CORE Services are person-centered, recovery-oriented mobile behavioral health supports. They build skills and assist in community participation and independence.

CORE Services allow eligible adult Medicaid beneficiaries with serious mental illness and/or addiction disorders to receive services in their own home or community.

Designated CORE providers work together with:

• individuals and their managed care (insurance) plan
• other service providers
• family
• government partners

CORE SERVICES:

1. Community Psychiatric Support and Treatment (CPST)

• Goal-directed supports and solution-focused interventions with the intent to achieve person-centered goals.
• Multi-component service that consists of therapeutic interventions.

2. Psychosocial Rehabilitation (PSR)

• Assists individuals in improving their functional abilities to the greatest degree possible in settings where they live, work, learn, and socialize.
• Rehabilitation counseling, skill building, and psychoeducational interventions.

3. Family Support and Training (FST)

• Offers instruction, emotional support, and skill building necessary to facilitate engagement and active participation of the family.
• FST partners with families through a person-centered or person-directed, recovery oriented, trauma-informed approach.

4. Empowerment Services – Peer Support

• Non-clinical, peer-delivered services with focus on rehabilitation, recovery, and resilience.
• Promotes skills for coping with and managing behavioral health symptoms while facilitating the use of natural supports and community resources.

WHO IS ELIGIBLE?

You must be an adult Medicaid beneficiary, age 21 and over and enrolled in a HARP managed care plan through the New York State Department of Health. If you are not sure whether you are eligible, we can assist you.  Eligibility for CORE Services is based on the following criteria for individuals in a Medicaid Health and Recovery Plan (HARP), HIV-Special Needs Plan (HIV-SNP), or Medicaid Advantage Plus (MAP) Plan:

1. The individual must be enrolled in a HARP, HIV-SNP, or MAP Plan
2. The individual must meet the NYS Behavioral Health (BH) High-Risk Criteria (commonly referred to as the HARP Eligibility Algorithm), indicated by one of the following codes:
   • H1: Enrolled in a HARP and has met the NYS BH High-Risk Criteria
   • H4: Enrolled in a HIV-SNP and has met the NYS BH High-Risk Criteria
   • H9: Has met the NYS BH High-Risk Criteria
3. The CORE Service(s) must be recommended by a Licensed Practitioner of the Healing Arts (LPHA)

Getting Started

Self-Referral

Individuals can apply on their own to join the CORE program. Please click here to complete the online form.

Provider Referral

Health Home Care Managers serve as the gateway to the CORE Program. Your care manager begins the referral process by completing a brief assessment and initial plan of care where your service needs are indicated. The care manager then submits the assessment to your health insurance or managed care organization. You can access the referral form here. The completed form can be faxed to (631) 471-5154, scanned and emailed to connect@mhaw.org, or mailed to Association for Mental Health and Wellness, Attn: CORE, 939 Johnson Avenue, Ronkonkoma, NY 11779.

After Approval

Upon notification that you have been approved to receive services, your Care Manager will ask you to choose a provider for CORE services. If you choose MHAW as your CORE provider, your Care Manager and our CORE Program Director will work with you to create your person-centered, goal-specific, service plan and your in-depth plan of care. The Care Manager, CORE Program Director, and your Medicaid managed care provider work together to coordinate the start of your services. It is important to know that your Medicaid managed care provider is key to starting CORE services.

Contact:
Central Access: Kathy Garneau, LCSW, RN

connect@mhaw.org

Kgarneau@mhaw.org

631-471-7242 ext.1324