Health Homes Rate Setting Tool – Guidance and Instructions

This guidance document accompanies the Health Homes Rate Setting Tool developed by JSI in 2017, with generous support from The California Endowment (TCE). The tool is designed to support health center leaders in considering the costs, staffing, and infrastructure needs associated with implementing Health Homes.

Health Homes is the care management and care coordination program supported by DHCS for individuals with multiple chronic conditions; the program is expected to begin in July 2018. This tool can give health centers a starting point in negotiating rates for Health Homes services with their plans, as well as providing insight into what additional resources and staffing may be needed.

Though this was designed with the Health Homes program in mind, this tool may be useful for health centers considering other care management or care coordination initiatives. JSI, 2018.