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Office of Mental Health

Specialty Mental Health Care Management in Health Home (Adults)

Health Home Plus (HH+) is an intensive Health Home Care Management (HHCM) service established for defined populations with Serious Mental Illness (SMI) who are enrolled in a Health Home.

Effective March 8, 2021, only CMAs designated by the Office of Mental Health (OMH) as Specialty Mental Health Care Management Agencies (SMH CMAs) are eligible to enroll newly referred individuals meeting HH+ SMI eligibility criteria. Only Specialty MH CMAs with authorization by the State, LGU and lead Health Home(s) can accept referrals, serve and bill HH+ for individuals on AOT.

Designation

SMH CM memo – MHPD
All designated and provisionally designated SMH CMAs must submit their program information into the MHPD.

Specialty Mental Health Care Management Agency List (April 2026)
Identifies SMH CMAs who receive HH+ referrals and are approved to provide HH+ levels of service. This is a temporary list, please verify any information in here with the CMA prior to sending referrals.

Attestation for Designated Specialty MH CMAs (February 2021)

SMH CM Announcement Power Point Presentation (February 2021)

Request for SMH CMA Designation (March 2021)

SMH CMA Designation Kickoff Webinar Power Point (February/March 2021)

SMH CMA Provisionally Designated Kickoff Webinar Power Point (February/March 2021)

SMH CMA Questions and Answers (May 2021)

Guidance

Health Home Plus for High-Need Individuals with Serious Mental Illness Program Guidance (Re-issued December 2024)
Effective September 2021, adults discharged from a State Psychiatric Center or Central New York Psychiatric Center corrections-based mental health unit and residing in a State-operated residence located on PC campus grounds are no longer restricted from receiving HH+ services.

Adult BH HCBS Workflow for HHCM (January 2022)
For all Health Home CMAs serving HH enrolled HARP enrollees

Health Home Non-Medicaid Care Management Guidance (2620) December, 2021
For Legacy (former OMH TCM) Providers

Adult/Child Service Dollar Guidance September, 2021
For Legacy (former OMH TCM) Providers

OMH Guidance Documents

Assisted Outpatient Treatment (AOT) Guidance Documents
For SMH CMAs Serving the AOT Population

Local Government Unit /Single Point of Access (LGU/SPOA) January 28, 2013

Resources

For information and all other questions on Medicaid and Health Homes, visit the New York State Department of Health (DOH) Policy and Standards page.