Health Home

Hudson Valley Care Health Home Services

Are you concerned about your Medicaid clients once they leave your office?

Are they receiving the social services they need? Are they adhering to their treatment plans? Do they need behavioral health care?

Hudson Valley Care Health Home services can decrease risk and improve outcomes for your patients in their communities where they live and work.

Care coordination

Our care managers engage with each member to provide additional support, such as securing transportation, managing their appointments, helping them get their Medicaid recertified, educating them on the importance of taking their medication as prescribed by their doctor, and connecting them to social services such as housing, food stamps and other benefits.

Community & social support

Our network of care management agencies has years of experience and deep community knowledge. We actively manage appropriate referrals, access, engagement, and follow-up to social support services.

Our services are reimbursed by Medicaid and managed care organizations. There is no cost to referring providers or to our members.


We offer comprehensive care coordination services for your Medicaid patients with two or more chronic conditions, HIV/AIDS, substance abuse and/or serious mental illness.

For more information about eligibility, to find out more about Hudson Valley Care Health Home services or to make a referral, contact:

Brianna Rodriguez

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