What Tri-County Care does

Tri-County Care is a New York State-designated Care Coordination Organization (CCO) serving individuals with intellectual and developmental disabilities (I/DD) across 25 counties, including the Capital and Taconic Districts, Hudson Valley, the five boroughs of New York City, and Long Island. The organization operates as a private nonprofit sponsored by the New York State Hamaspik Association (NYSHA) and is one of only seven CCOs designated under the state's OPWDD (Office for People With Developmental Disabilities) People First Transformation framework. It serves thousands of I/DD members with six core services: comprehensive care management (Life Plan development), health and wellness promotion, comprehensive transitional care, individual and family support, referral to community and social services, and HIT link services.

The operating platform is built around an internal electronic health record system called Core, overseen by a VP of Data Analytics & System Optimization, with field-based Care Managers supported by an 11-person Regional Director network across four regional offices (Spring Valley/Hudson Valley, Albany, Brooklyn, Long Island City). The organization complements direct care delivery with weekly/bi-weekly family webinars, quarterly member and provider newsletters, community events, and a provider network application process, signaling an ecosystem-oriented GTM rather than pure direct service.

Commercially, Tri-County Care is funded entirely through New York State Medicaid under OPWDD-administered waiver programs, with services provided at no cost to eligible members and no privately disclosed pricing. GTM is sales-led via Enrollment Specialists guiding prospective enrollees through the state's Front Door process, supplemented by referrals from families, providers, and community partners. Strategic and operational decisions sit with a C-suite including CEO Yoel Bernath (former Hamaspik Choice Executive Director), COO Nechama Nissenbaum (RN), CMO Dr. H. Rizvi, CIO Judah Zelik, and Chief Compliance Officer/General Counsel Alan D. Weiss, with cultural reach supported by service availability in 42 languages and a Cultural Acceptance and Respect Council.

Name

Tri-County Care

Legal name

Tri-County Care

Website

https://tricountycare.org

Company type

Private

Operating status

Operating

Headcount range

251–500 employees

Short description

Tri-County Care is a New York State-designated Care Coordination Organization serving individuals with intellectual and developmental disabilities across 25 counties. Sponsored by NYSHA, it delivers Medicaid-funded care management through six core services and four regional offices.

Ownership category

akta.pro rank

Product category

Care Coordination Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Services for the Elderly and Persons with Disabilities (62412), Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities (6232)

SIC

Services-Social Services (8300), Services-Health Services (8000)

akta.pro primary industry

Care Coordination & Navigation (Multi-Provider) (HLADALAB)

akta.pro secondary industries

Care Management & Population Health Program Administration (HLAEALAG), Specialized Assisted Living for Developmental/Intellectual Disabilities (Adult) (HLADABAJ)

Keywords

• Care coordination services
• Developmental disability services
• Medicaid care management
• Health home services
• Disability support coordination

Headquarters

HQ city

Monsey

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Medicaid-Funded Care Coordination: Tri-County Care operates as a Care Coordination Organization (CCO) under the New York State OPWDD (Office of People with Developmental Disabilities) system. Services are funded through Medicaid waiver programs for individuals with developmental disabilities. The organization coordinates comprehensive care management, health and wellness services, transitional care, and community referrals for enrolled members.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Tri-County Care is a Care Coordination Organization (CCO) designated by the New York State Office for People With Developmental Disabilities (OPWDD) to deliver comprehensive care management services to individuals with intellectual and developmental disabilities (I/DD). The organization coordinates comprehensive care management, health and wellness promotion, comprehensive transitional care, individual and family support, and referral to community and social services across 25 New York State counties. Services are funded through Medicaid waiver programs and provided at no cost to eligible enrollees.

Product overview

Tri-County Care operates as a Care Coordination Organization (CCO) providing a unified care management platform for individuals with intellectual and developmental disabilities (I/DD) across New York State. The organization delivers six core services: Comprehensive Care Management, Health and Wellness Promotion, Comprehensive Transitional Care, Individual & Family Support, Referral to Community and Social Services, and HIT link services. These services are coordinated through an internal electronic health record system called Core and supplemented by member and provider newsletters for communication. Tri-County Care is sponsored by the New York State Hamaspik Association (NYSHA) and serves 25 counties throughout New York State.

Differentiator

Problem solved

Functional benefit

Products and services

• Care Coordination Organization (CCO) Services Comprehensive CCO enrollment program for individuals with intellectual and developmental disabilities (I/DD) in New York State. Combines comprehensive care management, health and wellness promotion, comprehensive transitional care, individual and family support, and referral to community and social services under a single dedicated Care Manager, coordinated through an internal Core electronic health record system and delivered across 25 NY counties.

Named customers6 records

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

One partnership is on record.

• New York State Hamaspik Association (NYSHA)coreStrategic or Co-development PartnerTri-County Care is sponsored by the New York State Hamaspik Association (NYSHA). NYSHA is the parent organization that enabled the establishment of Tri-County Care as one of 7 designated Care Coordination Organizations in New York State, providing organizational backing and alignment with the broader disability services network.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Care Design NY: One of the other designated Care Coordination Organizations (CCOs) in New York State serving the I/DD Medicaid population. Directly competes with Tri-County Care for member enrollment within overlapping regions.
• Person Centered Services: Another designated New York State CCO providing care coordination for individuals with I/DD. Directly comparable in funding model, scope of services, and OPWDD regulatory framework.
• Prime Care Coordination: A New York State-designated CCO offering OPWDD care management services. Directly comparable in target population, Medicaid reimbursement structure, and six core CCO service lines.
• Southern Tier Connect: A New York State CCO serving the I/DD population under OPWDD. Directly comparable in business model and regulatory framework, though serving different upstate counties.
• Community Care Connections of NY: A New York State-designated CCO providing care coordination for individuals with developmental disabilities. Directly comparable in operating model, member services, and OPWDD oversight.

Broad incumbents

• New York State Hamaspik Association (NYSHA): Tri-County's parent organization and sponsor, also operating Hamaspik Choice MLTC and HamaspikCare. Directly comparable as an I/DD and disability services provider in New York, though broader in scope (managed care, home care, and clinical services).
• Centene Corporation: A major managed care company with significant Medicaid and MLTC exposure, including serving dual-eligible and I/DD populations in New York. Comparable as a Medicaid-funded care coordination entity, though operating at vastly larger national scale.
• Molina Healthcare: A national managed care organization with a strong Medicaid focus, including MLTC and D-SNP plans serving similar populations to Tri-County's I/DD members. Comparable in Medicaid care management scope, though broader in market reach.

Regional players

• Cerebral Palsy Associations of New York State: A statewide network of affiliate agencies serving individuals with cerebral palsy and other developmental disabilities in New York. Comparable in serving the I/DD population, though primarily as a direct service provider rather than care coordinator.

Others

• OPWDD Provider Agencies (e.g., ARC of NY affiliates): Direct OPWDD-funded service providers (residential, day habilitation, etc.) that Tri-County Care refers members to. Comparable ecosystem participant in the New York I/DD service delivery system.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/tricountycareNYS
• LinkedInlinkedin.com/company/tricountycare-nys

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Tri-County Care