Annual report of Person Centered Services, a Health Home Care Coordination Organization serving people with intellectual and developmental disabilities across 18 counties in New York.
This is the 2025 annual report of Person Centered Services, a Health Home Care Coordination Organization serving people with intellectual and developmental disabilities (I/DD) across 18 counties in New York. The report is addressed to stakeholders and community partners, and opens with a letter from CEO Alicia Fellows.
The report states that in 2025 the organization served over 18,000 members aged 1 to 99, with 70% in community settings and 30% in residential settings. It introduces a new Member Portal with 2,260 sign-ups, and describes the Member Relations Team's work with self-advocacy groups to promote empowerment and independence.
Clinical data shows 66% of members have chronic health diagnoses and 40% have mental health diagnoses. Common conditions include anxiety, ADHD/ADD, depression, heart disease, obesity, and seizure/epilepsy. The report includes member testimonials from Cori Piels, Nathan Forrestel, and Mitchell Law.
The organization employs 874 team members, with 80% serving as Care Coordinators. Clinical services include Grand Rounds roundtables, a Clinical Services Team with nursing and behavioral health experts, and 2,231 clinical referrals submitted in 2025. Care coordination metrics show 596,954 activity notes, 41,172 life plans created, 3,733 face-to-face meetings, and 1,005 new services secured.
Provider partnerships are highlighted with 50+ agencies collaborating, a Transition Expo for students ages 14-22, and a Provider Partnership meeting regularly on regulatory issues. The report also notes a 2-year Health Home Redesignation received, and the organization was selected as a 2026 Best Places to Work finalist by Buffalo Business First.