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Health Home Participants



GENERAL QUESTIONS: (Click on each question for details)

  1. What will a Health Home do to help me?
  2. Who is eligible to join a Health Home?
  3. Can I take advantage of a Health Home if I am not a Medicaid recipient?
  4. May I join a Health Home if I have both Medicaid and Medicare?
  5. May I join a Health Home if I’m on Spend-Down?
  6. If I am in Medicaid Managed Care am I eligible for the Health Home Program?
  7. Do I have a choice of who my Health Home provider is?
  8. What do I do if I decline or quit the Health Home?
  9. Will I have to change doctors if I join a Health Home?
  10. How do I know if joining the Health Home is right for me?
  11. How do I join?


  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. (Top of Page)

  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 bipolar disorder and who may have hepatitis B or C will receive a letter in the mail once the Health Home Program is ready to start.  You must also be receiving services from a provider located in Wayne, Cabell, Putnam, Kanawha, Raleigh or Mercer counties.  (Top of Page)

  3. Which providers are eligible for the Medicaid incentive payments? 
    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.  (Top of Page)

  4. May I join a Health Home if I have both Medicaid and Medicare? 
    Yes, dual eligible members may participate in the Health Home.  (Top of Page)

  5. May I join a Health Home if I’m on spend-down? 
    Yes, anyone who receives West Virginia Medicaid is eligible to participate.  (Top of Page)

  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.  (Top of Page)

  7. Do I have a choice of who my Health Home provider is? 
    Yes, initially you will be assigned a Health Home provider based on your location and your current providers. If you want a different Health Home provider you will have the opportunity to switch providers.  (Top of Page)

  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. When we send out the initial notification letter, there will be a form which you may return to us if you do not wish to participate.  (Top of Page)

  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.  (Top of Page)

  10. How do I know if joining the Health Home is right for me? 
    You will be automatically assigned to a Health Home in your area. It will be up to you whether or not you want to participate in the assigned Health Home, 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.  (Top of Page)

  11. How do join? 
    WV BMS will be sending notices to individuals who have been clinically diagnosed with bipolar disorder after the State Plan Amendment has been approved by the Centers for Medicare & Medicaid Services. If you live outside the focus region or have other conditions, bookmark this site and check back periodically for additional State Plan Amendments.  (Top of Page)

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