Find information about Health Home services.
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A Health Home isn't a place. It's a set of free services to support you if you have serious chronic conditions and more than one medical or social service need, including help to find and get long-term services in your community.
Health Home services can make things go more smoothly between your medical and social service support. This may help reduce visits to hospitals and emergency rooms and support your health, overall well-being, and self-care.
Health Homes provide:
- Comprehensive care management.
- Care coordination and health promotion.
- Transition planning.
- Individual and family support.
- Referral to relevant community and social support services.
- Health Home services are managed through a care coordination agency.
- The care coordinator meets with you to assist you in developing your health action plan.
- The care coordinator stays in touch with you and the agencies that support you to keep things moving along.
- If you go in and out of the hospital, the care coordinator will assist in planning your transition.
- If you have trouble getting the support you need, the care coordinator can assist you in working with providers and mental health or chemical dependency agencies to get care.
You're eligible if you:
- Are eligible for full Medicaid coverage or eligible for full Medicaid coverage and Medicare.
- Have a serious chronic condition.
- Are at risk for a second chronic condition.
- Have a serious health issue that typically requires more than one service provider.
- Additional requirements do apply.
- When a care coordinator contacts you, tell them you want to participate.
- Then, work with the care coordinator, make a Health Action Plan, and get started.
You can continue to work with the same people—the program will just add a person to help you develop and follow up on your Health Action Plan. You can continue to work with:
- Your paid caregivers.
- Your Area Agency on Aging and other case managers.
- Others you work with (for example, doctors, nurses, physical therapists, mental health counselors, and chemical dependency staff).