Questions to be completed by all Care Management Agencies in NYS

Question Title

* 1. Name of person completing this survey

Question Title

* 2. Contact Email

Question Title

* 3. Care Management Agency Name

Question Title

* 4. How many Health Home Care Managers do you have in your CMA?

Question Title

* 5. How many Health Home Care Managers currently meet the qualifications to administer the NYS Eligibility and Community Mental Health Assessment? 

Question Title

* 6. How many Health Home Care Managers have completed the web based training? 

Question Title

* 7. How many Care Managers are in the process of completing the web based trainings?

Question Title

* 8. What is the ratio of Health Home Care Managers to HARP eligible enrolled Health Home members?

Question Title

* 9. How will the lead Health Home(s) you contract with monitor Care Manager capacity for meeting assessment and POC needs for HARP Health Home enrolled members? If your Care Management Agency contracts with multiple Lead Health Homes please answer for each.

Question Title

* 10. How many total Health Home enrolled members is your agency currently serving?

Question Title

* 11. How many of those total enrolled Health Home members are either HARP eligible or HARP enrolled?

Question Title

* 12. Do you have specific staff assigned to serve the HARP members?

Question Title

* 13. How would you describe your caseloads for HARP members?

T