What is a Health Home

A Health Home is a care management service model whereby all of an individual’s caregivers communicate with one another so that all of a patient’s needs are addressed in a comprehensive manner. This is done primarily through a “care manager” who oversees and provides access to all of the services an individual needs to assure that they receive everything necessary to stay healthy, out of the emergency room and out of the hospital. Health records are shared among providers so that services are not duplicated or neglected. Health Home services are provided through a network of organizations – providers, health plans and community-based organizations. When all the services are considered collectively they become a virtual “Health Home.”

What to expect from
a Health Home

We work closely with scores of health home partners across the region to offer comprehensive care management including family support and referrals to community and social support services

We will:

  • Assist with scheduling your appointments
  • Link you to primary care providers and help coordinate your care
  • Assist with scheduling your transportation
  • Assist you with community resources such as linkage to food, clothing and housing
  • Assist with documentation for the Department of Social Services or housing application
  • Link you to health education services such as diabetes self-management classes
  • Provide your family members with support and link them to needed services

The Health Home is a free program for qualified Medicaid patients.

Who Qualifies for a Health Home?