Second interim evaluation of California’s Health Homes Program (HHP)
- Collection:
- Health Policy and Services Research
- Author(s):
- Pourat, Nadereh, 1959- author Chen, Xiao, author O'Masta, Brenna, author Warrick, Anna, author Haley, Leigh Ann, author Zhou, Weihao, author
- Contributor(s):
- UCLA Center for Health Policy Research, issuing body.
- Publication:
- Los Angeles, CA : UCLA Center for Health Policy Research, March 2022
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Comprehensive Health Care Managed Care Programs Medicaid Multiple Chronic Conditions -- therapy Program Evaluation California
- Genre(s):
- Technical Report
- Abstract:
- The California Department of Health Care Services (DHCS) implemented the Medi-Cal Health Homes Program (HHP) to serve eligible Medi-Cal beneficiaries with complex needs and chronic conditions. HHP was authorized under California Assembly Bill 361 and approved by Centers for Medicare and Medicaid Services under Section 2703 of the 2010 Patient Protection and Affordable Care Act. HHP was designed to provide six core services for eligible enrollees: (1) comprehensive care management; (2) care coordination; (3) health promotion; (4) comprehensive transitional care; (5) individual and family support; and (6) referral to community and social support services. DHCS selected 12 California counties where all 16 Medi-Cal managed care plans (MCPs) operating in those counties would implement HHP for their enrollees who met certain chronic condition and acuity criteria. HHP was implemented in phases by county groupings and two subsets of enrollees, with the first group implementing in July 2018 and the last group implementing in July 2020. Subsets of enrollees included those with chronic physical health conditions or substance use disorders (SUD) referred to as SPA 1 (State Plan Amendment 1) and those with severe mental illness (SMI) referred to as SPA 2. MCPs implemented SPA 2 six months after SPA 1 within each county grouping. DHCS published a program guide to ensure uniform HHP implementation, delivery of services, and reporting across all MCPs. MCPs contracted with Community-Based Care Management Entities (CB-CMEs) to deliver HHP services. MCPs enrolled eligible beneficiaries from a Targeted Engagement List (TEL) provided by DHCS but had discretion in enrolling other eligible beneficiaries.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file ( 236 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918486666606676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918486666606676