An Integrated Health Home (IHH) is a team of professionals, including family and peer support services, 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). This includes individuals currently receiving Targeted Case Management (TCM) and Case Management through Medicaid funded Habilitation. Care coordination is provided for all aspects of the individual's life and for transitions of care the individual may experience. The IHH is required to assist individuals with their paper work and guide them through the application process for benefits for which they qualify. The IHH is required to coordinate all services for an individual, including medical, behavioral, and community services regardless of the funding sources for those services.

Integrated Health Home (IHH) Learning Collaborative 

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Register Now:    
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Learning Collaborative Topics & Activities
A list of 2023 topics for Learning Collaborative Webinars can be found here. 

Learning Collaborative Webinars Archive

Training- 1915(i) State Plan HCBS Habilitation Program Changes effective July 1, 2022

HCBS Habilitation Program Changes effective July 1, 2022 PowerPoint Presentation
Annotated CASH LOCUS CALOCUS Crosswalk 
MCO Iowa Medicaid Processes for LOCUS/CALOCUS 
CALOCUS Evaluation Report Sample 
CALOCUS Evaluation Parameters 
CALOCUS Levels of Care
LOCUS Evaluation Report Sample
LOCUS Evaluation Parameters
LOCUS Levels of Care
Frequently Asked Questions (FAQ) HCBS Habilitation Program Changes Effective July 1, 2022
Training Session Recording HCBS Habilitation Program Changes Effective July 1, 2022
Access Passcode: &pEHF23c

Health Home Providers
Integrated Health Home Provider List 
Integrated Health Homes by County 

Health Home Services
Comprehensive care management.
Care coordination.
Health promotion.
Comprehensive transitional care/follow-up.
Patient & family support.
Referral to community & social support services.

Benefits for Providers
Providers can practice more proactive, coordinated care, because of a new reimbursement structure.
More opportunities to track, coach and engage with patients.
Improved communication and coordination for better patient outcomes.
Improved utilization of health information technology.

Benefits for Patients
Better coordination and management of their often complicated and complex care.
Help navigating multiple systems.
More engagement in their own care.
Access to a wider range of services.

Integrated Health Home Standards: 
There are requirements to be met, called Health Home Standards, to be able to participate in the Health Home Program. Minimum requirements listed below:
Must be one of the following:
Community Mental Health Center
Mental Health Service Provider
Iowa licensed residential group care setting
Iowa licensed Psychiatric Medical Institution for Children (PMIC) facility
Nationally accredited by the Council on Accreditation (COA), the Joint Commission, or the Commission on Accreditation of Rehabilitation Facilities (CARF) under the accreditation standards that apply to mental health rehabilitative services. 
Provider must be able to provide community-based mental health services to the target population.
Providers must meet requirements throughout the state plan amendment.
The IHH must have either a Peer Support Specialist or Family Support Specialist.  A Peer Support Specialist is a consumer who is in recovery from a mental illness who has completed 20 hours of training approved by the lead entity and passed a competency exam based on that Peer Support training. 
Use some form of a Patient Registry.
Electronic Health Record (EHR).
Agree to participate in the Iowa Health Information Network.
Dedicated care coordinators.
Expanded hours for access.

We are excited to have you as part of our Health Home Program.

If you are interested and want to learn more: 
Email the Health Home Program Manager at 

Counties you will be serving
Population(s) you will be serving
Pediatric only
Adult only
Pediatric and Adult
Anticipated go-live date
To enroll:

Email the documents listed below to Once the documents are processed, a call will be scheduled with your team to assist with program onboarding and roll out. 

Read, understand, and sign the Health Home Provider Agreement. This agreement outlines the expectations of the Health Home.
Complete the Health Home Provider Application.
Provide your agency's accreditation or licensure documentation.

Tools were created by MCOs and IME.

Integrated Health Home Provider Manual  
Integrated Health Home Billing Guidance:
Effective January 1, 2022
Effective July 1, 2021
Effective January 1, 2021 to June 30, 2021
Effective July 1, 2020 to December 31, 2020
IMPA Access
IMPA Training
IMPA Cover Sheet
Eligibility and Verification Information System (ELVS)
Health Homes Managed Care Organizations Notification
Integrated Health Home State Plan Amendment (SPA)
Comprehensive Assessment & Social History
Comprehensive Assessment & Social History Instructions
Person-Centered Service Plan
Person-Centered Service Plan Attachment - Major Incident Review
MHDS Service Maps
Chart Review Workbook 2022 - 2023
Health Home Reporting Guide
Assessment Cover Sheet
Integrated Health Home Quality Improvement Workgroup
Information on the IHH Quality Improvement Workgroup, including meeting dates and times, can be found here. 

Health Home Communications
Open Office Hours Meeting Minutes - Archive
Health Home Happenings - Quarterly Newsletter
Health Home Happenings - Archive
Integrated Health Home Brochure (Comm. 522)
Integrated Health Home Referral Flyer

Iowa Medicaid & MCO Health Home Contact Information
Iowa Medicaid Health Home:

Amerigroup Health Home:

Iowa Total Care Health Home:


Provider Services Contact Information
P.O. Box 36450 
Des Moines, IA 50315
1-800-338-7909 (Toll Free)
515-256-4609 (Des Moines area) 
515-725-1155 (Fax) (Email)
Provider Services Webpage

Operating Hours
Monday - Friday
8:00 AM - 5:00 PM
Managed Care Organization
Provider Specific Contact Information
Amerigroup Iowa, Inc.    

Phone: 1-800-454-3730


Iowa Total Care    
Phone: 1-833-404-1061


Molina Healthcare of Iowa    
Phone: 1-844-236-0894

Operating Hours: 7:30 AM to 6:00 PM, Monday to Friday


To view member specific contact information, please go to MCO Member Specific Contact Information.

Language Accessibility

For telephone accessibility assistance if you are deaf, hard-of-hearing, deaf-blind, or have difficulty speaking, call Relay Iowa TTY at 1-800-735-2942.


Llame al 1-800-735-2942, a Relay Iowa TTY (teléfono de texto para personas con problemas de audición, del habla y ceguera) si necesita asistencia telefónicamente.


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