Niagara Falls Memorial Medical Center
Health Home Services
Health Home Services
The Niagara Falls Memorial Medical Center Health Home is a coordinated care management program providing services to all Medicaid eligible clients with chronic conditions in Niagara County.
We will provide you a case manager to assist you with your basic needs such as clothing, food, health care and housing.
Who is eligible?
People who have Medicaid or are Medicaid eligible and have a chronic medical condition such as diabetes, asthma, obesity, substance abuse, and other type issues including. Other qualifying conditions may include serious mental illness or HIV/AIDS diagnosis.
Health Homes are for people with Medicaid who:
- Have 2 or more chronic conditions
- Have one chronic condition and are at risk for a second
- Have one serious and persistent mental health condition
Chronic conditions listed in the statute include mental health, substance abuse, asthma, diabetes, heart disease and being overweight. Additional chronic conditions, such as HIV/AIDS, may be considered by CMS for approval.
- States can target health home services geographically
- States can not exclude people with both Medicaid and Medicare from health home services
To enroll in our Health Home, call 716-278-4647 or click on the link “Apply” below to complete the enrollment form.
What we offer:
Comprehensive care management
Care coordination
Post-hospitalization follow up
Health promotion
Family support
Referral to community and social support services
What’s New
The Children’s Health Home began in December 2016.
We are excited to provide comprehensive care management services to children and families in Niagara County. Every child and youth enrolled in the health home will have their own care manager who works with them and their caregiver. The NFMMC Health Home and its partners recognize and respect the caregiver as the child’s natural care manager.
All children and youth enrolled in the Health Home must have active Medicaid or be
Medicaid eligible and fall into one of the following categories: Two or more chronic medical conditions (includes BMI at or above the 85 Percentile), Trauma and at risk for another chronic condition, Serious Mental Illness or Emotional Disturbance, HIV/AIDS.
The child and caregiver will have a dedicated care manager who will be available to them via phone, home visits, secure text messaging, joint visits with providers i.e. pediatrician, school, social services etc.
For more information, call 716-278-4647
To learn more or to find out if you qualify, call
716- 278-4647 or 716-438-4490.
Our Adult Health Home serves ages 21 years and older
Children’s Health Home-serves those from birth age 21.
Home Health Partners
The Niagara Falls Memorial Medical Center Health Home is proud to work with these agencies and providers to promote good health and provide patient and family support:
New Directions Youth and Family Services, Inc.
Newfane Rehabilitation & Health Care Center
Niagara Community Action Program, Inc.
Niagara County Department of Mental Health
Niagara County Department of Social Services
Niagara County Healthy Neighborhoods Program
Niagara Falls City School District – Community Education Center
Niagara Falls Housing Authority
Niagara Falls Neighborhood Housing Services, Inc.
Opportunities Unlimited of Niagara