WHAT IS AN INTEGRATED HEALTH HOME?

An Integrated Health Home (IHH) is a team of professionals working together to provide whole-person, patient-centered, coordinated care for adults with a serious mental illness (SMI) and children with a serious emotional disturbance (SED). Care coordination is provided for all aspects of the individual’s life and for transitions of care the individual may experience.

HOW DOES AN INTEGRATED HEALTH HOME SUPPORT ELIGIBLE MEMBERS?

An Integrated Health Home is responsible for: 

  • Providing an accessible, single point of coordination for an individual’s health care

  • Ensuring individuals and their families have access to timely, quality, and appropriate services and supports they need

  • Building alliances with various professionals that provide supports and services to individuals and their families

  • Providing different levels of care coordination that meet the different levels of need for individuals and their families

  • Involving multiple agencies and other partners to provide needed services and supports

  • Providing whole-person care coordination across medical, behavioral, and social services and supports

  • Providing the following core services:

    • Comprehensive care management

    • Care coordination

    • Health promotion

    • Comprehensive transitional care/follow-up

    • Patient & family support

    • Referral to community & social support services

WHO IS ELIGIBLE FOR INTEGRATED HEALTH HOME SERVICES?

  • Medicaid beneficiaries of all ages enrolled in full Medicaid, including dually eligible (individuals with Medicaid and Medicare) and

  • An adult with a Serious Mental Illness (SMI) – SMI includes a diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, major depression, or other serious mental health conditions that cause significant impairment in daily functioning; or,

  • A child or youth with a Serious Emotional Disturbance (SED) – SED includes a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria specified within the most current Diagnostic and Statistical Manual of mental disorders (DSM) that results in a functional impairment. 

MEMBERS IN THE FOLLOWING MEDICAID PROGRAMS ARE NOT ELIGIBLE FOR THE INTEGRATED HEALTH HOME:

  • Iowa Health and Wellness Plan (IHWP)*

  • Hawki

  • Family Planning Program (FPP)

  • Qualified Medicare Beneficiary

  • Special Low-Income Medicare Beneficiary

  • Program of All-Inclusive Care for the Elderly (PACE)

  • Presumptive Eligibles

 

* Members on the IHWP are eligible when the member has been determined to be Medically Exempt

 

HOW CAN A MEMBER ENROLL IN AN INTEGRATED HEALTH HOME?

It is your choice to become part of a health home. To learn more about the program or request enrollment, contact an Integrated Health Home. A list of Integrated Health Homes and the counties they serve can be found here.

Additional Resources

Integrated Health Home Brochure (Comm. 522)

Integrated Health Home Provider List  

Integrated Health Homes by County

Iowa Medicaid Member Services