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Your voice is needed to ensure Health Home Care Management is included in the 7.8% Targeted Inflationary Increase in the NYS SFY 25 enacted budget.

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NYS Senate, Assembly, and Executive

Subject: Health Home Care Management Improving the Lives of Medicaid Members- Include NYS Health Home Care Management in the 4% Targeted Inflationary Increase in the Enacted Budget

Message:

As your constituent I am asking that you speak up while budget negotiations are currently underway to urge leaders to include the Health Homes under DOH as eligible programs under the Targeted Inflationary Increase (TII) and to increase the TII to 4% in the final budget as proposed by the Senate. Health Home Care Managers are the frontline workforce responsible for coordinating care for Medicaid members with the most complex medical, behavioral health, and social needs. Every day, these professionals help individuals living with serious mental illness, chronic health conditions, housing instability, and other complex challenges navigate fragmented healthcare and social service systems. Their work ensures that vulnerable New Yorkers remain connected to care and are able to remain stable in their homes and communities. Despite the critical role they play in New York’s healthcare system, Health Home Care Management Agencies across the state are facing a growing workforce crisis driven by recruitment and retention challenges. Recent statewide workforce survey data highlights the severity of these challenges. Agencies report that recruiting a qualified care manager takes nearly three months on average, with additional months required for onboarding and training before staff are fully able to carry a caseload. The care management workforce is highly educated and experienced. Nearly 60 percent of care managers hold a bachelor’s degree, and more than 25% hold a master’s degree, while more than half have over ten years of experience working in health and human services. Yet despite their qualifications and responsibilities, many care managers face significant financial pressures that contribute to workforce instability. More than one-quarter of Health Home staff report working a second job outside of their primary role simply to make ends meet. At the same time, care managers face significant administrative burdens. On average, they spend nearly two-thirds of their time completing documentation and other administrative requirements, and more than 40% report regularly working outside of normal business hours to keep up with these demands after completing a full day of work with clients. Without meaningful investment, the workforce responsible for supporting New York’s highest-need Medicaid members will continue to face unsustainable pressures, further exacerbating recruitment and retention challenges and limiting the capacity of Health Homes to serve those who rely on them. For these reasons, I respectfully urge you to support the Senate’s one-house budget proposal to include Health Homes in the Targeted Inflationary Increase and to ensure that the 4% TII is included in the final budget agreement. This investment is critical to stabilizing the care management workforce and ensuring that Health Homes can continue delivering the coordinated care that vulnerable New Yorkers depend on. Thank you for your continued commitment and support.

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