Targeted Case Management (TCM) to Health Homes (HHs) Information
Health Home Plus (HH+) for Serious Mental Illness
In 2014, the New York State Office of Mental Health (OMH) and the New York State Department of Health (DOH) implemented an enhanced service and rate code package for Health Homes called Health Home Plus. 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.
Health Home Plus(HH+) Guidance for Serious Mental Illness (SMI)
Health Home Plus(HH+) for AOT (revised October 2016)
Health Home Plus (HH+) for State PCs and CNYPC (Issued October 2016)
Health Home Plus Guidance for High-Need Individuals with Serious Mental Illness (Issued May 2018)
Credentials to Serve Health Home Plus(HH+) for Members with Serious Mental Illness
Prior to May 2018, the ability to serve and bill the HH+ rate code for individuals meeting HH+ eligibility criteria were limited to former Office of Mental Health (OMH) Targeted Case Management (TCM) providers, or OMH Legacy CMAs. Effective May 2018, OMH has established HH+ CMA Credentials that must be met by any non-OMH Legacy CMAs and non-Legacy CMAs who will serve the HH+ population and receive the HH+ reimbursement.
Health Home Care Management Agency Credentials to Serve Health Home Plus(HH+) for Members with Serious Mental Illness (Issued May 2018)
Update effective August 21, 2014
The New York State (NYS) Office of Mental Health's (OMH)TCM program serving adults is close to complete transition 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
Health Homes Provider Manual-Billing Policy and Guidance 
- 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 December 3, 2013
- Reprocessing Webinar Cover Letter November 27, 2013
- Webinar Guidance on Reprocessing of OMH TCM Rate Code Claims , November 27, 2013.
- OMH TCM Reprocessing Webinar Recording December 3, 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
- Service Dollar Guidance
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
- DOH Medicaid Health Homes Questions and Answers
- Health Home Tracking System File Specifications
- Health Homes Provider Manual-Billing Policy and Guidance
- Special Edition of the Medicaid Update: Introducing Health Homes: Improving Care for Medicaid Recipients with Chronic Conditions
To e-mail DOH