By Dr. Gail Barouh
LIAAC has expanded their services to become a chronic care coordination provider with our new Tri Care Systems for people on Medicaid in Nassau and Suffolk counties. Through Tri Care we can help manage multiple service providers and care for more chronic illnesses such as mental health issues, Hepatitis C, heart disease, asthma, HIV, obesity, diabetes and substance abuse. Through many years of working through all the issues surrounding HIV, LIAAC’s Care Coordinators have gained invaluable expertise coordinating the care of those with long term illness. This expertise can be applied to other illnesses that require ongoing care as well.
While a majority of people on Medicaid are somewhat healthy and only require access to primary care doctors, the Medicaid program also has many people who have complex medical, behavioral and long term care needs that include inpatient and long-term hospital care. Finding your way around the health care system can be difficult for healthy Medicaid recipients and even more so for those who have high-cost and complex chronic conditions. Under the new overhaul of the Medicaid system in New York State, Governor Cuomo has established a Medicaid Redesign Project that has been given the authority to create care coordination for chronically ill Medicaid recipients who use community based providers, community health clinics and Long Island hospitals working together as a “Health Home.” The goal is to get individuals into care without inappropriately using emergency rooms as doctors’ offices. In addition, individuals with chronic diseases not in regular ongoing treatment programs often fail to seek regular care and as a result have more avoidable hospitalizations than those in care programs.
LIAAC’s Care Coordinators ensure that all of an individual’s caregivers communicate with one another so that the patient’s needs are addressed in a comprehensive manner. Our Care Coordinators ensure that patients receive everything necessary to stay healthy, out of the emergency room and out of the hospital. Health records are shared (either electronically or paper) among providers so that services are not duplicated or neglected. Having someone coordinate the care of Medicaid recipients can actually drive down health care expenditures.
If you are on Medicaid, or someone you know is on Medicaid and are in need of these services, please call us at Tri Care Systems 1-855-492-6887, Mon.- Fri. 9am-6pm. Also, you can check out our website at: http://tricaresystems.org and our Facebook page at: https://www.facebook.com/TriCareSystems .