The Health Home Care Coordination program is a Medicaid benefit that is available to individuals who experience higher than average health needs.
This person-centered, community-based service, is designed to provide support in identifying, accessing, and managing the various community,
individual, and state provided health services that support the continuity of care for physical, emotional, community, and developmental needs that an individual can experience..
IA Care Coordinator will meet with an enrollee in the community or hospital setting to support them within 6 domains of service
Comprehensive Care
Management Care Coordination Health Promotion Comprehensive Transitional care and follow-up Individuals and Family Support Referrals for Community and Social
Support.
Individuals who participate in the HHCC program have been shown to have stronger health outcomes and a significant reduction in Medicaid expenses.
This is a Medicaid benefit for Duel enrolled individuals (Medicaid, Medicare who do not have Medicare Part C.) There are
3 qualifiers that an individual must have to participate in the Health Home program. Medicaid Recipient There are no age restrictions for this service Providers may work with parents, guardians, or POA’s to support a person in meeting their health goals
Have a chronic condition This can be physical, emotional, or developmental
Have a PRISM score of 1.5 or higher PRISM is the Predictive Risk Intelligence System State managed database that generates a score based on information from medical, social service, behavioral health, and long-term care data directly related to a person’s care.
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