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Health Home

A Health Home is a team of professionals working together to provide members with care that is:

  • Patient-centered. We partner with you, providers and your family to ensure your needs are met and that you have the support you need to make decisions about your own care.
  • Comprehensive. We work with providers who focus on your physician and mental healthcare needs including prevention and wellness, acute and chronic care.
  • Coordinated. We organize your care across the health care system, including specialty care, hospitals, home health care, community services and supports.
  • Accessible. We work with you to access services with shorter waiting  times: "after hours" care, 24/7 electronic or telephone access. 
  • Committed to quality and safety. We are committed to constant improvement by using the latest technology and tools to make sure you can make informed decisions about your health.

Chronic Condition Health Homes

AmeriHealth Caritas Iowa will identify eligible members for enrollment into the Chronic Condition Health Home if they have:

  • Two or more chronic conditions from the below list:
    • Mental Health Condition
    • Substance Use Disorder
    • Asthma
    • Diabetes
    • Heart Disease
    • BMI over 25
    • Hypertension for pediatric (child) population
    • BMI over 85th percentile for pediatric (child)population
       OR
  • One  chronic condition and the risk of developing another:
    • Mental Health Condition
    • Substance Use Disorder
    • Asthma
    • Diabetes
    • Heart Disease
    • BMI over 25
    • Hypertension for pediatric (child) population
    • BMI over 85th percentile for pediatric (child) population

If you are an eligible member, you may agree to opt-in or participate in the Chronic Condition Health Home after talking with a provider in a Health Home practice about the benefits of doing so. If you agree to participate, you have a free choice of Chronic Condition Health Home providers.

AmeriHealth Caritas Iowa and the Iowa Medicaid Enterprise may also enroll members in a Health Home. Affected members will have the option to opt-out at any time.

Integrated Health Homes (IHH)

An Integrated Health Home 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).

AmeriHealth Caritas Iowa will identify eligible members for enrollment and will offer integrated health home services to:

  • Adult members with a Serious Mental Illness (SMI) – SMI includes a diagnosis of:
    • Schizophrenia.
    • Schizoaffective disorder.
    • Bipolar disorder.
    • Major depression.
    • Psychotic disorders.
    • Delusional disorder.
    • Obsessive-compulsive disorder.
    • Other serious mental health conditions that cause significant impairment in daily functioning.
  • Child members 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. SED may co-occur with substance use disorders, learning disorders, or intellectual disorders that may be a focus of clinical attention.

If you are an eligible member or guardian, you may agree to opt-in or participate in an Integrated Health Home after talking with a provider in an Integrated Health Home practice about the benefits of doing so. Members enrolled in the Children's Mental Health Waiver must be enrolled in an IHH. Members enrolled in Habilitation must be enrolled in an IHH unless they are also enrolled in a waiver. A community-based case manager will coordinate services for members enrolled in both Habilitation and a waiver. If you agree to participate, you have a free choice of Integrated Health Home providers.

AmeriHealth Caritas Iowa and the Iowa Medicaid Enterprise may also enroll members in an Integrated Health Home. Affected members will have the option to opt-out at any time.

For more information on Health Homes, call Member Services at 1-855-332-2440 (TTY 1-844-214-2471) 24 hours a day, 7 days a week.