Prime Care Coordination
Prime Care Coordination is a nonprofit Care Coordination Organization serving 8,900 individuals with intellectual and developmental disabilities across 41 New York counties, providing Medicaid-funded Health Home Care Management, Life Plan development, and community-based coordination through five regional offices.
- Company typePrivate
- Founded2017
- HeadquartersWebster, United States
- Headcount11–50
- GTM typeB2C
- OfferingServices
What Prime Care Coordination does
Prime Care Coordination is a nonprofit Care Coordination Organization (CCO) and Health Home Care Management provider licensed under New York State Article 44, founded in 2017 and headquartered in Webster, NY. The organization serves 8,900 individuals with intellectual and/or developmental disabilities (I/DD) across 41 New York counties, organized into five regional divisions: Western NY, Finger Lakes, Central NY, Mohawk Valley, and Southern Tier. Its core service offering is person-centered Health Home Care Management, which combines developmental disability services with health, wellness, behavioral health, and family supports through the creation and bi-annual review of individualized Life Plans, complemented by a lighter-touch HCBS Care Management option.
The organization's technology stack centers on an Electronic Health Record system and Health Information Technology (HIT) Link Services that connect service providers across a member's care team, enabling coordinated access to the Life Plan and relevant health information. Care Managers operate as local, embedded resources supported by five regional offices and an Individual and Family Advisory Board (IFAB) that provides direct community input.
Prime Care Coordination's revenue model is overwhelmingly dependent on New York State Medicaid funding for Health Home Care Management services, with a self-pay option available for non-Medicaid-eligible individuals. The organization operates inside sales and community-led distribution channels — phone/email enrollment, in-person visits, regional offices, and OPWDD/provider referral partnerships — and aligns operationally with affiliated organizations CDS Life Transitions and iCircle Services. The entity is governed by a Board of Directors and is currently navigating a planned leadership transition with Alise Gintner succeeding Kate Wagner as Executive Director effective July 1, 2026.
Prime Care Coordination firmographics
Firmographics- Name
- Prime Care Coordination
- Legal name
- Prime Care Coordination
- Website
- https://primecareny.org
- Company type
- Private
- Founded year
- 2017
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Prime Care Coordination is a nonprofit Care Coordination Organization serving 8,900 individuals with intellectual and developmental disabilities across 41 New York counties, providing Medicaid-funded Health Home Care Management, Life Plan development, and community-based coordination through five regional offices.
- Ownership category
- akta.pro rank
Where Prime Care Coordination is headquartered
LocationHeadquarters
- HQ city
- Webster
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
Prime Care Coordination business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Others
Revenue model
- Medicaid-Funded Care Coordination: Care Coordination is funded primarily by Medicaid. Enrollment Coordinators can assist with Medicaid applications for those who do not currently receive Medicaid.
- Self-Pay Option: For individuals not Medicaid eligible, self-pay options may be available for care coordination services.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Multi-year contract | Medicaid-funded services |
Go-to-market motion2 records
Distribution channels5 records
Marketing channels6 records
Prime Care Coordination product offering
Product offeringCore offering
Prime Care Coordination is a Care Coordination Organization (CCO) that delivers Health Home Care Management and HCBS Care Management to individuals with intellectual and developmental disabilities across 41 New York counties. Services are funded primarily by Medicaid and include developing individualized Life Plans, coordinating access to developmental disability, health, wellness, behavioral health and family services, and using Health Information Technology to link service providers across the care team.
Product overview
Prime Care Coordination is a Care Coordination Organization (CCO) that provides a unified suite of care management services for individuals with intellectual and/or developmental disabilities. The core offerings consist of Health Home Care Management (comprehensive coordination including Life Plans, health, wellness, behavioral health and family services) and HCBS Care Management (a minimal coordination option focused on community resources). Supporting these are service features including Care Coordination and Health Promotion, Comprehensive Transitional Care, Individual and Family/Advocate Support, and Referral to Community and Social Supports. The organization also employs an Electronic Health Record System to link providers and coordinate care across systems. Prime Care serves 8,900 members throughout 41 New York Counties via five regional divisions: Western New York, Finger Lakes, Central New York, Southern Tier, and Mohawk Valley.
Differentiator
Problem solved
Functional benefit
Products and services
- Health Home Care Management Comprehensive care coordination service for individuals with intellectual and/or developmental disabilities that combines developmental disability services with health, wellness, behavioral health, and family services. Includes developing Life Plans, coordinating access to services, and using Health Information Technology to link providers across the care team.
- HCBS Care Management A minimal coordination option for individuals with intellectual and/or developmental disabilities that identifies community-based resources and supports, without the full health, wellness, behavioral health, and family services coordination provided under Health Home Care Management.
Quantifiable outcome
- 358,201+ face-to-face meetings conducted over 5 years
- +1 more outcomes
Companies that use Prime Care Coordination
Customer profileNamed customers1 record
Segments2 records
Ideal customer profiles1 record
Prime Care Coordination technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature2 records
Prime Care Coordination partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core and major.
- CDS Life TransitionscorePrime Care Coordination aligns with CDS Life Transitions as an affiliated organization. Both organizations operate under the same parent organization. Prime Care's Executive Director Kate Wagner previously served as Vice President of CDS Life Transitions, overseeing CDS Monarch, Unistel, and Warrior Salute Veteran Services. Prime Care leadership includes former CDS Life Transitions executives.
- iCircle ServicescorePrime Care Coordination aligns with iCircle Services as part of the same organizational family. iCircle was created earlier to assist anyone needing Medicaid Managed Long-Term Care (MLTC) services. Both organizations work together under the CDS Life Transitions umbrella.
- Partner Agencies (Developmental Disability Service Providers)majorPrime Care Coordination works with a wide range of partner agencies to serve as advocates for a diverse population. These include developmental disability service providers, healthcare facilities, community-based organizations, and various service providers across 41 New York counties.
Scale indicators5 records
Recent moves7 records
Expansion highlights4 records
Prime Care Coordination competitors and assessment
Company assessmentDirect peers
- iCircle Services: Affiliated Medicaid Managed Long-Term Care (MLTC) plan operating under the same CDS Life Transitions umbrella as Prime Care. Directly comparable because it shares leadership lineage, an Article 44 license, and overlapping Medicaid-eligible populations in New York, with cross-referral potential for Prime Care's I/DD members who also need MLTC services.
- CDS Life Transitions: Affiliated nonprofit parent operating CDS Monarch, Unistel, and Warrior Salute Veteran Services, providing day, employment, residential, and behavioral services to people with I/DD. Directly comparable because it shares leadership (Prime Care's prior ED came from CDS), targets the same I/DD population in the same NY geography, and supplies referrals into Prime Care's care-coordination pipeline.
- Care Design NY: Another New York State-licensed Care Coordination Organization (CCO) and Health Home serving individuals with I/DD across multiple regions of the state. Directly comparable because it competes head-to-head for the same OPWDD-eligible members under the same regulatory framework and reimbursement structure.
- Person Centered Services: New York State-licensed CCO and Health Home providing care management for individuals with I/DD. Directly comparable as a regional CCO competitor pursuing the same OPWDD population, same per-member Medicaid reimbursement model, and similar regional-office footprint in New York.
- LifePlan CCO: New York State-licensed Care Coordination Organization serving the OPWDD I/DD population with Health Home Care Management across multiple counties. Directly comparable because it operates under identical regulatory licensure, serves the same OPWDD member pool, and competes for the same regional provider-referral channels.
Broad incumbents
- Sun River Health: Federally qualified health center network serving Hudson Valley, New York City, and Long Island with primary care, behavioral health, and care-coordination services for Medicaid and uninsured populations. Comparable as a broader New York safety-net provider that offers overlapping care-coordination functions, but is not an I/DD-specialized CCO.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks7 records
Key highlights7 records
Customer concentration
Prime Care Coordination social profiles
Digital presencePrime Care Coordination financial estimates
Financial estimateRevenue estimate
Valuation estimate
Prime Care Coordination leadership team
Management profileNumber of profiles
Profiles9 records
Prime Care Coordination funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Prime Care Coordination M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Prime Care Coordination
What does Prime Care Coordination do?
Prime Care Coordination is a Care Coordination Organization (CCO) that delivers Health Home Care Management and HCBS Care Management to individuals with intellectual and developmental disabilities across 41 New York counties. Services are funded primarily by Medicaid and include developing individualized Life Plans, coordinating access to developmental disability, health, wellness, behavioral health and family services, and using Health Information Technology to link service providers across the care team.
Is Prime Care Coordination a public or private company?
Prime Care Coordination is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was Prime Care Coordination founded?
Prime Care Coordination was founded in 2017. It employs 11 to 50 people.
Where is Prime Care Coordination based?
Prime Care Coordination is headquartered in Webster, United States, in the North America region.
How does Prime Care Coordination make money?
Two revenue lines are on record. Medicaid-Funded Care Coordination is the primary driver. The others are self-Pay Option.
Who are Prime Care Coordination's main competitors?
Direct peers on record are iCircle Services, CDS Life Transitions, Care Design NY, Person Centered Services and LifePlan CCO. Sun River Health is listed as a broad incumbent.
Does Prime Care Coordination have an API?
No public API is recorded for Prime Care Coordination.