Health Home resources

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

• Duals demonstration summary

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.

• Care coordination rates
• Fee-for-service contract
• Managed care Exhibit H contract terms

Care coordinator training

• Care coordinator training: core basic training
• Care coordinator training: ongoing training
• Care Coordinator training calendar