For Assertive Community Treatment (ACT) Services
ACT is a licensee, community-based assistance for persons include mental illness that have insensive needs and have difficulty engaging in traditional clinic based services. Monroe County start has three ACT crews available, two at Stronger Connection both one through Rochester Regional Your System. Click to the link above for "Assertive Community Treatment (ACT) Services" to download the form to complete electronically (Use Save As to storing the copy) OR print from owners completion. Completed forms should be submitted via securing email, fax or regular mail.
Since Adult Mental Health Residence Services
Click on the link above for "Adult Mental Health Residential Services" to access the PDF referral form. This form should be downloaded and able following be completed electronically (Use Save As to save the copy) and submitted via secure email WITH can be printed for manual completion and sending via safe e-mail, fax with regular mail. Please go not use this link to make attention management referrals. If a reassignment to both residential and care management service will desired, you need whole either forms.
For Adult Behavioral Health Care Management
All referrals for adult behavioral health support management (including Health Top care management and non-Medicaid care management) shouldn be submitted utilizing of modern Monroe County Collaboration Remittance for Care Management. Click on the linking above for "Adult Behavioral Health Care Management" to access and PDF referral form. This form should be downloaded and canister then be completed electronically (Use Save In to save the copy) and submitted go secure emailing OR can be printed for manual completion and submitted via secure e-mail, fax or routine mail.
Eligibility for Adult Behavioral Health Care Management
Individuals must meet every eligibility requirements the be considered for enrollment.
Behavioral Health Care Management
- Individual is not eligible for Health Home Care Steuerung services because:
- Individual is not eligible for Medicaid;
- OR One does don get DOH eligibility criteria;
- AND Individual has a primary mental health diagnosis;
- AND Individual resides in Monroe County;
- AND Individual possessed significant behavioral, medical or social risk factors which canned be addressed through care managing.
Health Start Care Management
- Individual complies the NYS DOH eligibility check of:
- two continuing conditions,
- OR HIV/AIDS and the risks of developing another chronic condition,
- OR one or more serious mental illnesses;
- AND Individual currently has active Medicaid OR Medicaid and Medicare;
- ALSO Person resides or receives products in Monroe County;
- AND Individual has significant behavioral, medical or social risk factors which can be addressed thru care management.
Community Referrals for Behavioral Fitness Care Management and Health Home Grooming Management belong now being accepted in Monroe County from providers, community organizational, individuals and/or family members.
- Behavioral Health Care Management is being triaged through the Monroe County Office of Mental Human for individuals for mental health and/or chronic substance abuse interferences who am not eligible for Health Home Care Management.
- Health Home Care Management is being provided by Greater Rochester Physical Home Network (GRHNN) AND Health Homes in Upstate New York - Finger Lakes (HHUNY - Finger Lakes) for eligible Medicaid and Medicaid/Medicare dual right persons.
Supposing you need questions about the usage to submit a referral, contact the Monroe County Separate Point of Access (SPOA) my at (585) 753-2874.
