Health Home eligibility criteria require patients to have one of the following:
One single qualifying chronic condition:
Physical and behavioral health criteria alone do not make all patients eligible for a Health Home. Patients must also have one of the following risk factors:
If a patient appears to meet eligibility requirements, a referral is sent to a Health Home that is contracted in the patient’s county. The Health Home will assign the patient to one of its care management agencies (CMA).The CMA will contact the patient to review the services of the Health Home program, determine if the individual meets program criteria, and the patient has the choice of enrolling or may decline.
If the patient enrolls, the Health Home Patient Information Sharing Consent Form is signed. This allows information to be shared among listed providers and the health plan.