HHUNY - Community Referral Form

What Is It?

A referral for Medicaid members to receive health home care management services through HHUNY affiliated health homes

Who Is Eligible to Use It?

Any HHUNY Care Manager or Care Manager Supervisor needing to refer a member should use the community referral form

Where Can I Get It?

Click "Submit Referral" to the right, complete the form in its entirety and submit

How Do I Use It?

Upon completion of the form you will receive a confirmation email