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Integrated Health Home

Heartland Family Service Integrated Health Home (IHH) provides care coordination for adults with a severe mental illness. Members must have full active Iowa Medicaid coverage. A team of IHH staff, including a care coordinator, a nurse care manager, and a peer support specialist, provide mental health and physical health coordination to ensure members are accessing the medical, physical, and social services they need for their recovery.

It is estimated that individuals with a severe mental illness lose approximately 30 years of life. Some of the clinical risk factors include the co-occurrence of mental health with diabetes, heart disease, Chronic Obstructive Pulmonary Disease, or other medical conditions. The IHH model is designed to improve health outcomes for people with mental illness. The team works with healthcare providers and community providers to ensure collaborative care for these individuals.

While using these services, gaps in care for each member are identified through various assessments and can include, but are not limited to, annual physicals, dental check-ups, and flu shots. Additional services can be accessed by individuals who qualify for a higher level of care. These supports include group homes, vocational services, and in-home supported community living.

Areas Served
Harrison, Mills, & Pottawattamie Counties

Eligibility & Fees
Clients must have full Iowa Medicaid coverage and a severe mental illness diagnosis
Fees: None