Care Coordination Organization Profile

• It is important to note that the COVID-19 health emergency has had a significant impact on all CCOs’ operations, therefore, the data presented in this report may not be representative of timelines or demographical information during a typical year.
• 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 statistics as of the end of calendar year 2021 with accompanying detail on data movements during January - December 2021.
• 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 (as of December 31, 2021)

A total of 23,673 individuals new to OPWDD care management enrolled in CCOs since the July 2018 implementation (6,613 of these individuals enrolled in the 2021 calendar year).

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 (as of December 31, 2021)

Figure 3: People Receiving Care Management Services by Care Coordination Organization (as of December 31, 2021)

Figure 4: People New to Receiving Care Management Services [1]

Figure 5:  Total People Disenrolled from a CCO (2021) [2]

[2] This data includes people who transferred from one CCO to another but who are still enrolled in a CCO (see figure 6).

Figure 6: Disenrollment Count by Reason (2021) [3]

[3] Data Source = Roster, CCO2 Forms Completed in CHOICES by CCOs.
[4] The Reason for Disenrollment “Transferred to another CCO” also includes people who moved out of the CCO’s catchment area.

Figure 7: Completion of Life Plans for New Enrollees (2021) [5]

[5] Typically, CCOs have 90 days from CCO enrollment to finalize an initial Life Plan for individuals new to CCO services. During the COVID-19 health emergency timelines were extended. As such, Figure 7 includes metrics based on 90 and 120 days for Life Plan completion. Only enrollees new to care management who enrolled between November 2020 and October 2021 were included in the data analysis as these individuals would have a Life Plan due in the year 2021. 

Figure 8: Completion of Annual Life Plans for All Enrollees (2021) [6]

[6] CCOs perform assessments for all enrollees to inform the review and revision of Health Home and Basic Plan Support Life Plans annually. Figure 8 depicts the percent of total enrollee annual Life Plans finalized.