Diabetes Health Home Member Information

1. What will a Health Home do to help me?
Your Health Home team will work with the doctors who treat you now to help you:
--Manage all your medical conditions and medications.
--Remember your doctor appointments.
--Find general doctors, dentists, or other specialists for treatment.
--Understand your medical tests and what the results mean.
--Follow and understand why doctor’s instructions are important for your health.
--Work with all your doctors, counselors and specialists to support your recovery.
--Learn ways to get well and stay healthy.
--Learn how to prevent other illnesses or complications.
--Answer any health questions you have and listen to your concerns.

2. Who is eligible to join a Health Home?
Individuals who are receiving medical services through the WV Bureau for Medical Services (BMS) who have a diagnosis of diabetes, pre-diabetes, obesity and have or at risk of anxiety or depression and receive services from a provider in  Boone, Cabell, Fayette, Kanawha, Lincoln, Logan, Mason, McDowell, Mercer, Mingo, Putnam, Raleigh, Wayne or Wyoming county.

3. Can I get Health Home services if I am not a Medicaid member?
No, the Health Homes initiative is an addition to the State Medicaid Plan. If you do not have Medicaid, you do not qualify to participate in a Health Home through the Medicaid Program. You can still talk to your doctor about helping coordinate your care and referring you to other resources, like support groups, to help you manage your health.

4. May I join a Health Home if I have both Medicaid and Medicare?  
Some individuals with both Medicaid and Medicare may join a Health Home. To inquire if you are eligible for Health Home Services contact the Bureau for Medical Services at 304-558-1700.

5. May I join a Health Home if I’m on spend-down?
Yes, anyone who receives full West Virginia Medicaid benefits is eligible to participate. 
6. If I am in Medicaid Managed Care am I eligible for the Health Home Program?
Yes, members who are enrolled in one of the Medicaid Managed Care organizations are eligible for participation in the Health Home Program. Your Health Home will coordinate with your Managed Care Organization to meet your needs.

7. Do I have a choice of who my Health Home provider is?
Yes.   If you want a different Health Home provider you may switch providers at any time.  Please click here to view a list of the current Diabetes Health Home providers.
8. What do I do if I decline or quit Health Home?
You may decline or ask to be dis-enrolled from the program at any time. You can also reenroll in the program at any time. 
9. Will I have to change doctors if I join a Health Home?
No, you can keep your same doctors. Your Health Home team will work with the doctors who treat you now.  
10. How do I know if joining the Health Home is right for me?
It is up to you whether or not you want to participate in the Health Home Program, change your Health Home, or opt out of participating. You are encouraged to talk with your Health Home team, your family, friends or anyone else you want involved in your care to determine if being in a Health Home is right for you. The final decision is, of course, up to you.  
11. How do I join?
You can consult one of the current Health Home providers (see question 7
), contact the Bureau for Medical Services at 304-558-1700 or contact KEPRO at 304-343-9663.
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