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
--Work with all your doctors, counselors and specialists to support your
--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
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.
8. What do I do if I decline or quit Health
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
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?
11. How do I join?
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.
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.