The Medical Home initiative is the Title V program in Connecticut. Children & youth ages 0-21 who have or are at risk for a chronic physical, developmental, behavioral or emotional condition and who also require health and related services of a type or amount beyond that required by children or youth generally.
With funding from the State of Connecticut Department of Public Health, the Connecticut Medical Home Initiative for Children & Youth with Special Health Care Needs (CYSHCN) works to assure that policies and programs are in place to guarantee that children have access to coordinated quality health care services.
A Medical Home is not a building, house or hospital, but an approach to providing comprehensive primary care. In a medical home, the health care provider works in partnership with children, youth and their families to make sure that all the medical and related needs are meet. Through this partnership, they can help the family access coordinated special care, educational services, in- and out-of-home care, family support, and other public and private services that are important for the overall health of the whole family.
In Connecticut there are three parts to the initiative: Care Coordination, Respite, and Extended Service Funding. Care Coordination is available at 5 regional sites. FAVOR provides eligibility information on respite services and extended services funding for medical equipment and other goods and services like prescription medications and nutritional support.
For more information, contact:
Medical Home Initiative at FAVOR
Phone: (860) 436-6544 or (855) 436-6544
FAX: (860) 563-3961
When applying to the Medical Home Program, please make sure to download and fully complete the Application, Request Form, Release of Information, Screener and Complexity Index Tool AND Respite Family Needs Checklist.
- Request Form (English) (Spanish)
- CT Medical Home Application (English) (Spanish)
- Release of Information (English) (Spanish)
- Screener and Complexity Index Tool (English) (Spanish)
- Respite Family Needs Checklist (English) (Spanish)
Complete this form if your child or youth has a diagnosed medical, behavioral, or physical need that requires more care and support than that of their peers.
- Directions Book (English pdf) (Spanish pdf) (Portuguese pdf)
In this book you will find ways to organize your child’s health information, information about caring for your child’s special needs, resources, and tips from other parents of children with special healthcare needs.
- Get Creative About Respite – Parent’s Guide
- Get Creative About Respite – About Me
A notebook for the caregiver to communicate with the people who provide respite care to assure individualized care for their loved ones.
- Medical Log
Keep track of your child’s medical appointments with this log.
- Emergency Medical Form