Health Homes Model
The Medicaid Health Homes program is designed to coordinate healthcare and social services for Medicaid and Medicare-Medicaid dual eligible individuals with chronic conditions and mental or behavioral health problems.
The key components of the Health Home model are:
- Comprehensive care management
- Care coordination
- Health promotion
- Comprehensive transitional care including follow-up from inpatient and other settings
- Patient and family support
- Referral to community and support services
The Rural Care Coordination Toolkit contains information about Health Homes.