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Health Home resources
The following Health Home resources are available for health professionals involved with the Health Home program.
On this page
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 June 2020)
- Ending the HAP
- Transfer process workflow
Reports
Enrollment materials
- Health Home Booklet (available in nine languages)
Tribal Health Home materials
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
Contact
For additional information on the Health Home program
Email: healthhomes@hca.wa.gov
For information on options counseling
Phone: 1-855-567-0252