ADVOCACY GOAL 4

Care Coordination Plus (CCO+)

Better Mental Health Support for New Yorkers with IDD

Many people with intellectual and developmental disabilities (IDD) also have mental health needs—but services don’t always work together. CCO+ strengthens care so people get timely support without unnecessary ER visits or hospital stays.

A situação atual

• New York’s CCOs support about 130,000 people with IDD, many with co‑occurring mental health needs who struggle to get timely care.
• Because systems aren’t well coordinated, people face delays in psychiatric care, over‑reliance on emergency departments, and unnecessary hospitalizations.

Our Proposal – Establish a CCO+ Pilot Program

• Establish a CCO+ pilot (via an amendment to the Mental Hygiene Law) so qualified CCOs can provide:
  • Intensive, multidisciplinary team‑based care management.
  • 24/7 behavioral health access.
  • Enhanced Medicaid reimbursement to fund proactive mental health support.

• CCO+ strengthens existing CCO services and fills critical gaps for people with both IDD and mental health needs.

Como funciona

• Team‑Based Care: Intensive, multidisciplinary care management coordinated by qualified CCOs.
  • This includes specialized psychiatric care management by clinicians experienced in IDD care.
• Always‑On Access: 24/7 behavioral health access with virtual urgent care when needed.
• Tele‑Support: Around‑the‑clock tele‑psychiatry/tele‑psychology for quick response.
• Proactive Funding: Enhanced per-member-per0month (PMPM) rate to focus on prevention, not just crisis response.

Resultados esperados

• Fewer emergency room visits.
• Fewer preventable crises and less institutionalization.
• Improved long‑term health outcomes.
• Cost savings for Medicaid and Medicare.
• Smarter, data‑driven Medicaid spending.
• Stronger alignment with New York’s mission to support vulnerable populations.

Perguntas frequentes