(a) The department may design one or more state plan amendments and any necessary Section 1115 waiver amendments to provide health home services to children or adults, or both, pursuant to Section 14127.1, and, considering consultation with stakeholders, shall develop the geographic criteria, beneficiary eligibility criteria, and provider eligibility criteria for each state plan amendment.
(b) Subject to federal approval for receipt of the enhanced federal reimbursement, services provided under the Health Home Program established pursuant to this article shall include all of the following:
(1) Comprehensive and individualized care management.
(2) Care coordination and health promotion, including connection to medical, mental health, and substance use disorder care.
(3) Comprehensive transitional care from inpatient to other settings, including appropriate followup.
(4) Individual and family support, including authorized representatives.
(5) Referral to relevant community and social services supports, including, but not limited to, connection to housing for participants who are homeless or unstably housed, transportation to appointments needed to manage health needs, healthy lifestyle supports, child care when appropriate, and peer recovery support.
(6) Health information technology to identify eligible individuals and link services, if feasible and appropriate.
(Added by Stats. 2013, Ch. 642, Sec. 2. (AB 361) Effective January 1, 2014.)
Last modified: October 25, 2018