Santa Clara Family Health Plan (SCFHP) has announced the launch of the Health Homes Program (HHP), a new state-funded program for eligible Medi-Cal members with multiple chronic conditions.
HHP targets the social determinants of health that affect the most vulnerable residents of Santa Clara County. HHP services are provided through care teams, staffed by SCFHP and community-based organizations. Care teams are led by a care coordinator who helps the member navigate the healthcare system and provides care management, care coordination, health education, transitional care, connections to member and family supports, and referrals to community safety net programs.
“SCFHP recognizes that helping our members achieve good health requires us to address all of their basic needs, such as food, shelter and emotional well-being,” said SCFHP CEO Christine M. Tomcala in a press release. “The Health Homes Program allows us to expand on our holistic approach to member care and offer additional support to our members. That said, our success in helping our members gain housing is dependent upon the availability of affordable housing, which Santa Clara County is severely lacking.”
SCFHP is providing up to $400,000 in grants to Community Clinics and Community-Based Organizations (CBO) in Santa Clara County that offer HHP services to SCFHP members. Qualifying organizations will each receive $40,000 to assist in building program infrastructure and conducting outreach to prospective HHP members. These grants are in addition to regular funding for each enrolled member.
SCFHP and its partners will conduct outreach to 6,800 potentially eligible high-risk members who have multiple chronic conditions, multiple hospital admissions or emergency room visits, and a need for housing assistance. Members can also self-refer or be referred by a physician.
“We’re thrilled to launch the Health Homes Program in partnership with Gardner Health Services, North East Medical Services, Peninsula Healthcare Connection New Directions, Kaiser Permanente, and Roots Community Health Center, and to invest in the Community Clinics and CBOs as they expand their capacity to deliver care coordination that addresses the full range of a member’s health needs,” said Ms. Tomcala.