Medical Home & Care Coordination for Families and Caregivers

Care Coordination helps assure that children and youth with special health care needs have access to services designed to minimize their disability and maximize their probability of enjoying an independent and self-sufficient life.

Care coordination creates a patient centered practice to support comprehensive delivery of services and follow-up. Coordinated care is valuable to all patient populations, but is essential for meeting the needs of children and youth with special health care needs. Following a medical home model will help improve care coordination across the services a child receives.

Health care transition is the process of changing from a pediatric to an adult model of care. While the age of legal transition is between 18 and 21, the American Academy of Pediatrics recommends that the conversations between parents, patients, and providers should start as early as 12 to 14. Health care transition services help to optimize health and assist youth in reaching their fullest potential.


Transition Resources


Staying Healthy


Health Insurance Programs







  • Advocacy Center- Provides legal representation, information and referral outreach and training