Health Home resources
The following Health Home resources are available for health professionals involved with the Health Home program.
On this page
Information about the Health Home program
Materials and resources that can be used to educate providers and clients about the Health Homes program.
- Health Home telehealth guidance
- Fact sheet about the Health Home program
- Care Coordination: For Clients
- Health Home fact sheet - community settings
- Health Home Service Area map
- Lead Organization contact list
- Trifold brochure for Medicare and Medicaid clients
- Trifold brochure for Medicaid clients
Care coordinator guides and instructions
- Billing tiers guidelines - complete
- Billing tiers guidelines - quick reference
- Transportation services
- Interpreter services
Clinical Eligibility Tool
- Clinical Eligibility Tool
- Clinical Eligibility Tool instructions
- How the medical expenditure risk score is calculated
Forms
The following forms are available in Word and PDF format and may be available in a variety of languages including Cambodian, Chinese, Korean, Laotian, Russian, Somali, Spanish, and Vietnamese.
- Incident report
- Information sharing consent form
- Adolescent information sharing consent form
- Release of information (ROI) for substance use disorder (SUD) service form
- Participation (opt-out/decline services) form
Health Action Plan (HAP)
- Implementation (canonical) guide (revised June 2020)
Reports
Enrollment materials
- Health Home Booklet (available in 15 languages)
Tribal Health Home materials
- DTLL Tribal Health Home care coordination contract addendum-ALTSA (12-2021)
- Health Home CCOA Tribal addendum (12-2021)
Contracts and rate information
Example contracts and information about rate structure and payment rates for the Health Home program.