WA Senior Resources
All programs
Health home · state

Washington Health Home Program

WA DSHS HCLA

A joint program of DSHS and the Washington Health Care Authority (HCA), run since 2013, focused on Medicare and Medicaid enrollees with the highest health risks. Care Coordinators develop individualized Health Action Plans and deliver six core services: comprehensive care management; care coordination across systems; health promotion and education; comprehensive transitional care and follow-up; individual and family support; and referrals to community and social services. Participation is entirely voluntary and does not replace existing services, it is an added layer of support on top of them. There is also a separate Health Home program for Tribes.

Who qualifies

Medicare and Medicaid enrollees with complex health needs and the highest health risks. Specific clinical risk thresholds are not stated on this page.

What it covers

Care coordination services including comprehensive care management, coordination across medical/behavioral health/long-term services, health promotion and education, transitional care and follow-up, individual and family support, and referrals to community and social services.

Cost

No cost mentioned to enrollees; the program is a Medicaid/Medicare-funded benefit added on top of existing services.

How to apply

Contact the DSHS Duals Integration Unit Manager or visit the Health Care Authority's Health Home information page. Eligible individuals are typically identified and outreached based on Medicare/Medicaid status and risk score.

Where to get this in Washington

7 organizations deliver this program. Coverage varies, so check the area each one serves.

  • Largest Asian American and Native Hawaiian/Pacific Islander multiservice nonprofit in the Pacific Northwest, culturally and linguistically responsive aging, behavioral health, food, and case management services in King County.

  • ACRS's multicultural senior center for adults 55+ in Seattle, activities, nutritious ethnic meals, and a welcoming space for Asian and Pacific Islander older adults.

  • Seattle-based nonprofit operating adult day health centers, in-home caregiver respite, and elder companionship programs for older adults and people with chronic illness or disability in King and Snohomish counties.

  • Statewide multicultural human-services nonprofit (founded 1972) providing in-home care, senior services, DV/survivor services, immigration & legal aid, housing, and veterans services across Western Washington.

  • Three-county AAA for Lewis, Mason, and Thurston counties offering caregiver support, in-home services, nutrition, and the Senior Farmers Market produce benefit.

  • AAA covering the Olympic Peninsula and southwest Washington coast; offers information & assistance, caregiver support, nutrition, transportation, and Medicaid case management for seniors and adults with disabilities.

  • Community Action Agency serving 12+ rural counties in eastern Washington since 1965. Runs the SAILS senior services department covering info & assistance, caregiver support, kinship care, SHIBA, senior nutrition, and tailored supports for older adults.

Source www.dshs.wa.gov/altsa/washington-health-home-program