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Children's Care Management

Through Children’s Care Management, a Care Manager helps youth and caregivers get the care they need to improve the youth’s health.

Children's Care Management

Through Children’s Care Management, a Care Manager helps youth and caregivers get the care they need to improve the youth’s health. As part of the Health Home Care Management model, a group of health care and service providers work together to support children and youth who are enrolled in Medicaid and have qualifying health conditions. When you enroll your child in Children's Care Management, you are not enrolling in a place–you are gaining a Care Manager, the key point of contact in managing the services for your child.

Support Services

  • Comprehensive Care Management
  • Care coordination and health promotion
  • Comprehensive transitional care
  • Individual and family support
  • Referral to community and social support services

Population and Geographic Area Served

The Children’s Care Management program serves youth in the Southern Tier, Finger Lakes, and Western, New York regions from birth through age 20 who are enrolled in Medicaid and have two or more chronic health conditions (physical, developmental, mental health, or substance abuse diagnosis) or one single qualifying condition of HIV/AIDS, Serious Emotional Disturbance, or Complex Trauma.

Access to Services

You can contact us at any time to find out if your child/youth is eligible to enroll and to complete a self-referral. You can also be referred by Medicaid, Managed Care Plans, doctors, specialists, social service staff, counselors, or other service providers. If you are under age 18 and are pregnant, parenting, or married, or are over the age of 18, you can contact us at any time to complete a self-referral.

Children's Care Management Referral Form

Contact

To learn more about eligibility and the support services available through the Children’s Care Management program, contact:

Manager, Care Coordination

Administrative Office
Pathways, Inc.
33 Denison Parkway West, Corning, New York 14830
T: (607) 937-4520  F: (607) 937-3206

Geneva Office  T: (315) 789-9730
Horseheads Office  T: (607) 442-4392
Owego Office  T: (607) 223-4343
Rochester Office  T: (585) 434-3166

Care Coordination Services

These services provide care coordination to youth and adults with chronic medical conditions to get the care they need to improve their health and supports. Additionally, service coordination for individuals that are Nursing Home-eligible or have traumatic brain injuries.

Adult Care Management

Through Adult Care Management, a Care Manager partners with adults to get the care they want to improve their health and supports.

Children's Care Management

Through Children’s Care Management, a Care Manager helps youth and caregivers get the care they need to improve the youth’s health.

High Fidelity Wraparound

High Fidelity Wraparound is a national, evidence-based process that focuses on the goals of the family to address complex emotional and behavioral needs of the youth. 

Nursing Home Transition and Diversion Service Coordination

Nursing Home Transition and Diversion Service Coordinators have been supporting Nursing Home eligible individuals under the Department of Health’s Nursing Home Transition and Diversion program since 2008, and work in partnership with the individual to ensure that they receive the most appropriate supports based on their need and in the most integrated environment.

Recovery Coordination

Through Recovery Coordination, a Recovery Coordinator assists adults in Steuben County with Fidelis Medicaid Managed Care to gain peers and partners in the community.

Traumatic Brain Injury Service Coordination

Traumatic Brain Injury (Traumatic Brain Injury) Service Coordinators have been supporting individuals with TBI through the Department of Health’s TBI Waiver program since 1995, and work in partnership with the individual to secure supports and services that will allow them to live as independently and productively as possible.