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Health Home Enrollment and Referral
To refer a patient to the BAHN Health Home, Montefiore Care Management, please provide the information requested below and press the submit button at the bottom of the page. The form will be submitted to the BAHN portal and a BAHN representative will acknowledge receipt of the referral form.
The BAHN Health Home can help you and your patients who have multiple comorbidities; have frequent avoidable ED visits or hospitalizations; are experiencing functional decline; have behavioral health issues or financial issues that affect their compliance with treatment; need help with medication compliance or affording medication; or who could benefit from end of life or advanced illness planning.
For a full list of conditions considered for placement, please see our Health Home Chronic Conditions List
If you have any questions or prefer to speak to a BAHN Health Home representative, call the BAHN Central line at 1-855-680-2273.
- Information for Referring Physicians
- Partnership with Albert Einstein College of Medicine
- Residency and Fellowship Information
- Allied and Other Health Professionals Training
- Alumni Relations
- Continuing Medical Education
- Nursing at Montefiore
- To Your Health! Associate Wellness
- Institute for Emergency Care Training
- Care Management at Montefiore
- Montefiore Einstein Center for Bioethics
- Montefiore IT
- Conflict of Interest Survey
