Health Home

As an Apple Health client you may be eligible for Health Home services. Use this page to learn more about the program and if you are eligible.

What is a Health Home?

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.

The Health Home program provides:

  • Comprehensive care management.
  • Care coordination and health promotion.
  • Transition planning.
  • Individual and family support.
  • Referral to relevant community and social support services.

How do the services work?

  • 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.

Are these services for you?

You may be 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.

Additional requirements do apply.

How do you start?

If you think you are eligible for these services, contact your Apple Health managed care plan. If you are not covered by a managed care plan, talk to your provider. 

If the Health Care Authority (HCA) determines you are eligible:

  • HCA or your managed care plan will send you information about the program.
  • 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.

Will this change the people you work with now?

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, the Department of Social and Health Services (DSHS), and other case managers.
  • Others you work with (for example, doctors, nurses, physical therapists, mental health counselors, and chemical dependency staff).

Contact

Email: healthhomes@hca.wa.gov

For more information on the Health Home program
Online:
Visit the DSHS website