Health Home resources

Information about the Health Home program

Materials and resources that can be used to educate providers and clients about the Health Homes program.

• Frequently Asked Questions
• Fact sheet about the Health Home program
• Care Coordination: For Clients
• Information for Medical Providers
• Information for Behavioral Providers
• Information for Long Term Services and Supports
• Health Home fact sheet for residential providers
• Information for Nursing Facilities and Hospitals
• Health Home Service Area map 
• Lead Organization contact list 
• Trifold brochure for Medicare and Medicaid clients
• Trifold brochure for Medicaid clients

Care coordinator guides and instructions

• Billing tiers guidelines - complete
• Billing tiers guidelines - quick reference
• Health Home tiers, billing codes, payment amounts, and descriptions of each
• Transportation services
• Interpreter services

Clinical Eligibility Tool

• Clinical Eligibility Tool
• Clinical Eligibility Tool Instructions
• How the Medical Expenditure Risk Score is calculated

Forms

The following forms are available in Word and PDF format and may be available in a variety of languages including Cambodian, Chinese, Korean, Laotian, Russian, Somali, Spanish, and Vietnamese.

• Residential facility introduction letter Paper and Electronic
• Incident report
• Information sharing consent form
• Adolescent information sharing consent form
• Release of information (ROI) for substance use disorder (SUD) service form
• Participation (Opt-Out/Decline Services) Form
• Pediatric symptoms checklist and instructions (PSC-17)

Health Action Plan (HAP)

• Questions and answers (revised September 2017)​
• Instructions (revised September 2017)
• Implementation (canonical) guide (revised May 2018)
• Ending the HAP
• Transfer process workflow

Reports

• Duals demonstration summary
• Network Composition Report

Enrollment materials

• Health Home Booklet (available in nine languages)

Tribal Health Home materials

• Tribal Health Home overview

Contracts and rate information

Example contracts and information about rate structure and payment rates for the Health Homes program.

• Care coordination rates
• Care Coordination Rate Development
• Fee-for-service contract
• Managed care Exhibit H contract terms

Care coordinator training

• Care coordinator training: core (two-day) basic training
• Care coordinator training: ongoing training
• Care Coordinator training calendar
• Understanding managed care