Circular Letter No. 7 (1976): 'Mandatory Home Health ... to the enactment of Chapter 647, ......

March 22, 1976

SUBJECT: INSURANCE

WITHDRAWN

Circular Letter No. 7 (1976)

March 22, 1976

TO: ALL INSURERS INCLUDING ARTICLE IX-C CORPORATIONS, LICENSED TO WRITE ACCIDENT & HEALTH INSURANCE IN NEW YORK STATE

SUBJECT: MANDATORY HOME HEALTH COVERAGE

Subsequent to the enactment of Chapter 647, Laws of 1975, the Insurance Department received many inquiries from insurers concerning interpretation of the legislation. Many questions have been answered by the Department and in order to inform all insurers of the Department's conclusions and, thus, obtain a measure of uniformity in contract language and in the administration of the benefit provision, the following Department determinations are set forth:

1. An insurer must provide all of the home care benefits required by the statute.

2. An insurer may not limit the home care benefits to a fixed dollar amount, but must pay for reasonable charges for the home care services.

3. Hospital indemnity policies, including those which contain surgical riders, are not policies which provide "coverage for in-patient hospital care" and, therefore, are not required to include the mandated home health care benefits.

4. While home care benefits must be provided in addition to in-hospital and skilled nursing facility benefits, the duration of such home care benefits should be limited to the period hospitalization or confinement in a skilled nursing facility would otherwise have been required had home care benefits not been provided.

5. "Medical supplies, drugs and medications prescribed by a physician, and laboratory services by or on behalf of a hospital" must be covered to the same extent and duration that such items would have been provided and covered had the person been hospitalized. This benefit must also be provided if the covered person would have required confinement in a skilled nursing facility.

6. No insurer may limit payment for home health care services to a home health care agency with which the insurer has an agreement.

7. Home health care benefits following hospitalization or confinement in a skilled nursing facility must be provided if continued hospitalization or confinement would otherwise have been required if home care was not provided. Prior hospitalization, however, is not necessary to qualify for home care benefits.

8. Because the home care benefit is now mandated and must be added at the first annual anniversary date after April 1, 1976, to all contracts providing coverage for in-patient hospital care, the reference to the addition of such

benefits at subsequent anniversary dates, subject to evidence of insurability, is inapplicable.

9. Home care benefits can be assigned to the provider only if permitted by the provisions of the policy.

10. When a major medical policy includes part of the required home care coverage, the insurer will comply with the statute by making available the remainder of the benefits required by the home health care law. When major medical coverage is superimposed over basic insurance coverage, home health care coverage in the major medical policy may be made excess over home health care coverage in the underlying policy.

11. In the event home care benefits are provided in more than one contract covering the same insured, permissible duplication of benefits provisions included in the contract shall also be applicable to such home care benefits.

12. It is not permissible to include a separate deductible or co-payment provision applicable to the home care benefits if the policy requires the satisfaction of an over-all deductible or co-payment amounts.

13. "Medical supplies" required to be provided as part of the home care benefits means all medical supplies customarily provided by hospitals to registered in-patients.

14. In the Department's previous circular letter relating to home health care coverage, dated April 18, 1973, the Department set forth maximum rate levels for home care benefits. There has been no evidence to support an increase in the maximum rate levels previously established and, accordingly, these maximum rate levels will continue to be applied by the Department in the approval of rates for home care benefits. The following are the maximum rate levels previously set by the Department:

A. Individual Policies of Hospital Insurance.

(1) No deductible, no coinsurance. Annual Premium

Each Adult Age 18-49 $ 2.00


All Children $ .50

(2) $ 50 deductible, 75% coinsurance Annual Premium



All Children $ .25

B. Individual Major Medical Insurance.

No additional premium to be approved, since major medical coverage already includes substantially the same coverage.

C. Group Hospital Insurance.

(1) No deductible, no coinsurance.

Monthly Premium

Each Employee $ .05

Each Dependent Unit $ .06

(2) $ 50 deductible, 75% coinsurance. Monthly Premium

Each Employee $ .02

Each Dependent Unit $ .025

D. Group Major Medical Insurance.

No additional premium to be approved, since major medical coverage already includes substantially the same coverage.

These rates will be reviewed in the light of developing experience. Rates differing from those set forth above will be allowed only upon presentation of convincing data justifying a departure based on the peculiarities of the form or the market segment involved.

15. To assist insurers in identifying certified home health agencies in New York State, the attached list of such agencies has been furnished the Insurance Department by the Bureau of Community Nursing and Home Health Services, New York State Department of Health. If additional information concerning home health agencies is desired, insurers can contact:

Helen M. Jones, Assistant Director Bureau of Community Nursing and Home Health Services Tower Building Empire State Plaza Albany, NY 12237

Please acknowledge receipt of this Circular Letter to Mr. James W. Clyne, Chief of the Health and Life Policy Bureau, New York State Insurance Department, Agency Building One, Empire State Plaza, Albany, New York 12223

[SIGNATURE]

THOMAS A. HARNETT

Superintendent of Insurance

ATTACHMENT

NEW YORK STATE DEPARTMENT OF HEALTH

Bureau of Community Nursing and Home Health Services

Certified Home Health Agencies in New York State

Name and Address of Agency Nursing

ALBANY REGION

Albany County 1974 Population - 286,750*

Albany County Department of Health,

Division of Nursing,

South Ferry and Green Streets, Albany,

New York 12201

Home Care Department,

St. Peter's Hospital, 315 South

Manning Boulevard, Albany,

New York 12208

Visiting Nurse Association of

Albany, Inc., 245 Lark

Street, Albany, New York 12210

Clinton County 1974 Population - 68,550

Clinton County Department of Health,

Division of Nursing, 6 Healy

Avenue, Box 846, Plattsburgh,

New York 12901

Essex County 1974 Population - 33,800

Essex County Nursing Service,

Court House,

Elizabeth-town, New York 12932

Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X X

X X X





Franklin County 1974 Population - 42,250

Franklin County Nursing Service,

17 Brewster Street,

Malone, New York 12953

Fulton County 1974 Population - 52,800

Fulton County Nursing Service,

Fulton County Office

Building, P.O. Box 415,

Johnstown, New York 12095

Greene County 1974 Population - 33,500

Greene County Public

Health Nursing Service, P.O.

Box G, Purling Road,

Greene County Office Building,

Cairo, New York 12143

Montgomery County 1974

Population - 55,000

Montgomery County Nursing Service,

County Office Building,

Park Street, Fonda,

New York 12068

Services Provided

Home Physical

Health Therapy

Aide

X X

X X X

X X X

X X X

Otsego County 1974 Population - 58,000





Otsego County Public Health

Nursing Service, County

Office Building,

97 Main Street, Cooperstown,

New York 13326

Rensselaer County 1974 Population - 155,300

Home Care Department, Leonard Hospital,

4 New Turnpike Road,

Troy, New York 12182

Rensselaer County Health Department,


1701 Seventh Avenue, Troy,

New York 12180

Visiting Nurse Association of Troy, Inc.,

2212 Burdett Avenue,

Troy, New York 12180

Saratoga County 1974 Population - 144,000

Saratoga County Public Health

Nursing Service, 31 Woodlawn Avenue,

Saratoga Springs, New York 12866

Schenectady County 1974 Population - 162,800

Visiting Nurse Service Association of

Schenectady County, Inc.,

Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X X

X X X





205 Union Street, Schenectady,

New York 12305

Schoharie County 1974 Population - 25,600

Schoharie County Department of Health,


Main Street, Schoharie,

New York 12157

Warren County 1974 Population - 51,250

Warren County Public Health Nursing Service,

Warren County Municipal

Center, Lake George,

New York 12845

Washington County 1974 Population - 52,750

Washington County Public Health

Nursing Service, County

Annex Building, Lower Main Street, Hudson Falls,

New York 12839

BUFFALO REGION

Allegany County 1974 Population - 47,550

Allegany County Department of Health, Division of

Nursing, R.D.# 1, Angelica, New York 14709

Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X X

X X X





Cattaraugus County 1974 Population - 81,300

Cattaraugus County Health Department, Home Health

Agency, 302 Laurens Street, Olean, New York 14760

Chautauqua County 1974 Population - 146,600

Chautauqua County Department of Health, Home Health

Agency, Health & Social Services Building,

Mayville, New York 14757

Jamestown Visiting Nurse Association, Inc.,

Professional Building, Jones Hill, Jamestown,

New York 14701

Erie County 1974 Population - 1,126,000

Home Health Services Program of Erie County

Department of Health, 95 Franklin Street, Buffalo,

New York 14202

Visiting Nursing Association of Buffalo, New York,

1255 Delaware Avenue, Buffalo, New York 14209

Genesee County 1974 Population - 60,000

Genesee County Department of Health, Home Health

Agency, 3837 West Main Street Road, Batavia,

New York 14020

Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X X

X X X

X X

Niagara County 1974 Population - 235,500

X





Niagara County Health Department, Nursing Division,

525 Bewley Building, Main & Market Street,

Lockport, New York 14094

Orleans County 1974 Population - 38,150

Orleans County Department of Health, Home Health

Agency, 151 Platt Street, Albion, New York 14411

Wyoming County 1974 Population - 36,700

Wyoming County Department of Health, Home Health

Agency, 338 North Main Street, Warsaw,

New York 14569

ROCHESTER REGION

Chemung County 1974 Population - 99,900

Chemung County Department of Health, Home Health

Agency, Heritage Park, John Street, Elmira,

New York 14901

Livingston County 1974 Population - 56,600

Livingston County Department of Health, Home Health

Agency, Murray Hill Campus, Mt. Morris,

New York 14510

Monroe County 1974 Population - 762,000

Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X X

X X X





Genesee Region Home Care Association, Inc., 311

Alexander Street, Rochester, New York 14604

Monroe County Department of Health, Nursing

Division, Health & Social Services Building, 111

Westfall Road, Rochester, New York 14602

Visiting Nurse Service of Rochester & Monroe

County, 500 East Avenue, Rochester, New York 14607

Ontario County 1974 Population - 82,150

Ontario County Home Health Agency, 120 N. Main

Street, Canandaigua, New York 14424

Schuyler County 1974 Population - 17,200

Schuyler County Home Health Agency, 105 Ninth

Street, Watkins Glen, New York 14891

Seneca County 1974 Population - 34,050

Seneca County Department of Health, Division of

Nursing, East Main Street, Waterloo, New York 13165

Steuben County 1974 Population - 98,300

Steuben County Home Health Agency, Steuben County

Infirmary, Rumsey Street Extension Entrance,

R.D.# 1, P.O. Box 588, Bath, New York 14810

Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X X

X X X

X X X

X X X





Wayne County 1974 Population - 82,900

Wayne County Home Health Agency, P.O. Box 107,

Lyons, New York 14489

Yates County 1974 Population - 20,200

Yates County Home Health Agency, 418 Main Street,

P.O. Box 294, Penn Yan, New York 14527

SYRACUSE REGION

Broome County 1974 Population - 217,600

Broome County Department of Health, Division of

Nursing and Home Health Services, 20 Wall Street,

Binghamton, New York 13901

Cayuga County 1974 Population - 79,750

Cayuga County Department of Health, Division of

Nursing, 160 Genesee Street, Auburn, New York 13021

Chenango County 1974 Population - 46,800

Chenango County Public Health Nursing Service,

County Building, Norwich, New York 13815

Cortland County 1974 Population - 47,600

Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X X

X X X

Cortland County Department of Health, Division of





Nursing, County Court House, Cortland,

New York 13045

Herkimer County 1974 Population - 67,500

Herkimer County Public Health Nursing Service,

Court House, Main Street, Herkimer,

New York 13350

Jefferson County 1974 Population - 87,650

Jefferson County Public Health Nursing Service, 135

Park Place, Watertown, New York 13601

Lewis County 1974 Population - 23,500

Lewis County Public Health Nursing Service, Court

House, 7660 State Street, Lowville, New York 13367

Madison County 1974 Population - 65,550

Madison County Public Health Nursing Service,

County Office Building, Wampsville,

New York 13163

Oneida County 1974 Population - 265,250

Oneida County Health Department, Division of

Nursing, County Office Building, 800 Park Avenue,

Utica, New York 13501

Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X X

X X X

X X X





Visiting Nurse Association of Utica, Inc.,

Paul Building, 209 Elizabeth Street, Utica,

New York 13501

Onondaga County 1974 Population - 484,000

Onondaga County Department of Health, Division of

Nursing, Civic Center, 421 Montgomery Street,

Syracuse, New York 13202

Visiting Nurse Association of Central New York,

Inc., 113 E. Onondaga Street, Syracuse,

New York 13202

Oswego County 1974 Population - 106,800

Oswego County Department of Health, Division of

Nursing, 200 North Second Street, Fulton, NY 13069

St. Lawrence County 1974 Population - 110,400

St. Lawrence County Public Health Nursing Service,

Supreme Court Building, 223 East Main Street,

Gouverneur, New York 13642

Tioga County 1974 Population - 49,300

Tioga County Public Health Nursing Service, 56 Main

Street, (2nd Floor), Owego, New York 13827

Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X X

X X X

X X X

Tompkins County 1974 Population - 80,500





Tompkins County Department of Health, Division of

Nursing, Herman Biggs Memorial Building, 1287

Trumansburg Road, Ithaca, New York 14850

WHITE PLAINS REGION

Dutchess County 1974 Population - 226,700

Dutchess County Department of Health, Nursing

Division, 22 Market Street, Poughkeepsie,

New York 12601

Nassau County 1974 Population - 1,439,000

Nassau County Department of Health, Office of Home

Care, County Office Bldg., 240 Old Country Road,

Mineola, New York 11501

North Shore University Hospital, Home Care

Department, 300 Community Drive, Manhasset,

New York 11030

Visiting Home Health Services of Nassau, Inc., 400

Community Drive, Manhasset, New York 11030

Orange County 1974 Population - 235,000

Orange County Department of Health, Division of

Public Health Nursing, 124 Main Street, Goshen,

New York 10924

Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X X

X X X

X X X





Putnam County 1974 Population - 69,550

Putnam County Department of Health, Nursing

Services and Home Health Agency, County Office

Building, 40 Gleneida Avenue, Carmel,

New York 10512

Rockland County 1974 Population - 260,500

Good Samaritan Hospital, Home Care Department,

Route 59, Suffern, New York 10901

Nyack Hospital, Home Care Department, North Midland

Avenue, Nyack, New York 10960

Rockland County Department of Health, Nursing

Division Sanatorium Road, Pomona, New York 10970

Suffolk County 1974 Population - 1,304,000

Brookhaven Memorial Hospital, Home Care Department,

101 Hospital Road, Patchogue, New York 11772

Suffolk County Department of Health Services,

Bureau of Public Health Nursing, H. Lee Dennison

Executive Office Bldg., Veterans Memorial Highway,

Hauppauge, NY 11787

Visiting Nurse Service of Huntington Township,

Inc., 52 Elm Street, Huntington, New York 11743

Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X X

X X X

X X X

X X X





Sullivan County 1974 Population - 54,850

Sullivan County Public Health Nursing Service,

Infirmary Road, Box 590, Liberty, New York 12754

Ulster County 1974 Population - 148,100

Ulster County Department of Health, Nursing

Division, County Office Building, 244 Fair Street,

Kingston, New York 12401

Westchester County 1974 Population - 918,500

Associated Visiting Nurse Services, Inc., 111

Church Street, White Plains, New York 10601

District Nursing Association of Northern

Westchester County, 25 Moore Avenue, Mount Kisco,

New York 10549

The Dominican Sisters Family Health Service, Inc.,

Mariandale, Ossining, New York 10562

(Main office. Suboffices also in

New York County and Bronx County)

New Rochelle Hospital Medical Center, Home Health

Agency, 16 Guion Place, New Rochelle,

New York 10801

Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X X

X X X

X X

Phelps Memorial Hospital, Home Health Agency,

X





North Broadway, North Tarrytown,

New York 10591

Public Health Nursing Organization of

Eastchester, Inc. 69 Main Street,

Tuckahoe, New York 10707

St. Agnes Hospital Home Care Department,

305 North Street, White Plains,

New York 10605

United Hospital, Home Care Department, 406 Boston

Post Road, Port Chester, New York 10573

Westchester County Department of Health,

Division of Nursing, Bldg. # 2,

150 Grand Street, White Plains,

New York 10601

White Plains Hospital, Home Care Department, 41

East Post Road, White Plains, New York 10601

NEW YORK CITY

Bronx County 1974 Population - 1,393,200

Fordham Hospital, Home Care Program,

Southern Boulevard and

Crotona Avenue, Bronx,

New York 10458

Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X X

X X X

X X X

X X X





Home Care Services of Jacobi Hospital,

Bronx Municipal Hospital Center,

Pelham Parkway and

Eastchester Road, Bronx,

New York 10461

Lincoln Hospital, Home Care Department,

Annex I, 383 Concord Avenue, Bronx,

New York 10454

Misericordia Hospital Medical Center, Home Health

Agency, 600 East 233rd Street, Bronx,

New York 10466

Montefiore Hospital and Medical Center,

Home Care & Extended

Services Department,

111 East 210th Street, Bronx,

New York 10467

Kings County 1974 Population - 2,448,100

Brookdale Hospital Medical Center, Home Care

Department Linden Boulevard at Brookdale Plaza,

Brooklyn, New York 11212

The Brooklyn Hospital, Home Health Services,

121 DeKalb Avenue, Brooklyn,

New York 11201

Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X X

X X X

X X

Coney Island Hospital, Home Care Department, 2601

X





Ocean Parkway, Brooklyn, New York 11235

Greenpoint Hospital, Home Care Department, 300

Skillman Avenue, Brooklyn, New York 11211

The Jewish Hospital and Medical

Center of Brooklyn,

Home Care Department,

555 Prospect Place, Brooklyn,

New York 11238

Kings County Hospital Center, Home Care Department,

451 Clarkson Avenue, Brooklyn, New York 11203

Kingsbrook Jewish Medical Center, Home Care

Department, 86 East 49th Street, Brooklyn,

New York 11203

Long Island College Hospital, Home Care Department,

340 Henry Street, Brooklyn, New York 11201

Maimonides Hospital and Medical Center, Home Care

Department, 4802 Tenth Avenue, Brooklyn,

New York 11219

Methodist Hospital of Brooklyn, Home Care

Department, 506 Sixth Street, Brooklyn,

New York 11219

Nursing Sisters Home Visiting Service, Inc., 310

Prospect Park West, Brooklyn, New York 11215

Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X

X X X

X X X

X X X

X X X





(Main office Suboffices also in

Nassau County and Suffolk County.)

St. Mary's Hospital Division of the Catholic

Medical Center, Home Care Department,

1298 St. Mark's Avenue, Brooklyn,

New York 11213

Visiting Nurse Association of Brooklyn, Inc., 138

South Oxford Street, Brooklyn, New York 11217

New York County 1974 Population - 1,440,200

Bellevue Hospital Center, Home Care Department,

First Avenue and 27th Street, New York,

New York 10016

Cabrini Health Care Center, Home Care Department,

227 East 19th Street, New York, New York 10003

Gouverneur Hospital, Home Care Department, 227

Madison Street, New York,

New York 10002

Harlem Hospital Center, Home Health Services, 136th

Street & Lenox Avenue, New York, New York 10037

Lenox Hill Hospital, Home Care Department, 100 East

77th Street, New York, New York 10021

Metropolitan Hospital, Home Care Department, 1901

Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X

X X X

X X X

X X X

X X X




Services Provided

Name and Address of Agency Nursing Home Physical

Health Therapy

Aide

First Avenue, New York, New York 10029 X X

Mt. Sinai Hospital, Home Care Department, 100th

Street & Fifth Avenue, New York, New York 10029 X X X

The New York Hospital, Home Health Agency, 525 East

68th Street, New York, New York 10021 X X X

New York Infirmary, Home Care Department,

Stuyvesant Square, 321 East 15th Street, New York,

New York 10003 X X X

Roosevelt Hospital, Home Care Department, 428 West

59th Street, New York, New York 10019 X X X

St. Clare's Hospital and Health Center, Home Care

Department, 415 West 51st Street,

New York, New York 10019 X X X

St. Luke's Hospital Center, Home Care Department,

Amsterdam Avenue & 114th Street, New York,


St. Vincent's Hospital and Medical Center of New

York, Home Care Department, 153 West 11th Street,


Visiting Nurse Service of New York,

107 East 70th Street, New York, New York 10021

(Main office and suboffices. Suboffices also in

Bronx and Queens County.) X X X





Queens County 1974 Population - 1,962,900

Booth Memorial Medical Center, Home Care

Department, Main Street at

Booth Memorial Avenue, Flushing,

New York 11355

City Hospital Center at Elmhurst, Home Care

Department, 79-01 Broadway, Elmhurst,

New York 11373

Flushing Hospital and Medical Center, Home Care

Department, Parsons Boulevard & 45th Avenue,

Flushing, New York 11355

Long Island Jewish-Hillside Medical Center,

Home Care Department, 270-05

76th Avenue, New Hyde Park,

New York 11040

Mary Immaculate Hospital Division of the Catholic


152-11 89th Avenue, Jamaica,

New York 11432

Queens Hospital Center, Home Care Department, 82-68

164th Street, Jamaica, New York 11432

St. John's Queens Hospital Division of the Catholic


Services Provided

Home Physical

Health Therapy

Aide

X X X

X X X

X X X

X X X

X X X

X X




Services Provided

Name and Address of Agency Nursing Home Physical

Health Therapy

Aide

90-02 Queens Boulevard, Elmhurst,


Richmond County 1974 Population - 322,700

Staten Island Hospital, Home Care Department, 101

Castleton Avenue, Staten Island,


Visiting Nurse Association of Staten Island, Inc.,

7 Rice Avenue, GPO Box F, Staten Island,


* Population estimates as of 7/1/74. New York State

exclusive of New York City prepared by Demography

Unit in the Office of Biostatistics, New York

State Department of Health. Provisional 7/1/74

estimate of the population of New York City

prepared by the United States Bureau of the

Census New York State total population estimate

as of 7/1/74 is 18,377,900.




Services Provided

Name and Address of Agency Speech Occupational Medical

Therapy Therapy Social

Service

ALBANY REGION

Nutrition




Services Provided



Service

Albany County 1974 Population -

286,750*

Nutrition

Albany County Department of

Health, Division of Nursing,

South Ferry and Green Streets,

Albany, New York 12201

Home Care Department, St. Peter's

Hospital, 315 South Manning

Boulevard, Albany, New York 12208 X X X


Albany, Inc., 245 Lark Street,

Albany, New York 12210 X X X

Clinton County 1974 Population -

68,550

Clinton County Department of

Health, Division of Nursing, 6

Healy Avenue, Box 846,

Plattsburgh, New York 12901

Essex County 1974 Population -

33,800

Essex County Nursing Service,

Court House, Elizabeth- town,

New York 12932




Services Provided

Name and Address of Agency Speech Occupational Medical Nutrition


Service

Franklin County 1974 Population -

42,250

Franklin County Nursing Service,

17 Brewster Street, Malone, New

York 12953

Fulton County 1974 Population -

52,800

Fulton County Nursing Service,

Fulton County Office Building,

P.O. Box 415, Johnstown,

New York 12095 X

Greene County 1974 Population -

33,500

Greene County Public Health

Nursing Service, P.O. Box G,

Purling Road, Greene County

Office Building, Cairo,

New York 12143

Montgomery County 1974 Population

- 55,000

Montgomery County Nursing

Service, County Office

Building, Park Street, Fonda,

New York 12068 X




Services Provided



Service

Nutrition

Otsego County 1974 Population -

58,000

Otsego County Public Health

Nursing Service, County Office

Building, 197 Main Street,

Cooperstown, New York 13326

Rensselaer County 1974 Population

- 155,300

Home Care Department, Leonard

Hospital, 74 New Turn- pike Road,

Troy, New York 12182 X X X

Rensselaer County Health

Department, Division of Nursing,

1701 Seventh Avenue, Troy,

York New 12180 X X


Troy, Inc., 2212 Burdett Avenue,

Troy, New York 12180 X X

Saratoga County 1974 Population -

144,000

Saratoga County Public Health

Nursing Service, 31 Woodlawn

Avenue, Saratoga Springs,




Services Provided



Service

New York 12866

Schenectady County 1974 Population

- 162,800

Visiting Nurse Service

Association of Schenectady

County, Inc., 205 Union Street,

Schenectady, New York 12305 X X X

Schoharie County 1974 Population -

25,600

Schoharie County Department of

Health, Division of Nursing, Main

Street, Schoharie, New York 12157

Warren County 1974 Population -

51,250

Warren County Public Health

Nursing Service, Warren County

Municipal Center, Lake George,

New York 12845

Washington County 1974 Population

- 52,750

Washington County Public Health

Nursing Service, County Annex

Building, Lower Main Street,




Services Provided



Service

Hudson Falls, New York 12839

BUFFALO REGION

Allegany County 1974 Population -

47,550

Allegany County Department of


R.D.# 1, Angelica, New York 14709 X

Cattaraugus County 1974 Population

- 81,300

Cattaraugus County Health

Department, Home Health Agency,

302 Laurens Street, Olean,

New York 14760

Chautauqua County 1974 Population

- 146,600

Chautauqua County Department of

Health, Home Health Agency,

Health & Social Services Building,

Mayville, New York 14757

Jamestown Visiting Nurse

Association, Inc., Professional

Building, Jones Hill, Jamestown,

New York 14701 X X




Services Provided



Service

Erie County 1974 Population -

1,126,000

Home Health Services Program of

Erie County Department of Health,

95 Franklin Street, Buffalo,

New York 14202 X

Visiting Nursing Association of

Buffalo, New York, 1255 Delaware

Avenue, Buffalo, New York 14209 X X X X

Genesee County 1974 Population -

60,000

Genesee County Department of

Health, Home Health Agency, 3837

West Main Street Road, Batavia,

New York 14020

Niagara County 1974 Population -

235,500

Niagara County Health Department,

Nursing Division, 525 Bewley

Building, Main & Market Street,

Lockport, New York 14094

Orleans County 1974 Population -

38,150




Services Provided



Service

Orleans County Department of


Platt Street, Albion,

New York 14411

Wyoming County 1974 Population -

36,700

Wyoming County Department of


North Main Street, Warsaw,

New York 14569

ROCHESTER REGION

Chemung County 1974 Population -

99,900 Chemung County Department

of Health, Home Health Agency,

Heritage Park, John Street,

Elmira, New York 14901

Livingston County 1974 Population

- 56,600

Livingston County Department of

Health, Home Health Agency,

Murray Hill Campus, Mt. Morris,

New York 14510 X

Monroe County 1974 Population -




Services Provided



Service

762,000

Nutrition

Genesee Region Home Care

Association, Inc., 311 Alexander

Street, Rochester, New York 14604 X X X

Monroe County Department of

Health, Nursing Division, Health

& Social Services Building, 111

Westfall Road, Rochester,

New York 14602 X

Visiting Nurse Service of

Rochester & Monroe County, 500

East Avenue, Rochester,

New York 14607 X X

Ontario County 1974 Population -

82,150

Ontario County Home Health

Agency, 120 N. Main Street,

Canandaigua, New York 14424 X X X

Schuyler County 1974 Population -

17,200

Schuyler County Home Health

Agency, 105 Ninth Street, Watkins

Glen, New York 14891




Services Provided



Service

Seneca County 1974 Population -

34,050

Seneca County Department of

Health, Division of Nursing, East

Main Street, Waterloo,

New York13165

Steuben County 1974 Population -

98,300

Steuben County Home Health

Agency, Steuben County

Infirmary, Rumsey Street

Extension Entrance, R.D.# 1, P.O.

Box 588, Bath, New York 14810 X X

Wayne County 1974 Population -

82,900

Wayne County Home Health Agency,

P.O. Box 107, Lyons,

14489 New York X X

Yates County 1974 Population -

20,200

Yates County Home Health Agency,

418 Main Street, P.O. Box 294,

Penn Yan, New York 14527 X




Services Provided



Service

SYRACUSE REGION

Broome County 1974 Population -

217,600

Broome County Department of

Health, Division of Nursing and

Home Health Services, 20 Wall

Street, Binghamton,


Cayuga County 1974 Population -

79,750

Cayuga County Department of


Genesee Street, Auburn,

New York 13021 X

Chenango County 1974 Population -

46,800

Chenango County Public Health

Nursing Service, County Building,

Norwich, New York 13815

Cortland County 1974 Population -

47,600

Cortland County Department of





Services Provided



Service

County Court House, Cortland,

New York 13045

Herkimer County 1974 Population -

67,500

Herkimer County Public Health

Nursing Service, Court House,

Main Street, Herkimer,

New York 13350

Jefferson County 1974 Population -

87,650

Jefferson County Public Health

Nursing Service, 135 Park Place,

Watertown, New York 13601

Lewis County 1974 Population -

23,500

Lewis County Public Health

Nursing Service, Court House,

7660 State Street, Lowville,

New York 13367

Madison County 1974 Population -

65,550

Madison County Public Health

Nursing Service, County Office




Services Provided



Service

Building, Wampsville,

New York 13163

Oneida County 1974 Population -

265,250

Oneida County Health Department,

Division of Nursing, County

Office Building, 800 Park Avenue,

Utica, New York 13501


Utica, Inc., Paul Building, 209

Elizabeth Street, Utica,

New York 13501 X

Onondaga County 1974 Population -

484,000

Onondaga County Department of


Civic Center, 421 Montgomery

Street, Syracuse, New York 13202 X X X


Central New York, Inc., 113 E.

Onondaga Street, Syracuse,


Oswego County 1974 Population -

106,800




Services Provided



Service

Oswego County Department of


North Second Street, Fulton,

NY 13069

St. Lawrence County 1974

Population - 110,400

St. Lawrence County Public Health

Nursing Service, Supreme Court

Building, 223 East Main Street,

Gouverneur, New York 13642

Tioga County 1974 Population -

49,300

Tioga County Public Health

Nursing Service, 56 Main Street,

(2nd Floor), Owego, New York 13827

Tompkins County 1974 Population -

80,500

Tompkins County Department of


Herman Biggs Memorial Building,

1287 Trumansburg Road, Ithaca,

New York 14850 X

WHITE PLAINS REGION




Services Provided



Service

Nutrition

Dutchess County 1974 Population -

226,700

Dutchess County Department of

Health, Nursing Division, 22

Market Street, Poughkeepsie,

New York 12601

Nassau County 1974 Population -

1,439,000

Nassau County Department of

Health, Office of Home Care,

County Office Bldg., 240 Old

Country Road, Mineola,

New York 11501 X X

North Shore University Hospital,

Home Care Department, 300

Community Drive, Manhasset,


Visiting Home Health Services of

Nassau, Inc., 400 Community

Drive, Manhasset, New York 11030 X X X

Orange County 1974 Population -

235,000

Orange County Department of




Services Provided



Service

Health, Division of Public Health

Nursing, 124 Main Street, Goshen,

New York 10924

Putnam County 1974 Population -

69,550

Putnam County Department of

Health, Nursing Services and Home

Health Agency, County Office

Building, 40 Gleneida Avenue,

Carmel, New York 10512

Rockland County 1974 Population -

260,500

Good Samaritan Hospital, Home

Care Department, Route 59,

Suffern, New York 10901 X

Nyack Hospital, Home Care

Department, North Midland Avenue,

Nyack, New York 10960 X X

Rockland County Department of

Health, Nursing Division

Sanatorium Road, Pomona,

New York 10970 X X

Suffolk County 1974 Population -

1,304,000




Services Provided



Service

Nutrition

Brookhaven Memorial Hospital,


Hospital Road, Patchogue,

New York 11772 X X

Suffolk County Department of

Health Services, Bureau of Public

Health Nursing, H. Lee Dennison

Executive Office Bldg., Veterans

Memorial Highway, Hauppauge,

NY 11787 X X

Visiting Nurse Service of

Huntington Township, Inc., 52 Elm

Street, Huntington, New York 11743

Sullivan County 1974 Population -

54,850

Sullivan County Public Health

Nursing Service, Infirmary Road,

Box 590, Liberty, New York 12754 X

Ulster County 1974 Population -

148,100

Ulster County Department of

Health, Nursing Division, County

Office Building, 244 Fair Street,

Kingston, New York 12401 X




Services Provided



Service

Nutrition

Westchester County 1974 Population

- 918,500

Associated Visiting Nurse

Services, Inc., 111 Church

Street, White Plains,

New York10601 X X X

District Nursing Association of

Northern Westchester County, 25

Moore Avenue, Mount Kisco,

New York 10549 X

The Dominican Sisters Family

Health Service, Inc., Mariandale,

Ossining, New York 10562 (Main

office. Suboffices also in

New York County and

Bronx County) X

New Rochelle Hospital Medical

Center, Home Health Agency, 16

Guion Place, New Rochelle,


Phelps Memorial Hospital, Home

Health Agency, North Broadway,

North Tarrytown, New York 10591 X X

Public Health Nursing




Services Provided



Service

Organization of Eastchester, Inc.

69 Main Street, Tuckahoe,

New York 10707

St. Agnes Hospital Home Care

Department, 305 North Street,

White Plains, New York 10605

United Hospital, Home Care

Department, 406 Boston Post Road,

Port Chester, New York 10573

Westchester County Department of


Bldg. # 2, 150 Grand Street, White

Plains, New York 10601 X

White Plains Hospital, Home Care

Department, 41 East Post Road,

White Plains, New York 10601 X X

NEW YORK CITY

Bronx County 1974 Population -

1,393,200

Fordham Hospital, Home Care

Program, Southern Boulevard and

Crotona Avenue, Bronx,

New York 10458 X X




Services Provided



Service

Home Care Services of Jacobi

Hospital, Bronx Municipal

Hospital Center, Pelham Parkway

and Eastchester Road, Bronx,

New York 10461

Nutrition

X

Lincoln Hospital, Home Care

Department, Annex I, 383 Concord

Avenue, Bronx, New York 10454 X

Misericordia Hospital Medical

Center, Home Health Agency, 600

East 233rd Street, Bronx,


Montefiore Hospital and Medical

Center, Home Care & Extended

Services Department, 111 East

210th Street, Bronx,


Kings County 1974 Population -

2,448,100

Brookdale Hospital Medical

Center, Home Care Department

Linden Boulevard at Brookdale

Plaza, Brooklyn,


The Brooklyn Hospital, Home




Services Provided



Service

Health Services, 121 DeKalb

Avenue, Brooklyn,

New York 11201 X X

Nutrition

X

Coney Island Hospital, Home Care

Department, 2601 Ocean Parkway,

Brooklyn, New York 11235 X

Greenpoint Hospital, Home Care

Department, 300 Skillman Avenue,

Brooklyn, New York 11211 X

The Jewish Hospital and Medical

Center of Brooklyn, Home Care

Department, 555 Prospect Place,

Brooklyn, New York 11238 X X

Kings County Hospital Center,


Clarkson Avenue, Brooklyn,

New York 11203 X

Kingsbrook Jewish Medical Center,

Home Care Department, 86 East

49th Street, Brooklyn,


Long Island College Hospital,

Home Care Department, 340 Henry

Street, Brooklyn, New York 11201 X X X




Services Provided



Service

Maimonides Hospital and Medical

Center, Home Care Department,

4802 Tenth Avenue, Brooklyn,

New York 11219 X X

Nutrition

X

Methodist Hospital of Brooklyn,

Home Care Department, 506 Sixth

Street, Brooklyn, New York 11219 X X X

Nursing Sisters Home Visiting

Service, Inc., 310 Prospect Park

West, Brooklyn, New York 11215

(Main office Suboffices also in

Nassau County and

Suffolk County.) X X X

St. Mary's Hospital Division of

the Catholic Medical Center, Home

Care Department, 1298 St. Mark's

Avenue, Brooklyn, New York 11213 X X X


Brooklyn, Inc., 138 South Oxford

Street, Brooklyn, New York 11217 X

New York County 1974 Population -

1,440,200

Bellevue Hospital Center, Home

Care Department, First Avenue

and 27th Street, New York,




Services Provided



Service

New York 10016

Nutrition

X

Cabrini Health Care Center, Home

Care Department, 227 East 19th

Street, New York, New York 10003 X X X X

Gouverneur Hospital, Home Care

Department, 227 Madison Street,

New York, New York 10002 X X X X

Harlem Hospital Center, Home

Health Services, 136th Street &

Lenox Avenue, New York,

New York 10037 X

Lenox Hill Hospital, Home Care

Department, 100 East 77th Street,

New York, New York 10021 X X

Metropolitan Hospital, Home Care

Department, 1901 First Avenue,


Mt. Sinai Hospital, Home Care

Department, 100th Street & Fifth

Avenue, New York, New York 10029 X X X

The New York Hospital, Home

Health Agency, 525 East 68th

Street, New York, New York 10021 X X X




Services Provided



Service

New York Infirmary, Home Care

Department, Stuyvesant Square,

321 East 15th Street, New York,

New York 10003 X

Nutrition

X X

Roosevelt Hospital, Home Care

Department, 428 West 59th Street,


St. Clare's Hospital and Health

Center, Home Care Department, 415

West 51st Street, New York,


St. Luke's Hospital Center, Home

Care Department, Amsterdam Avenue

& 114th Street, New York,


St. Vincent's Hospital and

Medical Center of New York, Home

Care Department, 153 West 11th

Street, New York, New York 10011 X X X

Visiting Nurse Service of New

York, 107 East 70th Street, New

York, New York 10021 (Main office

and suboffices. Suboffices also

in Bronx and Queens County.) X X

Queens County 1974 Population -




Services Provided



Service

1,962,900

Nutrition

Booth Memorial Medical Center,

Home Care Department, Main Street

at Booth Memorial Avenue,

Flushing, New York 11355 X X

City Hospital Center at Elmhurst,

Home Care Department, 79-01

Broadway, Elmhurst, New York 11373 X

Flushing Hospital and Medical


Parsons Boulevard & 45th Avenue,

Flushing, New York 11355 X X

Long Island Jewish-Hillside

Medical Center, Home Care

Department, 270-05 76th Avenue,

New Hyde Park, New York 11040 X X X

Mary Immaculate Hospital Division

of the Catholic Medical Center,

Home Care Department, 152-11 89th

Avenue, Jamaica, New York 11432 X X

Queens Hospital Center, Home Care

Department, 82-68 164th Street,

Jamaica, New York 11432 X

St. John's Queens Hospital




Services Provided



Service

Division of the Catholic Medical


90-02 Queens Boulevard,

Elmhurst, New York 11373 X X

Richmond County 1974 Population -

322,700

Staten Island Hospital, Home Care

Department, 101 Castleton Avenue,

Staten Island, New York 10301


Staten Island, Inc., 7 Rice

Avenue, GPO Box F, Staten Island,


* Population estimates as of 7/1/74. New York State

exclusive of New York City prepared by Demography

Unit in the Office of Biostatistics, New York

State Department of Health. Provisional 7/1/74

estimate of the population of New York City

prepared by the United States Bureau of the

Census New York State total population estimate

as of 7/1/74 is 18,377,900.

Circular Letter No. 7 (1976): 'Mandatory Home Health ... to the enactment of Chapter 647, ......

Documents

Transcript of Circular Letter No. 7 (1976): 'Mandatory Home Health ... to the enactment of Chapter 647, ......