The Medicaid Health Homes State Plan Option, authorized under the ACA, allows states to create Medicaid health homes that coordinate the full range of physical health, behavioral health, and community based services and supports for individuals with complex needs and chronic conditions.
The Health Homes Program will serve eligible Medi-Cal beneficiaries with multiple chronic conditions who are frequent utilizers of health care services. Health homes provide six core services:
- Comprehensive care management
- Care coordination between medical, behavioral health, and community-based long term services and supports (LTSS)
- Health promotion
- Comprehensive transitional care
- Individual and family support
- Referral to community and social support services
Implementation of the program is scheduled to begin in March 2016 with technical assistance to prepare providers and the development of health home networks. The program will be rolled-out in phases beginning in January 2017.
The first group proposed to implement the program include the following counties: Del Norte, Humboldt, Lake, Marin, Mendocino, Napa, San Francisco, Shasta, Solano, Sonoma, and Yolo (Department of Health Care Services, Health Homes for Patients with Complex Needs California Concept Paper Version 3.0; access concept paper).
The second group proposed to implement the program would begin in July 2017 and includes the following counties: Imperial, Lassen, Merced, Monterey, Orange, Riverside, San Bernardino, San Mateo, Santa Clara, Santa Cruz, Siskiyou, and Ventura.
The final phase would begin January 2018 and includes: Alameda, Fresno, Kern, Los Angeles, Sacramento, San Diego and Tulare.