Speech, language or developmental delays plus another condition, like autism, ADHD, epilepsy or asthma, qualify your child for a free Medicaid care manager who coordinates evaluations, therapies, school supports and doctors.
Three quick questions. Based on New York State's Health Home rules for children.
This is a guide, not a decision. Eligibility is confirmed by our care management team using your child's records and New York's appropriateness criteria.
Early Intervention, CPSE or CSE evaluations, speech and occupational therapy, developmental pediatrics, and Medicaid transportation each have their own paperwork and waitlists. A care manager keeps them moving in parallel, follows up on referrals, and comes to your home. Since 2024, children in Early Intervention can also have a Health Home care manager.
Tell us your child's age, Medicaid plan and diagnoses. Parents can refer their own child. Takes about ten minutes.
Referral, consent form (DOH-5201) and the intake assessment. You choose The Children's Circle as your agency.
Your dedicated care manager visits your home, builds one plan of care, and starts coordinating within days.
Two or more of these qualify. Sickle cell disease or HIV qualifies on its own, and so does a serious emotional disturbance or complex trauma confirmed by a licensed clinician.
Children and young adults from birth to 21 who have NY Medicaid and two or more ongoing health conditions from the state's list, such as autism and ADHD, asthma and anxiety, or diabetes and a developmental delay. Sickle cell disease, HIV, a serious emotional disturbance, or complex trauma qualifies on its own. Call us and we will check together.
All of them. Care management is a Medicaid benefit, so it does not matter whether your child is on Healthfirst, Fidelis, MetroPlus, UnitedHealthcare, Anthem, EmblemHealth, Molina or fee-for-service Medicaid.
No. The program is paid for by Medicaid. There are no copays, no fees and no bill, ever. It is voluntary and you can stop at any time.
Yes. New York State rules say the parent's choice of care management agency comes first. If a plan or a hospital offers you a list, you can ask for The Children's Circle. Families already with another agency can ask to transfer.
Yes. Your care manager meets your family at home and can go with you to appointments. We serve the Bronx, Brooklyn, Queens, Manhattan and Staten Island.
If autism is the only diagnosis, New York routes care coordination through OPWDD, and we will point you to the OPWDD Front Door. If your child has autism plus another condition, like ADHD, asthma, epilepsy, or a speech or developmental delay, and you are not enrolled in OPWDD services, your child can get a Medicaid care manager through us.
Call now or send the enrollment form. Free with Medicaid, home visits in all five boroughs, Hablamos Español.