As a health home recipient, you are required to receive non-emergent services from your Health Home Provider (HHP). You are also required to have a referral (permission) from your HPP for non-emergent specialty and hospital services. You can receive certain services called Health Home Exempt Services from other providers without a referral from your HPP.
Health Homes Forms
Health Home recipients wishing to select or change their health home provider should submit the Health Home Selection and Change Form.
Health Home recipients have the right to say no to the Health Home Program. If recipients do not wish to participate should submit the following form. Decline to participate form
Providers wanting to propose new members to Health Homes should complete the Manual Tiering Document and fax it to (605) 773-5246 with the required supporting documentation.
Health Homes are responsible for assuring that their members receive all medically necessary care, including primary, specialty and behavioral health care. If the recipient sees another provider, they will need a referral. Community Mental Health Center Health Homes can use the CMHC Health Home Referral Form to send their recipients to another provider; they can use their electronic health record or communicate the referral telephonically. The primary Care Provider Health Homes can use the Health Home Referral Form to send their recipients to another provider; they can use their electronic health record or communicate the referral telephonically. In all instances the referral should be documentated in the recipients Electronic Health Record.