Bridging health equity gaps with health home

Working with programs that focus on care coordination and care navigation.

What is Health home?

The Health Home Program is a free service in Washington State that helps people with Medicaid or both Medicaid and Medicare manage serious or long-term health needs. It's not a place—it’s a support program where a Care Coordinator helps you create a personal health plan, stay on top of appointments and medications, and connect with community resources like housing, food, or transportation. The goal is to make your care easier and help you live a healthier life.

Health Home Program offering

Health Home care coordination includes the same high-quality services we offer through our private pay option. You'll work with a dedicated Care Coordinator to create a personal health plan, manage appointments and medications, and get connected to the resources you need—all at no cost if you qualify.

Comprehensive Care Management

Help identify your health needs and create a personalized plan to reach your goals.

Individual and Family Support

Support you and your family, working together to help you reach your health goals.

Care Coordination

Help you stay connected with your doctors, family, and caregivers—and support you in scheduling and getting to your appointments.

Community / Social Services Support

Connect you with local resources for transportation, housing, food, and more to help you thrive.

Transitional Planning

Help you make your healthcare transition easier. They can also assist you when you leave the hospital or a place where you get care.

Health Promotion

Help you define what health means to you, then build a personalized plan with guidance and support to reach your goals.

Who’s eligibible?

The program is voluntary and available to individuals of all ages, including children and adults. If you’re unsure about your eligibility, our team can help you check and walk you through the next steps.

To qualify for the Health Home Program in Washington State, individuals must meet the following criteria:

Be a resident of Washington State

Be enrolled in Apple Health (Medicaid) or be dually eligible for both Medicaid and Medicare

Have at least one chronic condition (such as diabetes, heart disease, behavioral health needs, or substance use disorder) and at risk of a second chronic condition

Be referred through the Health Care Authority (HCA) and Department of Social and Health Services (DSHS) based on their health and risk profile

Health Home Facts

Part of Washington's Medicaid program and is designed to provide comprehensive care coordination and health services for Medicaid beneficiaries with complex medical needs.

Serves over 29,000 Medicaid beneficiaries in Washington State.

Designed to help reduce hospital admissions, emergency room visits, and other costly healthcare interventions by providing more coordinated and proactive care to patients with complex medical needs

Program structure

How it works and how Bridging Care works with the Health Home program

Washington State Health Care Authority

helps run the Health Home Program as part of the Medicaid program.

Health Insurance Companies

provide health insurance to individuals covered by government programs, such as the Health Home Program.

Bridging Care

helps you with your health through delivering the services of the Health Home Program.

You

receive the support and resources needed for a long and healthy life

Community stories: Our work in action

Meet “John”, a seasonal worker who returned to Seattle after organ failure left him unable to work or maintain stable housing. His employer provided a hotel for a month, but he still struggled to meet basic needs. Bridging Care connected him with a DSHS social worker, helping him get same-day food stamps and enroll in the Health Homes program for ongoing food and cash assistance.

Meet “Sarah”, who was falling behind on bills after a rent increase in January. Our Care Coordinator helped her apply for County Rental Assistance, and she was approved for four months of rent support. This gave her the breathing room to catch up on other expenses and regain financial stability.

Get Started on Your Journey with health home

Partnering with communities to create a better health