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Keyword: care management

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1

Incident Reporting and Management System (IRAMS)

The Incident Reporting and Management System (IRAMS) is used by Health Homes, Care Management Agencies, Children’s Home and Community Based Services (HCBS) Providers, and Children and Youth Evaluation Services (C-YES) to report critical incidents and complaints/grievances as appropriate for the various populations served to ensure the health, safety, and well-being of members. 

IRAMS will take the place of current paper-based processes for HHSA and HHSC. The Health Homes are already required to report critical incidents (per the Health Home Monitoring: Reportable Incidents Policies and Procedures HH0005) and grievances/complaints (per the Complaint and Grievance Policy for Health Homes Serving Children HH0013).

2

Medicaid Health Homes

A "Health Home" is not a physical place; it is a group of health care and service providers working together to make sure you get the care and services you need to stay healthy. Once you are enrolled in a Health Home, you will have a care manager that works with you to develop a care plan. A care plan maps out the services you need, to put you on the road to better health. Some of the services may include:

  • Connecting to health care providers,
  • Connecting to mental health and substance abuse providers,
  • Connecting to needed medications,
  • Help with housing,
  • Social services (such as food, benefits, and transportation) or,
  • Other community programs that can support and assist you.

3

NYS System of Care Framework

The Systems of Care (SOC) Framework is a coordinated network of services and supports that are organized to meet the physical, mental, social, emotional, education, and developmental needs of children and their families.

Building Systems of Care, by its own designation as “systems” and not “system,” requires cross-system partnerships with the common goal of developing a broad array and continuum of services and supports that are infused with the values of:

  • Family Driven & Youth Guided
  • Community-Based
  • Cultural & Linguistic Competence

Systems of Care refer to the collaborative, coordinated infrastructure within a community to meet the needs of children and families so they can achieve their own definition of success and equitable outcomes.

Systems of Care are implemented at both the systems level (policy, financing, management) and the service/support delivery level.

Developed by the Council on Children and Families and Funded by the Developmental Disabilities Planning Council