Adult Home Plus (AH+)
NYSDOH has established more intensive care management requirements for Adult Home (AH) class members, otherwise known as class members, who are transitioning to the community under the Stipulation and Order of Settlement known as Adult Home Plus (AH+). Effective December 31,2015 all class members desiring transition, who are enrolled in a Health Home, must be provided AH+ level of care management. Health Homes (and while direct billing is in effect, Care Management Agencies) will be reimbursed for the more intensive care management, lower caseloads and program requirements as described in this guidance document for the transitioning Adult Home population.
The guidance for Adult Home Plus Program (AH+) includes:
- AH+ Population Eligibility
- Caseload and Qualifications of an AH+ Care Manager
- General Program Requirements
- Program Requirements for Class Members in Licensed Assisted Living Program (ALP) Beds
- Billing Requirements for AH+
The Office of Community Transitions´ Health Commerce System (HCS) site contains additional information on the AH+ program, including:
- Care Managers Contact List
- Contact List for HHs, MLTC Plans, MCPs and Housing Contractors
- FAQs and training materials
Individuals requesting access to the HCS Office of Community Transitions Site, must send an email with their full name and HCS short name to CommTran@health.ny.gov. Directions for accessing the HCS Office of Community Transitions site will be provided.
For more information on this program, inquiries may be sent to AHPlusProgram@health.ny.gov.
