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Health Homes CB-CMEs

Community-Based Care Management Entities (CB-CMEs) are the frontline providers of the Health Homes Program's (HHP) required services. These agencies will conduct outreach and engagement to L.A. Care members who are HHP eligible, as well as deliver HHP services.

In most cases, the CB-CME will be the member's assigned primary care provider such as a community clinic, physician or practice. A CB-CME may subcontract with other entities or individuals as needed in order to meet the DHCS CB-CME requirements.

 

CB-CME Qualifications and Requirements

Types of organizations that can serve as CB-CMEs include providers such as community health centers, hospitals, a physician group, rural health centers and federally-qualified health centers. In order for an organization to be considered and certified as a CB-CME, it must meet the following requirements and qualifications.

Qualifications

• Strong, engaged organizational leadership who agree to participate in learning activities, including in-person sessions and regularly scheduled calls;

• Capacity to provide appropriate and timely in-person care coordination activities as needed in various settings (e.g., in-person, telephone, etc.), and assist in achieving Health Action Plan (HAP) goals;

• Accepts enrolled HHP members assigned by L.A. Care, according to the CB-CME contract with L.A. Care;

• Demonstrates engagement and cooperation with area hospitals, primary care practices and behavioral health providers through the development of agreements and processes for collaborating with the CB-CME on care coordination; and

• Ability to link members to HHP services and share relevant information with L.A. Care and other providers involved in the HHP member's care.

Requirements

• Ensure adequate care team staffing, based on staffing ratios outlined by the California Department of Health Care Services (DHCS);

• Oversee the direct delivery of core HHP services;

• Implement systematic processes and protocols to ensure member access to the multidisciplinary care team and overall care coordination;

• Collaborate with and engage HHP members in developing and maintaining a HAP that supports members in meeting their goals;

• Deliver person-centered coordination and integration of the HHP member's clinical and non-clinical physical and behavioral health care, as well as social services needs;

• Support HHP members and families with transitions of care using evidence-based planning;

• Coordinate with L.A. Care's nurse advice line, which provides 24 hours a day, seven days a week availability of information and emergency consultation services to the member; and

• Provide quality-driven, cost-effective HHP services within the member's community in a culturally competent and trauma-informed manner, addressing health disparities and improving health literacy.

 

Webinar Fridays

L.A. Care's Health Homes team hosts one hour webinars every other Friday at 12:00 p.m. Learn about HHP program operations, contracting and data and reporting.

You must register for each webinar that you would like to join. Topics are subject to change.

calendar iconJune 7:   CB-CME Open Q&A