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Age 55 or older. Must have active Medicaid, chronic health condition verified by medical provider, or Homeless.

Medicaid recipients.

Spanish

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Spanish

Must be Medicaid eligible​/active Medicaid recipient and have: 2 chronic health conditions (asthma, diabetes, heart disease, COPD, obesity, substance abuse disorder, etc.) OR A single qualifying diagnosis, including serious mental illness (Bipolar Disorder, Schizophrenia, etc.), HIV​/AIDS, and significant behavioral, medical, or social risk conditions that can be addressed through care management.

Arabic, Burmese, Karen, Somali, Spanish

MVP Option: Must meet income guidelines.

Spanish, American Sign Language

Must have Medicaid coverage, age 18 or older, medically​/clinically qualify according to the Uniform Assessment System and reside in a community setting (or have an interest in relocating from SNF to community setting) in Monroe, Wayne, Seneca, Yates, Ontario, Livingston, and Genesee Counties.