Health Home Program
The Health Home Program provides care coordination of medical, behavioral health and long-term services and supports for eligible individuals of all ages, at no cost to your client. The program uses a network of local agencies that work together to help clients understand and manage their health concerns. This helps reduce dependence on emergency departments and prevents avoidable hospitalizations.
Forms and Resources
The most up-to-date versions of Health Home forms can be found on the Washington State Health Care Authority Health Home website.
Download the Health Home Frequently Asked Questions Guide.
FAQ Summary of Changes, Jan. 29, 2018
|6||Tiers, Rates, and Billing||Clarified that a Tier 2 service required a face-to face service. Billing for a Tier 2 when no face-to-face occurred is a unique circumstance and should be considered an exception. See section for more details.|
|7||Tiers, Rates, and Billing||Amerigroup does not allow for exceptions to the Tier 2 standards and requires that at least one face-to-face meeting occurs with the client in the month to allow for Tier 2 billing.|
|9||Due Diligence||Updated the Due Diligence requirements to align with the new Healthcare Authority guidance.|
|10||Consent||Added language regarding obtaining consent for an adult who is unable to provide consent and their caregiver does not have guardianship.|
|10||Opt-Out||Updates process for UHC Opt-Outs|
|11||Closing Case||Added language outlining the process to close cases in each MCO platform|
|11||Referrals||Added language the process to request record access for CHPW referrals|
Updated language about timelines of when to complete the required screenings
|14||Exiting a client||Updated reasons for exit and added language outlining the process to close a case if the client is deceased when an agency received a referral|
|15||Advanced Care Planning||Updated language indicating the HCA requirement for Advanced Care Planning|
|15||Incident Report||Added language indicating the process and requirements for completing incident reports|
|17||Interpreter Services||Strikethrough DSHS and inset Amerigroup|
Added guidance on how to outreach and engage siblings
Added language regarding Dually-Eligible clients
Prior to performing Health Home Services, Care Coordinators shall complete and maintain evidence of satisfactory completion of all applicable training requirements, in accordance with Health Home Policies and Procedures.
Training requirements include:
- The two-day, Washington State-mandated certification training. The 2017-2018 training calendar can be found here.
- Database platform trainings for each Managed Care Organization
- Annual confidentiality and data security training provided by the Care Coordinator’s agency
- Washington State mandated trainings/webinars within six months of completing the two-day certification training.