What is a health home?
A health home is a care management model where all the professionals involved in your care communicate with one another so that all medical, behavioral health and social service needs are handled in a coordinated, comprehensive manner. This is done primarily through a "care manager" who oversees and coordinates access to all the services a member receives to stay healthy. Oversight and care coordination will reduce unnecessary emergency department visits and inpatient stays. Health records will be shared among providers so that services are not duplicated or neglected.
Oswego Health Care Management isn't a place, but an extensive network of services for Medicaid recipients in the community. This service is FREE for Medicaid recipients, including Managed Care Medicaid and those who have both Medicare and Medicaid.
Oswego Health Care Management helps you manage all your medical needs and appointments and provides support so you can live a healthy life. In addition to coordinating your medical services and appointments, Care Management connects you to other community supports, such as housing, food and legal services.
Oswego Health's Care Management team has highly trained care managers, for adults and
children, who are qualified to assist you with:
- Coordinating your care through effective communication with other providers
- Advocating on your behalf so you receive the care you deserve
- Navigating the healthcare system
- Linking to resources for finding affordable housing, food, clothing, child care and transportation
- Learning more about meaningful activities to improve your health and keep you healthy
- Identifying your goals
How do I qualify?
Medicaid beneficiaries need to meet only one of the following conditions:
- Living with HIV/AIDs
- Having a significant mental illness
- Having two or more chronic health conditions, such as asthma, diabetes, heart disease, mental health condition or substance use disorder
Additionally, any one or more of the following risk factors must exist:
- Homelessness or risk of homelessness
- Lack of social/family support
- Non-adherence to treatments
- Learning or cognitive issues
- Deficits in activities of daily living