Health Homes Model
The Medicaid Health Home program is designed to coordinate healthcare and social services for Medicaid and Medicare-Medicaid dual eligible individuals with chronic conditions, including mental and behavioral health.
A Health Home provides comprehensive coordinated care to Medicaid and Medicare-Medicaid dual eligible enrollees with chronic conditions. The Health Homes model integrates primary, acute, and behavioral health services and links patients and families to non-medical services. Like the Patient-Centered Medical Home model, Health Homes seek to reduce costs and improve care quality by reducing emergency department use, hospital admissions and re-admissions, and reliance on long-term care facilities.
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
Resources for planning and implementing a Health Home program are available from the Centers for Medicare and Medicaid Services (CMS) in the Guide to Medicaid Health Home Design and Implementation. CMS also provides technical assistance with implementation.
Resources to Learn More
Health
Home Information Resource Center
Website
Provides information and resources for states interested in establishing a Medicaid Health Home State Plan
Option.
Organization(s): Centers for Medicare and Medicaid Services