Specialty Mental Health Care Management in Health Home (Adults)
Specialty Mental Health Care Management
Effective March 8, 2021, only CMAs designated by the NYS 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) will have the ability to accept referrals, serve and bill HH+ for individuals on AOT.
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.
OMH SMH CM memo – MHPD: Instructions about the requirement for entering your Specialty Mental Health Care Management Agency (SMH CMA) program information into OMH’s Mental Health Provider Data Exchange (MHPD). All designated and provisionally designated SMH CMAs will need to submit their program information into the MHPD:
Program information should be submitted in MHPD no later than February 11th, 2022. Please review the OMH SMH CM memo - MHPD document for additional details. SMH CMAs that serve multiple counties will need to submit a separate program entry for each county served.
Specialty Mental Health Care Management Agency List (August 2021)
Identifies SMH CMAs who shall receive HH+ referrals and are able to provide a HH+ level of service. This is a temporary list, please verify any information in here with the CMA prior to sending referrals. Please reach out to your Local Government Unit (LGU)/ Single Point of Access (SPOA) to confirm which counties CMAs can serve AOT members.
Health Home Plus for High-Need Individuals with Serious Mental Illness Program Guidance (Re-issued September 2021)
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)
Attestation for Designated Specialty MH CMAs (February 2021)
Specialty Mental Health Care Management (SMH CM) Announcement Power Point Presentation (February 2021)
Request for Specialty Mental Health Care Management Agency (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)
Targeted Case Management (TCM) to Health Homes (HHs)
The OMH TCM program serving adults is transitioning to Health Home Care Management.
When updated guidance pertinent to OMH programs is developed, it will be placed on this site.
Please refer to the Administrative Fee Payments to Health Homes for OMH State-Operated former TCM Programs for information on how OMH will calculate and pay the administrative fee to Health Homes for OMH State-operated former TCM Programs converting to Health Homes. (February 13, 2014)
For the most current information regarding Health Home implementation, please refer to DOH guidance below – especially to the
DOH Policy and Standards page 
- Health Home Non-Medicaid Care Management Guidance (2620) December, 2021
- Adult/Child Service Dollar Guidance September, 2021
- Transition from Adult Home Supportive Case Management Programs to Health Home Care Management July 2, 2014
- OMH Guidance Documents
- OMH TCM Reprocessing Webinar PPT December 3, 2013
- Reprocessing Webinar Q&A December 3, 2013
- Reprocessing Webinar Cover Letter November 27, 2013
- Webinar Guidance on Reprocessing of OMH TCM Rate Code Claims November 27, 2013.
- Assignment of Persons with Assisted Outpatient Treatment Court Orders November 18, 2013
- Local Government Unit /Single Point of Access (LGU/SPOA) January 28, 2013
- Phase 1 Former TCM Providers which also operate in Phase 2 and/or Phase 3 Health Homes Counties February 27, 2013
For information and all other questions on Health Homes,
please visit the New York State Department of Health (DOH) Medicaid Health Homes pages at:
- DOH Medicaid Health Homes
- Health Home Tracking System File Specifications
- Special Edition of the Medicaid Update: Introducing Health Homes: Improving Care for Medicaid Recipients with Chronic Conditions