The Health Home program is a new service available to eligible Medicaid members with chronic conditions.

The goal is to make things easier for members by increasing coordination between health providers.

Health Home services include:

  • Care management
  • Care coordination and health education
  • Transitional care
  • Individual and family support
  • Referrals to community support services
  • Use of health information technology to coordinate services

How it works

Members enrolled for Health Home services work with a personal care coordinator. Your care coordinator will help you manage all the different medical and social services you currently receive. The care coordinator can come to you and work where you are comfortable—the “Health Home” is centered on you, the member.

Health Home services do not replace or change any of the benefits you currently receive as a Medicaid member. They do not cost extra. These services are there to support you in managing your health needs. This should result in fewer hospital stays and fewer emergency room visits for you.

Eligibility

Health Home services are available for eligible individuals with Medicaid or dual coverage with Medicaid and Medicare who have chronic conditions like asthma, diabetes, cancer, and depression.

If you become eligible for Health Home services, you will receive a letter and you will be contacted by a local care coordinator. Your care coordinator will help you enroll and begin receiving services.

You may opt out of the program at any time. If you change your mind later, you may also opt back in at any time.

If you have questions about your eligibility, talk to your provider about Health Home services. You can also call our customer service at 1-800-440-1561 (TTY Relay: Dial 7-1-1), from 8 a.m. to 5 p.m. (PST) Monday through Friday.

Currently, Health Home services are available throughout Washington except for residents of King and Snohomish counties. If you live in one of these counties, CHPW may have other services that can help. Talking to your primary care provider is the best place to start.

Care Coordinators

Care coordinators are affiliated with CHPW but based in your community, so they may work for a local clinic or community-based organization.

Our care coordinators are dedicated to serving you, but if you are unhappy with your care coordinator for any reason, you can request a new contact. You can do so by talking to your current care coordinator or contacting our customer service at the number listed above.