Care at Home

At St. Mary’s Healthcare System for Children experts in clinical case management work closely with referring providers, families, and agencies to assess each child’s needs, coordinate appropriate services, and facilitate cost-effective outcomes. St. Mary’s ensures each patient receives high-quality, goal-oriented medical and rehabilitative care.

St. Mary’s is an approved case management provider for several programs including Care at Home and Medicaid Service Coordination.

The Care at Home program is designed to meet the needs of children and families whose home care needs are not fully covered by private insurance, but who are not eligible for Medicaid. Established in 1986, this program was pioneered at St. Mary’s and has served as a model for other programs in New York State. Currently, St. Mary’s services a large percentage of the New York State Care at Home population.

The Medicaid Service Coordination program supports Medicaid-active families with children who require medical, social, or rehabilitative care with expert case management.

Programs and Services We Offer
Our comprehensive approach to case management includes, but is not limited to:

• evaluating and assisting in the management of the child’s therapeutic, medical, educational, and psychosocial needs

• working with medical equipment, supply vendors, and home care personnel

• accessing resources for care

• assisting the family in problem solving and decision making

• advocating with school districts and other government agencies and third-party payers on the child’s and family’s behalf

In accordance with a physician’s formal treatment plan, experienced case managers facilitate the family’s entitlement to care and social services for their child with special needs. Such services include:

		private duty nursing			inpatient respite
		home health aides			social work
		physical, occupational, and speech therapies			palliative care
		home and van modifications			pastoral care
		durable medical equipment			transportation