Care Coordination Organization & Health Home Care Management Profile

• 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.

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).
 

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).

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).