Maryland Chronic Health Homes

Health Homes for individuals with chronic conditions will augment the State's broader efforts to integrate somatic and behavioral health services. The program will target populations with behavioral health needs who are at high risk for additional chronic conditions, including those with serious persistent mental illness, serious emotional disturbance, and opioid substance use disorders. Health Homes will offer participants enhanced care coordination services from providers with whom they regularly receive care, including psychiatric rehabilitation programs, mobile treatment service providers, and opioid treatment programs. This is a community-based approach, not a residential program. Health Homes are designed to enhance person-centered care, empowering participants to manage and prevent chronic conditions in order to improve health outcomes, while reducing avoidable hospital encounters. Health Homes provide six core services, as follows:

• Comprehensive Care Management
  
• Comprehensive Transitional Care
  
• Care Coordination
  
• Individual and Family Support
  
• Health Promotion
  
• Referral to Community and Social Support

Learn more about Maryland's Health Homes here.

To identify and/or facilitate a referral to a Health Home, here are Approved Health Home Providers(updated May 2018).