Mandatory Home Health Care.

March 22, 1976 SUBJECT: INSURANCE Circular Letter No. 7 (1976) WITHDRAWN TO: ALL INSURERS INCLUDING ARTICLE IX-C CORPORATIONS, LICENSED TO WRITE ACCIDENT & HEALTH INSURANCE IN NEW YORK STATE SUBJECT: MANDATORY HOME HEALTH COVERAGE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 Each Adult Age 50-65 $ 4.00 All Children $ .50 (2) $ 50 deductible, 75% coinsurance Annual Premium Each Adult Age 18-49 $ 1.00 Each Adult Age 50-65 $ 2.00 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 Services Provided Name and Address of Agency Nursing Home Health  Aide Physical Therapy 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 X X X Home Care Department, St. Peter's Hospital, 315 South Manning Boulevard, Albany, New York 12208 X X X Visiting Nurse Association of 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 X X X Essex County 1974 Population - 33,800 Essex County Nursing Service, Court House, Elizabeth-town, New York 12932 X X X Franklin County 1974 Population - 42,250 Franklin County Nursing Service, 17 Brewster Street, Malone, New York 12953 X X Fulton County 1974 Population - 52,800 Fulton County Nursing Service, Fulton County Office Building, P.O. Box 415, Johnstown, New York 12095 X X 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 X X X Montgomery County 1974 Population - 55,000 Montgomery County Nursing Service, County Office Building, Park Street, Fonda, New York 12068 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 X X X Rensselaer County 1974 Population - 155,300 Home Care Department, Leonard Hospital, 4 New Turnpike Road, Troy, New York 12182 X X X Rensselaer County Health Department, Division of Nursing, 1701 Seventh Avenue, Troy, New York 12180 X X X Visiting Nurse Association of Troy, Inc., 2212 Burdett Avenue, Troy, New York 12180 X X X Saratoga County 1974 Population - 144,000 Saratoga County Public Health Nursing Service, 31 Woodlawn Avenue, Saratoga Springs, New York 12866 X X X 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 X X X Warren County 1974 Population - 51,250 Warren County Public Health Nursing Service, Warren County Municipal Center, Lake George, New York 12845 X X X Washington County 1974 Population - 52,750 Washington County Public Health Nursing Service, County Annex Building, Lower Main Street, Hudson Falls, New York 12839 X X X BUFFALO REGION Allegany County 1974 Population - 47,550 Allegany County Department of Health, Division of Nursing, R.D.# 1, Angelica, New York 14709 X X X Cattaraugus County 1974 Population - 81,300 Cattaraugus County Health Department, Home Health Agency, 302 Laurens Street, Olean, New York 14760 X X X Chautauqua County 1974 Population - 146,600 Chautauqua County Department of Health, Home Health Agency, Health & Social Services Building, Mayville, New York 14757 X X X Jamestown Visiting Nurse Association, Inc., Professional Building, Jones Hill, Jamestown, New York 14701 X X X 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 X X Visiting Nursing Association of Buffalo, New York, 1255 Delaware Avenue, Buffalo, New York 14209 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 X X X Niagara County 1974 Population - 235,500 Niagara County Health Department, Nursing Division, 525 Bewley Building, Main & Market Street, Lockport, New York 14094 X X X Orleans County 1974 Population - 38,150 Orleans County Department of Health, Home Health Agency, 151 Platt Street, Albion, New York 14411 X X X Wyoming County 1974 Population - 36,700 Wyoming County Department of Health, Home Health Agency, 338 North Main Street, Warsaw, New York 14569 X X X ROCHESTER REGION Chemung County 1974 Population - 99,900 Chemung County Department of Health, Home Health Agency, Heritage Park, John Street, Elmira, New York 14901 X X X Livingston County 1974 Population - 56,600 Livingston County Department of Health, Home Health Agency, Murray Hill Campus, Mt. Morris, New York 14510 X X X Monroe County 1974 Population - 762,000 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 X X Visiting Nurse Service of Rochester & Monroe County, 500 East Avenue, Rochester, New York 14607 X 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 X X X Seneca County 1974 Population - 34,050 Seneca County Department of Health, Division of Nursing, East Main Street, Waterloo, New York 13165 X X X 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 X Wayne County 1974 Population - 82,900 Wayne County Home Health Agency, P.O. Box 107, Lyons, New York 14489 X 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 X X 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 X X X Cayuga County 1974 Population - 79,750 Cayuga County Department of Health, Division of Nursing, 160 Genesee Street, Auburn, New York 13021 X X X Chenango County 1974 Population - 46,800 Chenango County Public Health Nursing Service, County Building, Norwich, New York 13815 X X X Cortland County 1974 Population - 47,600 Cortland County Department of Health, Division of Nursing, County Court House, Cortland, New York 13045 X X X Herkimer County 1974 Population - 67,500 Herkimer County Public Health Nursing Service, Court House, Main Street, Herkimer, New York 13350 X X X Jefferson County 1974 Population - 87,650 Jefferson County Public Health Nursing Service, 135 Park Place, Watertown, New York 13601 X X X Lewis County 1974 Population - 23,500 Lewis County Public Health Nursing Service, Court House, 7660 State Street, Lowville, New York 13367 X X X Madison County 1974 Population - 65,550 Madison County Public Health Nursing Service, County Office Building, Wampsville, New York 13163 X X X Oneida County 1974 Population - 265,250 Oneida County Health Department, Division of Nursing, County Office Building, 800 Park Avenue, Utica, New York 13501 X X X Visiting Nurse Association of Utica, Inc., Paul Building, 209 Elizabeth Street, Utica, New York 13501 X X X Onondaga County 1974 Population - 484,000 Onondaga County Department of Health, Division of Nursing, Civic Center, 421 Montgomery Street, Syracuse, New York 13202 X X X Visiting Nurse Association of Central New York, Inc., 113 E. Onondaga Street, Syracuse, New York 13202 X X X Oswego County 1974 Population - 106,800 Oswego County Department of Health, Division of Nursing, 200 North Second Street, Fulton, NY 13069 X X X 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 X X X Tioga County 1974 Population - 49,300 Tioga County Public Health Nursing Service, 56 Main Street, (2nd Floor), Owego, New York 13827 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 X X X WHITE PLAINS REGION Dutchess County 1974 Population - 226,700 Dutchess County Department of Health, Nursing Division, 22 Market Street, Poughkeepsie, New York 12601 X X X 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 X North Shore University Hospital, Home Care Department, 300 Community Drive, Manhasset, New York 11030 X X X 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 Health, Division of Public Health Nursing, 124 Main Street, Goshen, New York 10924 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 X X X Rockland County 1974 Population - 260,500 Good Samaritan Hospital, Home Care Department, Route 59, Suffern, New York 10901 X X X Nyack Hospital, Home Care Department, North Midland Avenue, Nyack, New York 10960 X X X Rockland County Department of Health, Nursing Division Sanatorium Road, Pomona, New York 10970 X X X Suffolk County 1974 Population - 1,304,000 Brookhaven Memorial Hospital, Home Care Department, 101 Hospital Road, Patchogue, New York 11772 X 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 X Visiting Nurse Service of Huntington Township, Inc., 52 Elm Street, Huntington, New York 11743 X X X Sullivan County 1974 Population - 54,850 Sullivan County Public Health Nursing Service, Infirmary Road, Box 590, Liberty, New York 12754 X X 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 X X Westchester County 1974 Population - 918,500 Associated Visiting Nurse Services, Inc., 111 Church Street, White Plains, New York 10601 X X X District Nursing Association of Northern Westchester County, 25 Moore Avenue, Mount Kisco, New York 10549 X X 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 X X New Rochelle Hospital Medical Center, Home Health Agency, 16 Guion Place, New Rochelle, New York 10801 X X X Phelps Memorial Hospital, Home Health Agency, North Broadway, North Tarrytown, New York 10591 X X X Public Health Nursing Organization of Eastchester, Inc. 69 Main Street, Tuckahoe, New York 10707 X X X St. Agnes Hospital Home Care Department, 305 North Street, White Plains, New York 10605 X X X United Hospital, Home Care Department, 406 Boston Post Road, Port Chester, New York 10573 X X X Westchester County Department of Health, Division of Nursing, Bldg. # 2, 150 Grand Street, White Plains, New York 10601 X X X White Plains Hospital, Home Care Department, 41 East Post Road, White Plains, New York 10601 X 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 X Home Care Services of Jacobi Hospital, Bronx Municipal Hospital Center, Pelham Parkway and Eastchester Road, Bronx, New York 10461 X X X Lincoln Hospital, Home Care Department, Annex I, 383 Concord Avenue, Bronx, New York 10454 X X X Misericordia Hospital Medical Center, Home Health Agency, 600 East 233rd Street, Bronx, New York 10466 X X X Montefiore Hospital and Medical Center, Home Care & Extended Services Department, 111 East 210th Street, Bronx, New York 10467 X X X Kings County 1974 Population - 2,448,100 Brookdale Hospital Medical Center, Home Care Department Linden Boulevard at Brookdale Plaza, Brooklyn, New York 11212 X X X The Brooklyn Hospital, Home Health Services, 121 DeKalb Avenue, Brooklyn, New York 11201 X X X Coney Island Hospital, Home Care Department, 2601 Ocean Parkway, Brooklyn, New York 11235 X X X Greenpoint Hospital, Home Care Department, 300 Skillman Avenue, Brooklyn, New York 11211 X X X The Jewish Hospital and Medical Center of Brooklyn, Home Care Department, 555 Prospect Place, Brooklyn, New York 11238 X X X Kings County Hospital Center, Home Care Department, 451 Clarkson Avenue, Brooklyn, New York 11203 X X Kingsbrook Jewish Medical Center, Home Care Department, 86 East 49th Street, Brooklyn, New York 11203 X X X Long Island College Hospital, Home Care Department, 340 Henry Street, Brooklyn, New York 11201 X X X Maimonides Hospital and Medical Center, Home Care Department, 4802 Tenth Avenue, Brooklyn, New York 11219 X X 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 Visiting Nurse Association of Brooklyn, Inc., 138 South Oxford Street, Brooklyn, New York 11217 X X X New York County 1974 Population - 1,440,200 Bellevue Hospital Center, Home Care Department, First Avenue and 27th Street, New York, New York 10016 X X Cabrini Health Care Center, Home Care Department, 227 East 19th Street, New York, New York 10003 X X X Gouverneur Hospital, Home Care Department, 227 Madison Street, New York, New York 10002 X X X Harlem Hospital Center, Home Health Services, 136th Street & Lenox Avenue, New York, New York 10037 X X X Lenox Hill Hospital, Home Care Department, 100 East 77th Street, New York, New York 10021 X X X Metropolitan Hospital, Home Care Department, 1901 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, New York 10025 X X X 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 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 X X X City Hospital Center at Elmhurst, Home Care Department, 79-01 Broadway, Elmhurst, New York 11373 X X X Flushing Hospital and Medical Center, Home Care Department, Parsons Boulevard & 45th Avenue, Flushing, New York 11355 X 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 X Queens Hospital Center, Home Care Department, 82-68 164th Street, Jamaica, New York 11432 X X St. John's Queens Hospital Division of the Catholic Medical Center, Home Care Department, 90-02 Queens Boulevard, Elmhurst, New York 11373 X X X Richmond County 1974 Population - 322,700 Staten Island Hospital, Home Care Department, 101 Castleton Avenue, Staten Island, New York 10301 X X X Visiting Nurse Association of Staten Island, Inc., 7 Rice Avenue, GPO Box F, Staten Island, New York 10314 X X X * 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. NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Community Nursing and Home Health Services Certified Home Health Agencies in New York State Services Provided Name and Address of Agency Speech Therapy Occupational Therapy Medical Social Service Nutrition 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 X X X Visiting Nurse Association of 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 Franklin County 1974 Population - 42,250 Franklin County Nursing Service, 17 Brewster Street, Malone, New York 12953 Fulton County 1974 Population - 52,800 X 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 X 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 Visiting Nurse Association of 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, 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, 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 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 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 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 X Monroe County 1974 Population - 762,000 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 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 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 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 X X X Cayuga County 1974 Population - 79,750 Cayuga County Department of Health, Division of Nursing, 160 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 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 Visiting Nurse Association of Utica, Inc., Paul Building, 209 Elizabeth Street, Utica, New York 13501 X Onondaga County 1974 Population - 484,000 Onondaga County Department of Health, Division of Nursing, Civic Center, 421 Montgomery Street, Syracuse, New York 13202 X X X Visiting Nurse Association of Central New York, Inc., 113 E. Onondaga Street, Syracuse, New York 13202 X X X 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 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 X 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 X X North Shore University Hospital, Home Care Department, 300 Community Drive, Manhasset, New York 11030 X X X 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 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 Brookhaven Memorial Hospital, Home Care Department, 101 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 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, New York 10801 X X X Phelps Memorial Hospital, Home Health Agency, North Broadway, North Tarrytown, New York 10591 X X 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 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 Home Care Services of Jacobi Hospital, Bronx Municipal Hospital Center, Pelham Parkway and Eastchester Road, Bronx, New York 10461 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, New York 10466 X X X Montefiore Hospital and Medical Center, Home Care & Extended Services Department, 111 East 210th Street, Bronx, New York 10467 X X X Kings County 1974 Population - 2,448,100 Brookdale Hospital Medical Center, Home Care Department Linden Boulevard at Brookdale Plaza, Brooklyn, New York 11212 X X X The Brooklyn Hospital, Home Health Services, 121 DeKalb Avenue, Brooklyn, New York 11201 X X 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, Home Care Department, 451 Clarkson Avenue, Brooklyn, New York 11203 X Kingsbrook Jewish Medical Center, Home Care Department, 86 East 49th Street, Brooklyn, New York 11203 X X X Long Island College Hospital, Home Care Department, 340 Henry Street, Brooklyn, New York 11201 X X X Maimonides Hospital and Medical Center, Home Care Department, 4802 Tenth Avenue, Brooklyn, New York 11219 X X 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 Visiting Nurse Association of 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, New York 10016 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, New York, New York 10029 X 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, New York 10025 X X X 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 - 1,962,900 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 Center, Home Care Department, 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 Division of the Catholic Medical Center, Home Care Department, 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 Visiting Nurse Association of Staten Island, Inc., 7 Rice Avenue, GPO Box F, Staten Island, New York 10314 X X X * 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. * 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.