Chronic Condition Health Home is an Iowa Medicaid program. The goal is to target members with chronic conditions, engage them in their health, coordinate their care and show improved health outcomes. The Chronic Condition Health Home program provides primary care delivered through a patient-centered medical home (PCMH) model.
Chronic Condition Health Home Learning Collaborative |
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Date: | September 13, 2022 |
Time: | (to come) |
Location: | (to come) |
Meeting Agenda: | Agenda (to come) |
Meeting Materials: | Materials (to come) |
Benefits for Providers
Benefits for Patients
The medical home approach to the delivery of primary care is:
We are excited to have you as part of our Health Home Program. A potential participation call is available for clinics that are interested. Contact the program manager at Healthhomes@dhs.state.ia.us [6] or call 515-974-3050. To enroll complete the forms below and email them to Healthhomes@dhs.state.ia.us [6]. Once the forms are processed there will be a call with your team to assist with the success of the program.
Providers must meet standards outlined by the State and seek patient centered medical home (PCMH) Recognition or Accreditation within 12 months of enrolling in the program. To facilitate a team-based, community focused approach, providers participating as a Health Home must connect to the Iowa Health Information Network (IHIN).
There are requirements to be met, called Health Home Standards [10], to be able to participate in the Health Home Program. Minimum requirements listed below:
Tools were created by MCOs and IME.
Patient Tier Assignment Tool (PTAT)
Expanded Diagnosis Clusters [21] (EDCs) are groupings of diagnostic codes that describe the same or related condition. This payment methodology from John Hopkins is used as a disease/condition marker to identify patients that are in need of health home services and the severity based on a tiering system.
Iowa Medicaid Portal Access (IMPA)
Webinars were created by MCOs and IME.
February 2022:
December 2021:
November 2021:
Provider Services Contact Information |
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800-338-7909 Toll Free
515-256-4609 (Des Moines area)
(Monday to Friday from 8:00 a.m. to 5:00 p.m. Central Time)
515-725-1155 (Fax)
Provider Services
P.O. Box 36450
Des Moines, IA IA 50315
To view member-specific contact information, please go to MCO Member-Specific Contact Information [75]. |
To subscribe to this page's updates, please Log In [76].
Links
[1] https://dhs.iowa.gov/sites/default/files/Health_Home_Happenings_October_2020_Final_0.pdf
[2] https://dhs.iowa.gov/sites/default/files/CCHH_Brochure.pdf
[3] https://dhs.iowa.gov/sites/default/files/CCHH_Provider_List%202.22.pdf
[4] https://dhs.iowa.gov/sites/default/files/CCHH_Executive_Summary_0.pdf
[5] https://dhs.iowa.gov/https%3A//dhs.iowa.gov/ime/providers/enrollment/healthhome/map
[6] mailto:Healthhomes@dhs.state.ia.us
[7] https://dhs.iowa.gov/sites/default/files/470-5100_1.pdf
[8] https://dhs.iowa.gov/sites/default/files/470-5273_HealthHomeProviderApplication.pdf?013020191736
[9] http://dhs.iowa.gov/sites/default/files/HealthHome_TransforMEDPCMHSelfAssessment.pdf
[10] http://dhs.iowa.gov/sites/default/files/HealthHome_ProviderStandards.pdf
[11] https://dhs.iowa.gov/sites/default/files/CCHH_PMPM_Billing_Guidance_Effective_January_1_2022.pdf?112920211643
[12] https://dhs.iowa.gov/sites/default/files/CCHH_Billing_Guide.pdf?122220201557
[13] https://dhs.iowa.gov/sites/default/files/CCHH_2020_SPA.pdf
[14] https://dhs.iowa.gov/sites/default/files/Chronic_Condition_Health_Homes_IA-20-10.pdf
[15] https://dhs.iowa.gov/sites/default/files/CCHH_Services_Guide.pdf
[16] https://dhs.iowa.gov/sites/default/files/CCHH_Program_Toolkit.pdf
[17] https://dhs.iowa.gov/sites/default/files/Health_Home_Learning_Collaborative_PTAT_and_Enrollment_4.22.19.pdf
[18] https://dhs.iowa.gov/sites/default/files/470-5710_0.pdf?060820222047
[19] https://dhs.iowa.gov/sites/default/files/470-5268_0.pdf
[20] https://dhs.iowa.gov/sites/default/files/470-5267_2.pdf
[21] https://dhs.iowa.gov/sites/default/files/HHExpandedDiagnosisClusters.pdf
[22] https://dhs.iowa.gov/sites/default/files/470-5116.pdf
[23] https://secureapp.dhs.state.ia.us/impa/(S(xqhqd1ej2lykcnbv00wagtww))/Default.aspx
[24] https://dhs.iowa.gov/sites/default/files/IMPA_Training_Final_12-1-21.pdf
[25] https://dhs.iowa.gov/ime/providers/tools-trainings-and-services/provider-tools/ELVS
[26] https://dhs.iowa.gov/sites/default/files/Chronic_Condition_Health_Home_Learning_Activities_and_Topics_2022_Final_5.9.22.pdf
[27] https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fattendee.gotowebinar.com%2Frecording%2F1997021400539168528&data=04%7C01%7Cmkitzma%40dhs.state.ia.us%7C6c77813e182f4b1583ff08d9f7a5e71f%7C8d2c7b4d085a4617853638a76d19b0da%7C1%7C0%7C637813114311031762%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=6L7vahW4Puu%2FZwxDP0g1R3cSJGKXf3q%2F4PoxofYWU6o%3D&reserved=0
[28] https://dhs.iowa.gov/sites/default/files/MCO_Feb2022_Trans_of_Care_CHC_SEIA.pdf
[29] https://register.gotowebinar.com/recording/3092206448665512207
[30] https://dhs.iowa.gov/sites/default/files/Value_Added_Benefits_Combined%20Final.pdf
[31] https://dhs.iowa.gov/sites/default/files/Moms_Meals_Referral_Form.pdf
[32] https://register.gotowebinar.com/recording/6378262973755727885
[33] https://dhs.iowa.gov/sites/default/files/GA_IME_PPT_2021_Final.pdf
[34] https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fattendee.gotowebinar.com%2Frecording%2F2112600959158095376&data=04%7C01%7Cmkitzma%40dhs.state.ia.us%7Ccd22afc4aa5f42c4dab108d9625f89ff%7C8d2c7b4d085a4617853638a76d19b0da%7C1%7C0%7C637648984742588539%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=MecyfXjAeyxs%2Bd%2FJA5%2FUc0PjvEut3eGlWtXX%2F9I%2FiSA%3D&reserved=0
[35] https://dhs.iowa.gov/sites/default/files/CC_Person-Centered_Philsophy_Training_8.2021_Final.pdf
[36] https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fattendee.gotowebinar.com%2Frecording%2F4158352293178806018&data=04%7C01%7Cmkitzma%40dhs.state.ia.us%7Cd47bfa84728542fee9e108d94c57e040%7C8d2c7b4d085a4617853638a76d19b0da%7C1%7C0%7C637624762564937602%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=HZ3nd5coIhQEeNYlHLz3%2FfzHwpBEX91HLdqXGsx%2Brdk%3D&reserved=0
[37] https://dhs.iowa.gov/sites/default/files/July_CCHH.pdf
[38] https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fattendee.gotowebinar.com%2Frecording%2F418387679935232015&data=04%7C01%7Cmkitzma%40dhs.state.ia.us%7C0e7b49bceef94967345608d93a55eba1%7C8d2c7b4d085a4617853638a76d19b0da%7C1%7C0%7C637604962968026096%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=tH%2BTGHYq%2BwS0RF%2F2Azk3QolMMkCWDfRvMQYfWTEnitk%3D&reserved=0
[39] https://dhs.iowa.gov/sites/default/files/AssessmentProcess_CCHH_Final.pptx.pdf
[40] https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fattendee.gotowebinar.com%2Frecording%2F5968130838918593795&data=04%7C01%7Cmkitzma%40dhs.state.ia.us%7Cd9167c93e0314e19d8bc08d91a4a2c0a%7C8d2c7b4d085a4617853638a76d19b0da%7C1%7C0%7C637569728138298202%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=DTJz64xlQwlYl%2BtrwSX78Nf%2BrVPI5IiXzWpj6UNX6vY%3D&reserved=0
[41] https://dhs.iowa.gov/sites/default/files/Transitions_of_Care_Final_5.2021_CCHH.pdf
[42] https://dhs.iowa.gov/sites/default/files/Fillable_Transition_Guidebook_0.pdf
[43] https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fattendee.gotowebinar.com%2Frecording%2F4992629828640071169&data=04%7C01%7Cmkitzma%40dhs.state.ia.us%7C8aae5eb7ada542f0b20308d9098233b3%7C8d2c7b4d085a4617853638a76d19b0da%7C1%7C0%7C637551277084976875%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=NVN55FW%2F2Y3F2vdUxp2lWOverxZuCBGMCo%2F5f3COE8o%3D&reserved=0
[44] https://dhs.iowa.gov/sites/default/files/Benefits_of_HH_Members_SMI_SED_4.26.2021_Final.pdf
[45] https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fattendee.gotowebinar.com%2Frecording%2F15196764636321027&data=04%7C01%7Cmkitzma%40dhs.state.ia.us%7C3268ed482061442b519b08d908babfba%7C8d2c7b4d085a4617853638a76d19b0da%7C1%7C0%7C637550420450328637%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=CkfYBpMa6GQQAdfBBsYwMobuxyt0swzMeVkdfISCwic%3D&reserved=0
[46] https://dhs.iowa.gov/sites/default/files/CCHH_Learning_Collaborative_Health_Home_Services_4.19.2021_Final.pdf
[47] https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fattendee.gotowebinar.com%2Frecording%2F7717564888610525698&data=04%7C01%7Cmkitzma%40dhs.state.ia.us%7Cd9868d6b879645e03c2908d900490d1d%7C8d2c7b4d085a4617853638a76d19b0da%7C1%7C0%7C637541136138983866%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=k5bJM0Q5g2Z0AtZRF9T%2FzzfbLqNS6zKQvWpk1Zw%2Fu%2B8%3D&reserved=0
[48] https://dhs.iowa.gov/sites/default/files/Collecting_and_using_your_data-Creating_action_plans_4.12.2021_0.pdf
[49] https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fattendee.gotowebinar.com%2Frecording%2F5076058571621888774&data=04%7C01%7Cmkitzma%40dhs.state.ia.us%7Cd9868d6b879645e03c2908d900490d1d%7C8d2c7b4d085a4617853638a76d19b0da%7C1%7C0%7C637541136138983866%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=RgPnmbpxKXVugYZmdsi8N3AvhRQZ%2FGO3CKuVc%2FT%2Bj7w%3D&reserved=0
[50] https://dhs.iowa.gov/sites/default/files/Power_Point_Guardians_of_Northeast_Iowa_0.pdf
[51] https://dhs.iowa.gov/sites/default/files/2021_Brochure_0.pdf
[52] https://dhs.iowa.gov/sites/default/files/2021_GUARDIANS_SCHEDULE_OF_FEES_0.pdf
[53] https://dhs.iowa.gov/sites/default/files/Guardianship_App_0.pdf
[54] https://dhs.iowa.gov/sites/default/files/210412_Guardianship_Mythbusters_%28IHH%29_0.pdf
[55] https://dhs.iowa.gov/sites/default/files/Info_Sheet-OPG_Application_Process_0.pdf
[56] https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fattendee.gotowebinar.com%2Frecording%2F4379481670923655693&data=04%7C01%7Cmkitzma%40dhs.state.ia.us%7Cbbd75cefec52465b787a08d8ed75baea%7C8d2c7b4d085a4617853638a76d19b0da%7C1%7C0%7C637520437186886039%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=gXv4pIkiCdGMHbsJL2TioJRbpsyWNNz9KQD7kn7A8Ho%3D&reserved=0
[57] https://dhs.iowa.gov/sites/default/files/PCMH_and_Health_Home_Services_CCHH_March_2021_Final.pdf
[58] https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fattendee.gotowebinar.com%2Frecording%2F1124208171483774223&data=04%7C01%7Cmkitzma%40dhs.state.ia.us%7Ce388e7ee77664717dbf608d8d75a07af%7C8d2c7b4d085a4617853638a76d19b0da%7C1%7C0%7C637496128974567972%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=YY21J1DO%2B2VYl8pSvyq0bC%2F8vLCxR28GcHtT%2F3LcyQ8%3D&reserved=0
[59] https://dhs.iowa.gov/sites/default/files/CCHH_February_15_2021.pdf
[60] https://dhs.iowa.gov/sites/default/files/Methamphetamine_studies.pdf
[61] https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fattendee.gotowebinar.com%2Frecording%2F1896145598066796560&data=04%7C01%7Cmkitzma%40dhs.state.ia.us%7C1dd7d4c325e34fcbb9b908d8c7c1cc14%7C8d2c7b4d085a4617853638a76d19b0da%7C1%7C0%7C637478982514539381%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=MWgvyPWL5GVez4o6vhEfgc3yB9S8whswNPefPM2jJOs%3D&reserved=0
[62] https://dhs.iowa.gov/sites/default/files/CCHH_Clinical_Health_Coach_Presentation.pdf
[63] https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fattendee.gotowebinar.com%2Frecording%2F8303262633227401998&data=02%7C01%7Cmkitzma%40dhs.state.ia.us%7Cf35ade98dc9743a2f55708d8510c7fb9%7C8d2c7b4d085a4617853638a76d19b0da%7C1%7C0%7C637348461401997807&sdata=%2BA1YuIAjHIzSJTgcfjDJL9liTBGWjcSFRtLBAJWLRVo%3D&reserved=0
[64] https://dhs.iowa.gov/sites/default/files/Population_Health_and_Risk_Stratification_CCHH_Final.pdf
[65] https://dhs.iowa.gov/sites/default/files/Value_Added_Benefits_Combined_CCHH_Final.pdf
[66] https://dhs.iowa.gov/sites/default/files/Health_Home_Learning_Collaborative%20Quality_Improvement_Final.pdf
[67] https://dhs.iowa.gov/sites/default/files/CCHH_Learning_Collaborative-Employment_Final.pdf
[68] https://dhs.iowa.gov/sites/default/files/Integrated_Health_Home_Overview_for_CCHH_May_31_2019.pdf?061820191441
[69] https://dhs.iowa.gov/sites/default/files/Enroll%20Disenroll%20Change%20Status%20Matrix%207.1.pdf
[70] https://dhs.iowa.gov/sites/default/files/Health%20Home%20Report%20Out%20Change%20in%20Status%20and%20Disenrollment.pdf
[71] http://dhs.iowa.gov/ime/providers/MCO-contact-info
[72] mailto:iowamedicaid@amerigroup.com
[73] https://providers.amerigroup.com/ia/Pages/ia.aspx
[74] https://www.iowatotalcare.com/
[75] https://dhs.iowa.gov/ime/about/initiatives/MedicaidModernization/MCO-member-contact
[76] https://dhs.iowa.gov/dhsuser