Private Organization Accreditation

Lutheran Social Services of New England is a high-performing nonprofit organization. LSS is a powerful difference maker and go-to resource, driving ourselves to constantly anticipate futures that are different from the past. For 140 years, LSS has been caring for people in need in New England.


The Village for Families & Children, Inc.

Galo A. Rodriguez, M.P.H., President & CEO

COA Peer Reviewers demonstrated their expertise through their knowledge of COA standards as well as experience in the behavioral health field. In addition, COA’s seminars and tools were very helpful in guiding us through the accreditation process.
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Adults and children who receive integrated care experience improved health care quality, an improved client care experience, and improved clinical and non-clinical outcomes.


Integrated care is the systematic coordination of behavioral and physical health care in order to improve an individual’s overall health.  Integrated care programs are person- or family-centered, quality driven, trauma-informed, designed to treat the whole person, and promote recovery and wellness.  

Behavioral health providers can offer integrated care by fully integrating primary care into their existing program, establishing written agreements with a primary care provider that is located on-site, or establishing written agreements with a primary care provider that is located in the community.  

One specific model for providing integrated care is the Medicaid health home, which was established by the Patient Protection and Affordable Care Act (ACA) to coordinate health care for adults and children with chronic conditions.  The health home is a central point of contact responsible for facilitating access to and systematically coordinating an individual’s behavioral, medical, and oral health care, while making linkages to needed community and social support services.

Health home services that are eligible for federal reimbursement as authorized by the ACA include:

  1. comprehensive care management;
  2. care coordination and health promotion;
  3. comprehensive transitional care, including appropriate follow-up from inpatient to other settings;
  4. individual and family support;
  5. referral to community and social support services, as applicable; and
  6. the use of health information technology (HIT) to link services.

It should be noted that health homes and integrated care providers do not need to provide the full array of behavioral health, medical and oral health, or community and social support services.  However, they must ensure that each individual has access to coordinated health care and community and social support services either directly or by referral to a partnering provider. 

Finally, throughout the ICHH standards, the involvement of the person’s family has been emphasized due to the significant impact family engagement can have on resilience and recovery.  However, the level of family involvement will vary given the age and expressed wishes of the person and as permitted by law.

Due to the importance of family involvement in achieving positive outcomes for children, all aspects of service delivery should be family-driven when working with this population, accounting for the dynamics of the family as well as the needs of the child. Family should be defined in partnership with the child and can include the child’s birth, foster, adoptive, or kinship caregivers as appropriate.

Research Note: In order to qualify for health home services under the ACA, Medicaid eligible individuals must have

  1. two chronic conditions;
  2. one chronic condition and be at risk for a second; or
  3. one serious and persistent mental health condition.

Chronic conditions include, but are not limited to, substance use disorders, mental health conditions, asthma, diabetes, heart disease, and having a Body Mass Index (BMI) over 25.  

Note: Please see ICHH Reference List for a list of resources that informed the development of these standards.

Integrated Care; Health Homes Narrative

Self-Study Evidence
    • Provide an overview of the different programs being accredited under this section. The overview should describe:
      1. eligibility criteria;
      2. any unique or special services provided to specific populations; and
      3. major funding streams.
    • If elements of the service (e.g., health promotion activities) are provided by contract with outside programs or through participation in a formal, coordinated service delivery system, provide a list that identifies the providers and the service components for which they are responsible. Do not include services provided by referral.
    • Provide any other information you would like the peer review team to know about these programs.
    • A demographic profile of persons and families served by the programs being reviewed under this service section with percentages representing the following:
      1. racial and ethnic characteristics;
      2. gender/gender identity;
      3. age;
      4. major religious groups; and
      5. major language groups
    • As applicable, a list of groups or classes including, for each group or class:
      1. the type of activity/group;
      2. whether the activity/group is short-term or ongoing;
      3. how often the activity/group is offered;
      4. the average number of participants per session of the activity/group, in the last month; and
      5. the total number of participants in the activity/group, in the last month
    • A list of any programs that were opened, merged with other programs or services, or closed
    • A list or description of program outcomes and outputs being measured
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