The NAC Medical Clinic, a NYSDOH-licensed Article 28 Diagnostic and Treatment Center, is staffed by pediatric providers with expertise in all aspects of the contemporary practice of primary care and care coordination for children and youth with special health care needs, including children with medical complexity.  Families involved in any of NAC’s programs have access to the clinic and may consult with the NAC medical providers regarding their ongoing medical needs.

Families and their children are seen for extended, trauma-informed, culturally effective, comprehensive encounters in The Vivian & Roger Farah Comprehensive Healthcare Center in midtown Manhattan and in the NAC Mobile Medical Clinic. Medical appointments are often joined by members of the family’s case planning team, nursing and other disciplines. Starting from a foundation of family-centered care, NAC pediatric providers strive to understand and address the complex medical, emotional, psychological, societal, and structural forces that influence health. Goals for optimal health and well-being, informed by this level of understanding, are arrived at collaboratively with youth and families.

In addition to care for children and youth with special healthcare needs and children with medical complexity, NAC’s pediatric providers have expertise and experience in the fields of sexual and reproductive health, pediatric home care, pediatric palliative and hospice care, pediatric hospital medicine, developmental-behavioral pediatrics, epidemiology, bioethics, clinical research, nursing education, graduate and post-graduate medical education and more.

In-Clinic Medical Services are comprehensive and coordinated under one roof with NAC’s child welfare and other social service programs. Services include:

• Comprehensive Preventive Care in close collaboration with the community-based primary care pediatric provider staffing each child’s/youth’s “medical home”
• Comprehensive review of outside medical records with the family, youth and members of the involved teams at NAC
• Collaboration, Referral and Coordination of Care with pediatric primary and subspecialty care providers in the community and in acute care and post-acute care inpatient settings
• Support and Advocacy, together with members of the care team, to ensure access to medically necessary services in the domains of equipment, supplies, medication, nutrition, in-home personal care services, and all related services in educational settings
• Sexual and Reproductive Healthcare for youth and their family members up through 21 years of age

NAC’s wheelchair accessible Mobile Medical clinic provides access to quality community-based healthcare for children and youth with special health care needs throughout New York City. NAC is the only child welfare agency to have a mobile medical unit serving this population.  Services on our mobile clinic include:

• Medical Visits & Follow up
• Developmental-Behavioral Screening
• Care Coordination
• Preventive & Acute Care
• Confidential Adolescent Care, including Sexual & Reproductive Health Care
• Assistance with forms required for school, camp, after school, WIC and more

All children and youth whose families are enrolled in service programs at NAC are welcome to schedule appointments with the pediatric providers in the Medical Clinic. 

Services are paid for by Medicaid and most managed care plans, or provided free of charge to NAC families unable to pay.

• NAC’s pediatric providers and nurses practice contemporary, evidence-based, family-centered, trauma-informed, compassionate care in close interdisciplinary work with the case planning team.
• The extent and expertise of care and care coordination available is on par with the country’s leading multidisciplinary programs for CYSHCN and CMC.
• NAC’s collaborative relationships and professional partnerships with pediatric primary and subspecialty care providers around the NYC region is unparalleled among medical practices based in other child welfare agencies.

Families whose children and youth receive care in the Medical Clinic have access to an array of support services. Learn about the other programs and supports available to all families receiving services at NAC:

• Champions for Children’s Health
• Children and Family Treatment and Support Services (CFTSS)
• Family Mental Health Clinic
• Peter Haje Center for Autism 
• Educational Advocacy & Tutoring
• Youth Development & Mentoring Programs
• Recreational Services
• Food Bank
• Safe Haven LGBTQI+ Support