If you are displaced or affected by wildfire, all Washington Apple Health and PEBB/SEBB medical plans are allowing prescription refills before the refill date.
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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.
On this page
The Health Home program is a set of free services to support you if you have a chronic condition(s) and would like the support of a care coordinator.
Health Home services can make things go more smoothly between your medical and social service supports. This may help reduce visits to hospitals and emergency departments and support your overall well-being.
The Health Home program provides:
- Comprehensive care management.
- Care coordination.
- Health promotion.
- Transition planning.
- Individual and family support.
- Referral to community and social support services.
Health Home services are provided by care coordinators who:
- Meet with you to develop your individual Health Action Plan.
- Assists in transitions of care if you are in and out of the hospital, nursing facility, or move to a new long-term care setting.
- Works with all of your providers to support your care and well-being.
You may be eligible if you:
- Are eligible for full Apple Health (Medicaid) coverage.
- Have a chronic condition.
- Are at risk for a second chronic condition.
If you think you may be eligible for these services, contact your Apple Health managed care plan. If you are not enrolled in a managed care plan, contact Washington Apple Health (Medicaid).
If the Health Care Authority (HCA) determines you are eligible, HCA or your Apple Health managed care plan will:
- Send you information about the program.
- Tell the care coordinator you want to participate when they contact you.
- Work with the care coordinator to create your Health Action Plan.
Your current medical and social service providers will not change. The Health Home program benefit includes a care coordinator to help you develop and follow up on your health goals.
You can continue to work with:
- Your personal caregivers.
- Case managers for long-term services and supports, developmental disabilities, behavioral health, and other agencies.
- Others you receive care and support from (for example, doctors, nurses, physical therapists, mental health counselors, and substance use disorder treatment staff).