Health Home Program
Health Home Program
Health Homes is a care coordination program for our Medicaid patients with complex medical, behavioral and social needs. We assist our patients with any challenges they are facing that prevent them for from focusing on their health. Patients enrolled in the program will be provided a Care Coordinator who will work gradually with obtaining specific goals that patients set for themselves together with their healthcare provider. These goals will assist our patients in maintaining their health and becoming independent.
As a member of the Health Home program at Essen Health Care, you will receive support and guidance in addressing your every medical, behavioral and social needs. We will educate, advocate, and help you navigate the complex health care system so you can take back your health!

Through our Health Home Program, you can get help with:
- Finding your PCP
- Linking you to specialists including Mental Health and Substance Use Treatment
- Signing up for entitlements
- Looking for Food Access and SNAP applications
- Connecting with Immigration Support
- Assisting you with Transportation, DME and Home Health Attendants
- Coordinating for Housing applications
- Connecting with your insurance and renewal of your Medicaid
- Following up on your medical and social needs in case you are hospitalized
- Connecting with Legal Support
- Connecting with Counseling services
- Connecting with wellness activities and employment programs
Eligibility Requirements to Enroll in our Health Homes Program
- 21 years old or older
- Active non-restricted Medicaid
- Have 2 or more long-term health problems like Diabetes, Hypertension, Hyperlipidemia, Asthma, COPD, Obesity, etc OR has been diagnosed with HIV or Mental Health condition
- Have a need for care coordination that if left without help, may put your health at risk
Our Health Home program is open to all members even they are seeing other PCPs in the community.
Walk-ins Welcome 9:00 am – 5:00 pm at 2024 Creston Avenue, Bronx NY 10453
Call us at (646) 362-4141
We’re here to help with all your Care Coordination needs. Call us today.
