Suffolk Health Care Management
Care Rooted In Connection
Our Services
Care Management Eligibility
Children and youth who struggle with a mental health, behavioral health, substance abuse disorder or complex medical conditions.
Ages 0-21
Medicaid Eligible (or qualify through Department of Health)
Live in NYC (five boroughs) or Long Island
Ready to get started? Contact us today to see how we can help your family!
Care Management
At the heart of great care is connection. Our Care Management team coordinates all supports to align your family’s needs with your child’s goals. We take time to understand each child’s strengths and create a personalized plan that connects you with the right mix of services and community resources.
Through advocacy and navigation, we help families access and understand available systems and supports. With strong collaboration among providers and ongoing communication, we stay by your side—tracking progress, adjusting supports, and guiding you through each new stage. Care Management is where all the pieces come together, making services more coordinated, personal, and effective.
Care Management Services
We offer a range of Care Management that help children and families stay connected, build essential skills, and maintain stability at home while receiving the support they need.
Connection to Resources
Identify and link families to appropriate medical, mental health, educational, and community-based resources
Connect families to government programs including but not limited to : Medicaid services, SNAP, HCBS, transportation and other eligible programs
Support referrals, applications, and service enrollment to ensure access to needed supports
Coordination Across Systems
Connect healthcare, mental health, education, and community services
Act as a central point of contact across the care team
Coordinate communication between schools, doctors, therapists, and providers
Keep everyone aligned around shared goals and responsibilities
Ongoing Support & Communication
Provide consistent check-ins and responsive support
Attend care team meetings as needed
Follow up on referrals, appointments, and service activation
Make sure services stay active and families feel supported throughout the process
Planning & Progress Monitoring
Develop and update a clear, person-centered care plan
Set measurable goals with practical action steps
Track progress and identify what’s working vs. what needs to change
Adjust recommendations as needs shift to keep supports effective and sustainable
Connection to Resources
Identify and link families to appropriate medical, mental health, educational, and community-based resources
Connect families to government programs including but not limited to : Medicaid services, SNAP, HCBS, transportation and other eligible programs
Support referrals, applications, and service enrollment to ensure access to needed supports
Coordination Across Systems
Connect healthcare, mental health, education, and community services
Act as a central point of contact across the care team
Coordinate communication between schools, doctors, therapists, and providers
Keep everyone aligned around shared goals and responsibilities
Planning & Progress Monitoring
Develop and update a clear, person-centered care plan
Set measurable goals with practical action steps
Track progress and identify what’s working vs. what needs to change
Adjust recommendations as needs shift to keep supports effective and sustainable
Suffolk Primary Health
Care Management Process
At Suffolk Health, our care management process is built on coordination, progress, and patient centred care.
Referral & Eligibility
A child is referred, and eligibility is confirmed through diagnosis, Medicaid, and functional need.
Plan of Care Development
Together, the Care Manager and family set goals, choose appropriate services, and create a plan tailored to the child’s unique needs.
Care Manager Assignment & Assessment
The family is matched with a Care Manager, who becomes their main point of contact and completes an in-person assessment to identify strengths and needs.
Ongoing Monitoring & Support
The Care Manager maintains regular contact, tracks progress, and providers referrals and helps family access services.
Need Assistance? We’re Here to Help!
If you have any questions about our services and would like to learn more about our program, we are here to assist you — reach out anytime.
Our hours are 9AM–5PM Monday–Thursday and 9AM–12PM on Fridays.
Phone Support
Speak with our team directly during business hours.
Email support
Let us know what you need. We’ll get back to you as quickly as possible.
For email support, cmintake@sph.health.
Chat support
Real-time support is coming soon! Live chat on the way for faster service.
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