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​​​​Health Homes Program

What Is the Health Homes Program?

The Health Homes Program (HHP) offers extra services at no cost to Medi-Cal members with certain chronic health and/or mental health issues who have high health care needs or do not have a place to live. 

The Health Homes Program is offered in the following counties:

  • Alameda
  • Imperial
  • Kern
  • Los Angeles​​
  • Orange
  • Riverside
  • Sacramento
  • San Bernardino
  • San Diego
  • San Francisco
  • Santa Clara
  • Tulare

​How Can the HHP Help You?

If you qualify, the HHP gives you health care services and other help to meet your needs. You will have a team of people that helps you with things like:
  • Making a plan to get the care you need
  • Finding doctors and making appointments
  • Keeping all your doctors updated about your health needs and wishes
  • Connecting you to community and social services that you need (like food and housing)
These extra services are offered as part of your current Medi-Cal plan.
The Medi-Cal services you get now will not change or be taken away. You can still see your same doctors, but now you can get extra help.

Who Can Get HHP Services?

To get HHP services, you must meet all 3 of these requirements:   

  1. Be enrolled in a Medi-Cal managed care health plan
  2. Have certain chronic health and/or mental health conditions
  3. Have been in the hospital, had visits to the emergency department, or do not have a place to live

If you qualify, getting HHP services is your choice.
If you have Medi-Cal and Medicare, review the following resources listed below:

​More information about who can get HHP services is listed below.

Who Provides HHP Services?

You are given your own care team that works together to help you get the services you need. Your care team will be led by a care coordinator, who is your main point of contact.

Your care team includes people you choose, like your: Doctors, specialists, nurses, pharmacists, social service case managers, caregivers, and others.

How Can You Get HHP Services?

There are 3 ways to get HHP services:
  1. Your doctor, your Medi-Cal plan, or another health care provider may contact you 
  2. Your doctor tells your Medi-Cal health plan you may qualify
  3. You can call your Medi-Cal health plan for information and to see if you qualify

What Services Does the HHP Offer?

Your care team helps you:
  1. Make a Plan to help you meet your health goals
  2. Connect and Update Your Doctors about the services you get and your needs and wishes
  3. Get Information on how to manage your health issues
  4. Move you Safely from One Care Place to Another, such as in and out of a hospital or nursing home and where you live
  5. Work with your Support People so they know how to help you
  6. Connect You to Community and Social Services such as food, housing, job training, child care, and disability-related services

Who Can Join the Health Homes Program?

Health Homes Program services are for Medi-Cal members with certain chronic health conditions. Your Medi-Cal plan may contact you if you qualify for the program. You can also call your Medi-Cal plan to find out if you qualify, or you can ask your doctor or clinic.

Do I Qualify for the Health Homes Program?

To qualify for the Health Homes Program, you have to meet all of these requirements:

1. You can answer, "yes" to at least one of the items below:

  • You have at least two of these conditions: chronic obstructive pulmonary disease (COPD), diabetes, traumatic brain injury, chronic or congestive heart failure, coronary artery disease, chronic liver disease, chronic kidney disease, dementia, or substance use disorders.
  • You have hypertension (high blood pressure) and one of these conditions: COPD, diabetes, coronary artery disease, or chronic or congestive heart failure.
  • You have one of these conditions: major depression disorders, bipolar disorder, or psychotic disorders (including schizophrenia).
  • You have asthma.

2. You can answer, "yes" to at least one of the items below:

  • You have three or more of the conditions listed under #1.
  • You stayed in the hospital in the last year.
  • You visited the emergency department three or more times in the last year.
  • You do not have a place to live.

Learn more about the HHP

  1. Call your Medi-Cal health plan. To find the phone number, check your Medi-Cal ID card or go to the Plan Directory and click on your county
  2. Call Health Care Options at (800) 430-4263 (TTY (800) 430-7077)

  3. Ask your doctor or clinic about the program.

Member Resources

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Last modified date: 4/2/2024 11:26 AM