CNY Health Home Network

What CNY Health Home Network does

CNY Health Home Network (CNYHHN) is a New York State 501(c)(3) nonprofit founded in 2014 and designated by the New York State Department of Health as one of only 32 lead Health Homes in the state. Headquartered in Utica, NY, the organization provides care coordination and community-based programs for Medicaid recipients with chronic health and social needs across a 10-county region spanning Mohawk Valley, North Country, and the Capital Region. CNYHHN employs over 60 Health Home Care Managers serving adults and children in Oneida and Cayuga Counties, and delivers services at no cost to eligible Medicaid recipients through a network that includes offices in Utica and Rome.

The core service is Health Home Care Management, in which dedicated care managers develop personalized care plans and coordinate medical, behavioral health, and social services. Around this core, CNYHHN operates five additional programs: Connected Community Schools (embedded site coordinators in 55 schools across 13 districts, serving over 25,000 students and families), FACT (a 90-day fast-track referral program across six counties), RIYS (juvenile justice diversion for youth ages 8-17), the Resiliency Project (family support in Rome and Camden school districts), and a network of more than 30 Care Management Agencies. The wholly-owned subsidiary Connect Ed extends the platform into workforce development via the Growth Opportunities (GO) Program for justice-involved youth ages 15-24, launched July 2025.

Revenue is sourced from NYS Medicaid managed care arrangements for care management services, foundation and federal grants (Excellus BlueCross BlueShield, Mother Cabrini Health Foundation, DSRIP), and charitable donations. CNYHHN partners with five major managed care organizations — CDPHP, Wellcare, United Healthcare, MVP Health Care, and Excellus BlueCross BlueShield — and distributes services through referrals from community providers, schools, Family Court, Probation, and self-referrals. Technology infrastructure centers on the Community LINK referral system and the Youth Assessment Screening Inventory (YASI) assessment tool; no AI/ML capabilities, patents, or external API/SDK products are disclosed.

Name

CNY Health Home Network

Legal name

CNY Health Home, Inc.

Website

https://cnyhealthhome.net

Company type

Private

Founded year

2014

Operating status

Operating

Short description

CNY Health Home Network is a New York State-designated nonprofit lead Health Home providing care coordination and community-based programs for Medicaid recipients with chronic conditions across a 10-county Central New York region, serving over 25,000 students and families through schools.

Ownership category

akta.pro rank

Product category

Medicaid Care Management Services

NAICS

Home Health Care Services (6216), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Home Health Care Services (8082), Services-Health Services (8000)

akta.pro primary industry

Home-Based Chronic Disease Management (Skilled) (HLADAFAL)

Keywords

• Medicaid care management
• Health home services
• Care coordination programs
• Community health network
• Youth diversion services

Headquarters

HQ city

Utica

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medicaid Health Home Care Management: Designated by New York State Department of Health as a lead Health Home providing care management services for Medicaid recipients with chronic conditions. Services are covered under Medicaid managed care arrangements.
2. Grant Funding: Award funding from Excellus BlueCross BlueShield Health Equity Innovation Award supports Bridge to Care Initiative. Additional grant funding from federal sources (DSRIP), Mother Cabrini Health Foundation, and other foundations.
3. Charitable Donations: 501(c)(3) nonprofit organization accepting charitable contributions. Donations support educational opportunities for those served and professional development for staff.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

CNY Health Home Network is a nonprofit lead Health Home designated by the New York State Department of Health that provides care coordination services for Medicaid recipients with chronic medical, behavioral health, and social needs across a 10-county region in Central New York. The organization deploys 60+ Health Home Care Managers who develop personalized care plans and connect individuals to medical, behavioral health, housing, employment, and community resources through programs including Connected Community Schools, FACT, RIYS, the Resiliency Project, and the Connect Ed subsidiary's GO Program.

Product overview

CNY Health Home Network operates as a nonprofit health home care management organization designated by the New York State Department of Health since 2014, providing coordinated care for Medicaid recipients with chronic conditions. The organization functions as a platform-plus-programs model centered on Health Home Care Management as its core service, supported by five core programs: Connected Community Schools (serving 13 districts, 55 schools, and 25,000+ students), FACT (fast-track referrals across 6 counties), RIYS (youth diversion for ages 8-17), Resiliency Project (family support in Rome and Camden school districts), and a network of 30+ Care Management Agencies across 10 counties. The subsidiary Connect Ed extends services into workforce development through the GO Program. Services include care coordination, behavioral health support, housing assistance, and community resource connections.

Differentiator

Problem solved

Functional benefit

Products and services

• Health Home Care Management Comprehensive care coordination services for Medicaid recipients with chronic conditions, connecting individuals to medical, behavioral health, and social support services through dedicated Care Managers who develop personalized care plans.
• Connected Community Schools School-based initiative integrating community services within schools to support student success. Partners with 13 public school districts, encompassing 55 Connected Schools serving over 25,000 students and families with resources including food, health services, and social support.
• FACT (Family Advocate Connections Team) Fast-track referral and connection program providing individuals and families with access to mental health, healthcare, substance use, and community resources. Serves Cortland, Herkimer, Madison, Oneida, Onondaga, and Oswego Counties for up to 90 days per member.
• RIYS (Restorative Integrated Youth Services) Youth diversion program providing comprehensive, individualized case planning services for at-risk youth ages 8-17 in Oneida County. Includes Youth Assessment Screening Inventory (YASI), individual and family support, school advocacy, and community-based interventions.
• Resiliency Project Joint initiative strengthening connections between youth, families, schools, and communities through supportive, collaborative interventions at home, school, and community levels.
• Care Management Agencies (CMA) Network Network of over 30 community-based Care Management Agencies across 10 counties providing Health Home Care Management services. Partners include ACR Health, Bridging the Gap Care Management, Building Blocks, Children's Home of Jefferson County, Helio Health, and others serving Oneida, Cayuga, and surrounding regions.
• Growth Opportunities (GO) Program Workforce development program for justice-involved youth ages 15-24 offering up to $3,000 in paid work experience (200 hours), leadership training via Passport to Success, mentorship, and career or college support. Operated through Connect Ed partnership with International Youth Foundation.
• Connect Ed Subsidiary corporation of CNYHHN focused on innovative, adaptable preventative programs for children, young adults, families, and communities. Specializes in programs addressing needs ranging from food and housing to medical, behavioral, and mental health issues. Home to the Growth Opportunities (GO) Program for justice-involved youth.

Quantifiable outcome

• Serving over 25,000 students and families through 55 Connected Schools
• +3 more outcomes

Named customers6 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

13 partnerships are on record, tiered core and flagship.

• CDPHPcoreGTM or Marketing PartnerManaged care organization partner collaborating with CNYHHN on care coordination for Medicaid recipients with chronic conditions. Logo displayed on partners page indicating ongoing partnership relationship.
• WellcarecoreGTM or Marketing PartnerManaged care organization partner collaborating with CNYHHN on care coordination. Logo displayed on partners page indicating ongoing partnership relationship.
• United HealthcarecoreGTM or Marketing PartnerManaged care organization partner collaborating with CNYHHN on care coordination. Logo displayed on partners page indicating ongoing partnership relationship.
• MVP Health CarecoreGTM or Marketing PartnerManaged care organization partner collaborating with CNYHHN on care coordination. Logo displayed on partners page indicating ongoing partnership relationship.
• ACR HealthcoreStrategic or Co-development PartnerCare Management Agency partner in CNYHHN's network providing Health Home Care Management services.
• Helio HealthcoreStrategic or Co-development PartnerCare Management Agency partner in CNYHHN's network providing Health Home Care Management services.
• Oneida County Department of Family & Community Services (OCDFCS)flagshipStrategic or Co-development PartnerCollaborative partner in RIYS (Restorative Integrated Youth Services) program and Resiliency Project. Joint initiative to reduce youth involvement in Juvenile Justice System.
• Safe Schools Mohawk Valley (SSMV)flagshipStrategic or Co-development PartnerCollaborative partner in RIYS program providing school-based interventions, mentoring, and support for at-risk youth. Assigns specialists to implement evidence-based interventions.
• Connect Ed. NY, Inc.flagshipStrategic or Co-development PartnerSubsidiary corporation of CNYHHN leading the Growth Opportunities (GO) Program. Focuses on innovative, adaptable preventative programs for children, families, and community.
• International Youth Foundation (IYF)coreStrategic or Co-development PartnerPartner in GO Program providing workforce development expertise and support for justice-involved youth ages 15-24.
• Connect ED NYcoreStrategic or Co-development PartnerPartner in Resiliency Project providing supportive, collaborative interventions for youth and families.
• Rome Alliance for EducationcoreStrategic or Co-development PartnerPartner in Resiliency Project and Connected Community Schools initiative serving Rome City School District and Camden Central School District.
• Rome Alliance for EducationcoreStrategic or Co-development PartnerCore nonprofit partner in Connected Community Schools initiative along with CNYHHN and Connect Ed, partnering with public school districts, BOCES, community organizations, local government, businesses, and higher education.

Scale indicators7 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Institute for Community Living (ICL): ICL operates a designated NYS Health Home in New York City providing care management for Medicaid recipients with chronic behavioral health and medical conditions. Directly comparable as a NYS lead Health Home serving a similar chronic-condition Medicaid population with care coordination services.
• SOMOS Innovation Health Partners: SOMOS operates as a designated NYS Health Home and Performing Provider System serving Medicaid populations in NYC. Comparable as a NYS lead Health Home with downstream provider network and chronic care coordination model.
• Children's Aid Society: Major NY nonprofit providing community-based programs including school-based services, health access, and family support. Comparable as a multi-program nonprofit with school-based service delivery and family advocacy components.
• New York Foundling: Large NY human services nonprofit providing care coordination, foster care, behavioral health, and youth services. Comparable as a multi-program nonprofit serving Medicaid-enrolled children and families with chronic social and medical needs across NY.
• Coordinated Behavioral Care (CBC): CBC is a NYC-based Health Home network providing care management for Medicaid members with serious mental illness and chronic conditions. Directly comparable as another designated NYS lead Health Home operating a downstream CMA network model.
• Montefiore Hudson Valley Collaborative: Montefiore-affiliated entities operate Health Home and care management programs for Medicaid populations in the Hudson Valley region. Comparable as a NYS Health Home operator focused on chronic care coordination and value-based care delivery.
• Central New York Care Collaborative: Regional DSRIP Performing Provider System covering Central NY that originally funded the No Wrong Door / FACT initiative. Comparable as a regional care coordination entity focused on Medicaid population health in overlapping geography.
• Coordinated Care Services, Inc. Rochester, NY-based nonprofit providing behavioral health and care management services for Medicaid populations. Comparable as a regional NY care coordination nonprofit serving chronic-condition and behavioral health populations.

Broad incumbents

• Center for Health Care Strategies: National health policy nonprofit focused on Medicaid care delivery innovation, including Health Home model design. Comparable as an organization working on the same Health Home / chronic care management policy framework, though as a policy resource rather than direct service provider.
• Visiting Nurse Service of New York (VNSNY): Largest nonprofit home and community-based health services provider in NY, offering home health care, hospice, and care management. Comparable as a NY-based nonprofit serving chronic-condition populations in home settings, though operating at much greater scale.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/CNYHHN
• Facebookfacebook.com/CNYHHN
• LinkedInlinkedin.com/company/cny-health-home-network-inc
• Instagraminstagram.com/cnyhealthhomenetwork

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Subsidiaries1 record

Funding overview

Funding rounds1 record

Investors1 record

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 CNY Health Home Network