Specialty Mental Health Care Management in Health Home (Adults)
Specialty Mental Health Care Management
Effective March 8, 2021, only CMAs designated by the NYS OMH as Specialty Mental Health Care Management Agencies (MH CMAs) will be 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.
Health Home Plus for High-Need Individuals with Serious Mental Illness Program Guidance (Re-issued February 2021)
Attestation for Designated Specialty MH CMAs (February 2021)
Targeted Case Management (TCM) to Health Homes (HHs)
Health Home Plus (HH+) for Serious Mental Illness
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.
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
DOH Policy and Standards page 
- Health Home Non-Medicaid Care Management Guidance (2620), April 2019
- 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
- Health Home Tracking System File Specifications
- Special Edition of the Medicaid Update: Introducing Health Homes: Improving Care for Medicaid Recipients with Chronic Conditions
To e-mail DOH