Care Management Eligibility Requirements

All Children/youth must meet the following eligibility requirements to be considered for enrollment.

1. Child/youth currently has active Medicaid;

AND

2.    Child/youth resides in one of the following Counties:  Albany, Allegany, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Lewis, Livingston, Madison, Monroe, Montgomery, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Otsego, Putnam, Rensselaer, Rockland, Saint Lawrence, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, Steuben, Sullivan, Tioga, Tompkins, Ulster, Warren, Washington, Wayne, Wyoming, Yates.

AND

3. Child/youth meets the NYS DOH eligibility criteria of having one or more of the following:

a. Two chronic conditions
b. HIV/AIDS
c. Serious Emotional Disturbance, or  
d. Complex Trauma* (If you believe the child/youth has complex trauma, the Complex Trauma Referral Cover Sheet and the Complex Trauma Exposure Screen must also be completed and attached with the CHHUNY referral form.) 

AND

4.     Child/youth has significant behavioral, medical or social risk factors which can be addressed through care management.