Understanding the Data
- The Care Coordination Organization/Health Home Care Management Profile provides an overview of enrollment and care planning information for individuals with intellectual and/or developmental disabilities receiving OPWDD services.
- The data displayed in this report represents an 18-month reporting period from July 1, 2018 through December 31, 2019. The data is compiled from CCO roster data as well as self-reported information from the CCOs that is submitted to OPWDD.
- Health Home Care Management is also known as Care Coordination, which are services provided by Care Coordination Organizations (CCOs). There are seven CCOs operating across New York State.
Figure 1: People Receiving Care Management Services by Program Type (2019)
In July 2018, over 97,000 individuals receiving OPWDD Medicaid Service Coordination (MSC) transitioned to Health Home Care Management services provided by Care Coordination Organizations (CCOs). Approximately 9,700 additional people have also enrolled as of December 2019.
Individuals have a choice of two service options. The number of people receiving either Health Home or Home and Community Based Services (HCBS) Basic Plan Support has remained constant at 97% and 3% respectively, since the implementation of CCOs (see Figure1).
Figure 2: People Receiving Care Management Services by Program Type and Care Coordination Organization (2019)
|Advance Care Alliance||Care Design NY||Life Plan||Person Centered Services||Prime Care Coordination||Southern Tier Connect||Tri-County Care||Total|
|Health Home Services||23,851||26,039||17,733||16,486||7,375||1,107||11,239||103,830|
|HCBS Basic Plan Support Services||1,098||769||331||517||176||41||191||3,123|
Figure 3: People Receiving Care Management Services by Care Coordination Organization (2019)
Figure 4: People New to Receiving Care Management Services (2019)
|Care Coordination Organization||Health Home||HCBS Plan Support||Total|
|Advance Care Alliance||1,281||31||1,312|
|Care Design NY||2,639||14||2,653|
|Person Centered Services||821||6||827|
|Prime Care Coordination||1,064||4||1,068|
|Southern Tier Connect||142||2||144|
Approximately 97,000 people (91%) transitioned from OPWDD Medicaid Service Coordination (MSC) to Health Home Care Management services provided by Care Coordination Organizations (CCOs). An additional 9,700 people (9%) newly enrolled in either Health Home or HCBS Basic Plan Services as of December 2019 (see Figure 4).
Figure 5: People Receiving an Initial Care Plan by Month (2019)
By December 2019, approximately 106,300 individuals (99%) received an initial care plan. CCOs have 90 days from the initial enrollment date to complete a Life Plan (see Figure 5).
Figure 6: People Receiving an Initial Care Plan by Month and by Care Coordination Organization (2019)
|2018||Jan 19'||Feb 19'||Mar 19'||Apr 19'||May 19'||Jun 19'||Jul 19'||Aug 19'||Sep 19'||Oct 19'||Nov 19'||Dec 19'||Total|
|Advance Care Alliance||524||746||868||1,554||1,489||1,760||1,740||1,895||2,772||2,744||3,622||3,177||1,136||24,027|
|Care Design NY||823||1,368||1,629||2,169||2,489||2,702||3,401||2,862||2,525||1,660||2,572||1,308||708||26,216|
|Person Centered Services||803||1,349||1,270||1,763||2,050||2,337||2,089||1,717||1,044||836||1,395||427||902||17,982|
|Prime Care Coordination||424||536||386||680||782||843||835||641||519||366||488||254||514||7,268|
|Southern Tier Connect||131||62||84||111||144||162||135||119||75||40||17||15||21||1116|