many more.

Compassion

The Care Manager is an independent position that works for you. Following the CHHUNY model of care, this position strives to learn about the unique needs of each family and work with them to make the most appropriate decisions for the family.

Advantages of the CHHUNY Network

Families have the choice to select from a number of approved Children’s Health Homes authorized by the New York State Department of Health. The CHHUNY network, of which The Resource Center is a member, is New York State’s largest and serves 54 of the 61 counties in New York State. This large network not only gives families access to the largest list of providers and care managers, but the services can travel with you.

Contact TRC’s Children’s Health Homes Care Coordination Team

Jamestown

880 East Second Street | Jamestown, NY | Ph: (716) 485-7224

Dunkirk

186 Lakeshore Drive West | Dunkirk, NY | Ph: (716) 485-7224

CORE (Community Oriented Recovery & Empowerment) Services are recovery and wellness services for people with mental health and/or substance use disorders. People can get these services right in their homes or communities.

CORE Services provide support that help a person achieve the things they want such as a better social life, employment, or education.

CORE Services are available for people 21 and over who are enrolled in a Medicaid Managed Care Health and Recovery Plan (HARP) and found eligible after a short assessment.

People enrolled in a Special Needs Plan (SNP) may also be eligible for CORE Services.

Community Oriented Recovery & Empowerment Services can help you achieve your life goals and be more involved in your community:

Independence

Daily Living and Social Skills

• Gain or regain life skills like making social connections or budgeting
• Learn how to advocate for yourself and negotiate relationships
• If needed, get treatment and rehabilitation services in your own home

Education and Employment

• Individual Employment Support
  → Choice of employment goal and benefits counseling
  → Support in finding and keeping a job
  → Support to help you stay on the job and start career planning
• Education support to start, return to, or graduate from school to learn skills to get or keep a job

Peer and Family Supports

Get help from people who have been there

• Get support from people who are in recovery
• Give your family and friends the knowledge to help support you

CORE Services Provided at The Resource Center:

• Connection with peer and family supports
• Assist with daily living and social skills
• Manage mental health and substance abuse
• Assist with education and employment
• Achievement of life and community goals

For more information, please contact The Resource Center’s Behavioral Health Home and Community Based Services at 716.661.1590.

Contact Behavioral Health Services