Hudson Valley
Care Management links, supports and oversees access to community services a child and family may need to improve overall health. Your family works with a single care coordinator who brings together the best quality services needed to build a brighter future for your child. We facilitate communication between you, medical staff and social workers assisting in navigating the healthcare and human service maze. We provide compassionate and individualized care for your family while combining all your services into one clear and simple plan. Your care coordinator is your family’s constant ally in your efforts to achieve lasting wellbeing, prevent health crises and pave the way for success.
Astor’s Heath Homes Care Coordination program provides Care Management services to children in 9 Hudson Valley Counties (Putnam, Rockland, Dutchess, Orange, Columbia, Sullivan, Greene, Delaware), and the Bronx.
Referral Criteria
- Active Medicaid
- Enrolled in a Health Home
What is a Health Home?
A Care Coordinator will oversee and provide access to all of the services an individual needs to assure that they receive everything necessary to stay healthy, out of the emergency room and out of the hospital.
Health Home services are provided through a network of organizations – providers, health plans and community-based organizations. When all the services are considered collectively, they become a virtual “Health Home.”
Who is Eligible to be in a Health Home?
Children from birth to age 21 must be enrolled in Medicaid AND meet have the following:
- Two or more chronic conditions (ex. hypertension, obesity, diabetes, asthma)
OR
- One of the following single qualifying conditions:
- HIV/AIDS, or
- Serious Mental Illness (SMI) (Adults 18+), or
- Serious Emotional Disturbance (SED) (Children), or
- Complex Trauma (Children)
Contact Us:
For more information or to make a referral to this program, contact:
Denise Brown, LMSW
Tel: 845-452-2372 x 120
Email: Please use our Program Contact Form »
More Information:
Program brochure (PDF file)
Folleto del programa (archivo PDF)
Learn about Astor's other Hudson Valley Community-based programs:
- Adolescent Partial Hospitalization Program
An alternative to school, short-term intensive therapy program - Astor Learning Center
Therapeutic school for grades K-8 - Care Management (Health Homes)
Medicaid benefit that refers, organizes, and coordinates provider(s) involvement for families - Counseling Centers
Providing therapy, psychiatric services and case management to children and adolescents and their families - Day Treatment
In partnership with BOCES, a school-based intensive mental health and special education service for grades 2-12
Intensive Day Treatment
Therapeutic Transitions Program - Enhanced Coordinated Children’s Services Initiative
A multi-agency process that seeks to prevent out-of-home placement and coordinate services to meet the family’s complex needs in Dutchess County - Family Therapy and Support Services
Services to youth with behavioral issues, including Juvenile Delinquent (JD) and Persons in Need of Supervision (PINS) in Orange County - Head Start
Federally funded preschool programs. Read more… - Home Based Crisis Intervention (HBCI)
Short-term in home family therapy program for families who live in Dutchess and Ulster Counties - Prevention / Intensive Home Based Services
In-home program that serves parents with children at risk of foster care placement in Dutchess County - Probation Based Services (J-RISC)
Family therapy program for children involved with Dutchess County’s Department of Community Corrections and Probation - Residential Programs
The Residential Treatment Program is a therapeutic out-of-home placement serving children aged 5–13 who have emotional challenges that exceed community-based interventions. The program is located in Rhinebeck, NY, and accepts children from all counties of New York State.
Residential Treatment Center
Residential Treatment Facility - School-Based Behavioral Health and Training
Array of services, including consultation and training, provided to school districts in the Hudson Valley area - Serving Youth iN Their Communities (SYNC)
Home and community based services for children with Medicaid - Therapeutic Foster Boarding Home Program
Enhanced therapeutic foster care program with case management, advocacy, medical services, and 24/7 support
