Health Home Partners

CASA-Trinity

CASA-Trinity accepts Medicaid, Private Insurance, and private client payments. We assist those who are underinsured in obtaining the necessary coverage.

Catholic Charities is committed to fighting the effects of poverty and its root causes through its work. Catholic Charities provides a number of needed programs and services in this community with a priority toward the poor. We work to ensure that people have food, clothing, shelter, medical services, and the ability to achieve a decent standard of living. We offer programs that specialize in residential services, community support services, and public policy advocacy and parish services. Catholic Charities serves people of all faiths and backgrounds, does not discriminate, and is inclusive of all people. Our Board of Directors is composed of volunteers from various backgrounds. Over 90% of all money donated is spent on the needs of those we serve.

Catholic Charities of Cortland County (CCOCC) is a private, non-profit human service agency with a history of service provision in Cortland County since 1979. Services are targeted to those affected by mental illness and substance abuse, people living in poverty, and delinquent and at-risk youth.

Our basic services include case management, residential services, and emergency assistance. The agency was incorporated in 1925 as part of the larger seven county Catholic Charities of the Diocese of Syracuse, which includes Cortland, Broome, Onondaga, Oneida, Madison, Chenango, and Oswego Counties.

Catholic Charities of Oswego County has evolved into a midsize human service agency providing many valuable programs and services to children, families and individuals. These wide ranging programs touch the lives of thousands of people in communities throughout Oswego County.

Cayuga County Community Mental Health Center’s Care Management department offers services to adults who are seeking assistance with behavioral health, medical, and/or social needs such as housing. Care Managers work with individuals to identify needs and develop a comprehensive “plan of care” to meet the identified needs. The care manager and individual also develop a “care team” comprised of various medical, behavioral health, and other providers in the community who all come together to support the individual in achieving the defined goals and in obtaining optimal health.

Circare supports individuals and their families who encounter barriers to their health and wellness, both physical and behavioral, to develop the resources to live a satisfying and naturally interdependent life. Circare’s dedicated team of Care Managers, Clinicians, Vocational Specialists, Peer Mentors and Medical Professionals are trained in a multitude of evidence-based practices proven to help people attain their desired goals and to sustain recovery and build resilience. Our core value of providing person-centered services is embedded in all of our programs and promotes personal choice, respect for diversity, individuality and community inclusiveness.

The Elmira Psychiatric Center, located in the Southern Tier and Finger Lakes Regions of Upstate New York, provides a wide array of comprehensive psychiatric services including Inpatient care and Community Based Psychiatric Services. Inpatient programs (located in Elmira) consists of a 52 bed Adult Unit and a 12 bed Child/Adolescent Unit. Community-based services comprise the largest component of the treatment spectrum and include Assertive Community Treatment, Clinic Treatment, Community Residences, School-based Day Treatment, Drop-In Centers, Family Care Residences, Intensive Case Management, Mobile Mental Health, and Prepaid Mental Health.

Family Services of Chemung provides a range of programs for children, youth, and adults in Chemung County, NY.

Every person seeking assistance at Family Services of Chemung will receive the same care regardless as to their age, race, creed, national origin, religious affiliation, gender or sexual orientation. Family Services of Chemung is committed to providing an inclusive and welcoming environment for all members of our staff, clients, volunteers and community partners. All persons will be treated with respect.

HCR Care Management LLC enables the company to expand existing services to support new initiatives that align with Medicaid reform and transformation in the health care delivery system. HCR Home Care has traditionally provided nursing and other therapeutic services as a licensed and certified Home Health Care Agency.

Hillside Family of Agencies provides comprehensive health, education, and human services for children and families whose challenges threaten their ability to realize their full potential.

Each year more than 13,000 youth, adults and families benefit from over 100 coordinated programs that provide comprehensive, services in areas including child welfare, mental health, youth development, family development, juvenile justice, special education, developmental disabilities and safety net services. Hillside has been and will continue to be a partner and resource to the families and communities we serve, each and every day.

Formerly known as Lakeview Mental Health Services, Inc., we began in 1978 with a single community residence in Naples, New York . Today we provide residential services in a six county region serving over 1800 individuals annually. Lakeview operates more than 360 beds through varying levels of care including supervised community residences for adults, treatment apartment programs, single room occupancy program and supported housing. In addition, we provide care management services in Ontario and Seneca counties.

Lakeview is funded by the New York State Office of Mental Health, the Counties of Ontario, Tompkins, Livingston, Seneca, Wayne and Yates, through client fees and private donations.

Lakeview Mental Health Services provides safe, affordable housing, support, and rehabilitative services to individuals recovering from mental illness. We are dedicated to helping individuals identify and achieve personally meaningful and measurable life goals, and to realize their full potential.

Services include:

• Care Management
• Children and Youth Care Management
• Supportive Housing
• Residential
• Community Support Services
• Forensic Services
• Recovery Support Services
• Adult Outreach
• Club and Drop-In

Liberty Resources Integrated Health Care provides behavioral health counseling and medication management for children, adolescents, and adults along with primary care for adults (children and adolescent services to be available in the future).

Liberty Resources Behavioral Health team is composed of licensed therapists (social work, marriage and family therapy, mental health counseling, addiction specialists); psychiatrists; psychiatric nurse practitioners; family practice nurse practitioners, and a skilled team of customer service staff. We are a training center of excellence for students at Syracuse University and Upstate Medical Center. Our multidisciplinary approach assures that treatment services are integrated and coordinated with primary care physicians. Our holistic approach to treatment incorporates wellness and the notion that physical health is often impacted by emotional health.

Monroe Plan for Medical Care is a not-for-profit health care services organization that has been meeting the needs of our members in the Greater Buffalo, Rochester, Syracuse, and Binghamton Regions for nearly 50 years. The parent company of MP CareSolutions (Our Healthcare Management Services Subsidiary) and YourCare Health Plan, Monroe Plan provides health home services and other critical health care services to individuals covered by Medicaid, Child Health Plus and the Essential Plan.

Following our mission and vision to improve the health status of individuals and families, Monroe Plan’s innovative clinical care management programs are structured to meet the unique needs of members, providers, health care organizations and the communities we serve. Monroe Plan has consistently been recognized as a national leader in the “safety net” area, with a proven track record of improving health outcomes and reducing disparities by supporting a health care delivery system that ensures the availability of high quality medical care for all.

Oswego County Opportunities is a private, nonprofit human service agency serving 30,000 people each year through more than 50 programs providing:

• Assistance for the homeless
• Educational services
• Health care for the whole family
• Independence for the disabled
• Meals for the elderly, disabled, & youth
• Safety for the abused
• Support for youth
• Transportation for all

The agency is funded primarily by Federal and State dollars along with fee-for-service revenues and local support. OCO puts its money where its mission is: More than 90 cents of every dollar goes directly to program services.

Oswego Health was founded more than 130 years ago, when a group of community-minded residents gathered for the specific purpose of starting a hospital. The mission of Oswego Health is to provide accessible, quality care and improve the health of residents in our community. The Oswego Health system includes Oswego Hospital, a 164-bed facility offering acute medical, emergency, surgical, maternity and behavioral services; The Manor at Seneca Hill, providing 24-hour skilled nursing, rehabilitation services and an Adult Day Health Services Program; as well as Springside at Seneca Hill, which offers retirement living for independent seniors.

Rehabilitation Support Services, Inc. (RSS) strives to enrich and empower the lives of individuals by providing services and opportunities for meaningful emotional, social, vocational and educational growth.

RSS meets the needs of individuals with psychiatric and substance abuse disorders. A history of disability or being disadvantaged should not preclude an individual from realizing his or her full potential or ability to lead a productive life. Through housing, employment, crisis/respite services, treatment, care coordination, socialization and wellness programs, RSS rehabilitation and recovery services provide individuals with experiences that will equip them to lead productive and fulfilling lives in their communities.

Southern Tier Care Coordination offers care management services to eligible individuals that have Medicaid. We work with a wide variety of people throughout the Southern Tier and help to improve the quality of life for those we serve. If you have certain chronic health conditions (asthma, COPD, diabetes, hepatitis, HIV, mental health concerns, active substance use, heart disease, etc.), you might benefit from these services.

The goal of the Health Home program is to make sure its members get the care and services needed. This may mean fewer trips to the emergency room or, less time spent in the hospital. It could mean getting regular care and services from doctors and providers. Or, finding a safe place to live, and a way to get to medical appointments.

Services in this program include assistance with:

• appointments with healthcare providers (such as doctors, nurses, nutritionists, counselors, mental health providers, substance abuse providers),
• medications,
• a safe place to live,
• insurance to pay for your care and services, and/or
• transportation to your appointments.

We provide Consumer Directed Personal Assistance Services (CDPAS) as a Fiscal Intermediary. Personal Care Services: Consists of nutritional and environmental support functions. Personal care functions or both such functions means some or total assistance with personal hygiene, dressing and feeding and nutritional and environmental support functions. Such services must be essential to the maintenance of the patient’s health and safety in his or her own home, ordered by the Attending Physician; based on an assessment of the patient’s needs and of the appropriateness and cost-effectiveness of services provided by a qualified person in accordance with a plan of care; and supervised by a professional nurse.

Per your care plan, your personal attendant can generally help you with:

• Bathing
• Dressing
• Getting in and out of bed
• Housekeeping
• Making Bed
• Meal Preparation
• Medication Assistance
• Running errands
• Toileting

Care nurtures the human spirit as well as the human body… Home health care is more than physical well being it is about relationships, compassion, support and trust. At Visiting Nurse Service we understand how important and meaningful it is to be home with family and friends including our four-legged ones during recovery from illness or surgery and beyond.