HealthCare Home
  
HealthCare Home is a place where individuals can come throughout their lifetimes to have their healthcare needs identified—and the medical, behavioral and related social services and supports they need—provided or arranged for in a way that recognizes all of their needs as persons, not just patients. FCC Behavioral Health’s (FCC) HealthCare Home (HCH) services are offered at no additional cost to the person(s)-served and are an additional benefit available to Missouri Health Network participants who meet eligibility criteria for membership. HCH team members offer enhanced services focusing on the overall healthcare and wellness goals of the person. Primary care services are not provided directly through HCH, however the team works to coordinate with the Primary Care Providers (PCPs) of our members and to encourage and coordinate all types of needed services. HCH team members are available for same day access for most issues that require such, and communication with the Community Psychosocial Rehabilitation (PSR) staff is also available daily. The purpose of the HCH is to help members achieve healthier outcomes by assisting them with identification and achievement of their goals, management of their physical and behavioral health conditions, accessing medical care providers and providing healthy lifestyle and health condition education. It is also expected that healthcare costs will be reduced through care coordination across all health issues. An integrated treatment plan is utilized to ensure comprehensive and non-fragmented care for the member by the FCC team of treating professionals. The family unit/caretaker is considered and included as needed for education of health conditions, needs and goals.
 
Our goal is to take a “whole person” approach in providing health and wellness education, assuring members receive needed preventative and primary care, in assuring members with chronic physical conditions receive the medical care they need, and assisting them in managing their chronic illnesses and accessing needed community and social supports. Key result areas are promotion of healthy lifestyles, management of chronic health conditions, behavioral and primary health continuity of care, and access to healthy living educational opportunities.
 
The target population for membership consists of:
 
  • individuals with a serious and persistent mental illness
  • a mental health condition and substance use disorder, or 
  • either a mental health or substance use disorder and one other chronic health condition. 
 
FCC Behavioral Health (FCC) serves 19 counties in Southern Missouri. FCC  HealthCare Home (HCH) services does not discriminate based on racial, ethnic, gender, age, socioeconomic, or religious origin. Members served include, Youth ages 7-18 years of age and Adults 18 and over. 
  
  
Settings are provided in a group format on an outpatient basis, and individual appointments are available with Nurse Care Managers and Community Care Coordinators. Referral sources include primary care physicians, parents, self, program directors, social workers, hospitals, health clinics, psychiatrists, therapists, intake coordinators, person(s) served care coordinators, community support specialists, and others.
 
HCH services are available during the operating hours of Monday through Friday from 8:00am to 5:00pm Central Time. Crisis services are available after hours for members who are in a behavioral health crisis and need care during non-service hours through a toll free Missouri crisis hotline phone number (1-800-356-5395).
 
Office locations are at the following sites:
 
SafeHaven Facility
1201 Ely Street
Kennett, MO 63857
Phone: (573) 888-5925
 
Kennett Youth PSR 
1075 Jones Street 
Kennett, MO 63857
Phone: (573) 559-2441
 
Poplar Bluff CPRC
3001 Warrior Lane
Poplar Bluff, MO 63901
Phone: (573) 686-1200
 
Piedmont CPRC
306 Second Street
Piedmont, MO, 63957
Phone: (573) 223-4169
Kennett CPRC      
875 Highway VV     
Kennett, MO 63857
Phone: (573) 888-0642     
 
Kennett Administration          
925 Highway VV     
Kennett, MO 63857
Phone: (573) 888-5925     
 
Poplar Bluff Youth PSR
3001 Warrior Lane
Poplar Bluff, MO 63901
Phone: (573) 686-1200
 
Caruthersville Youth PSR
915 Highway 84
Caruthersville, MO 63830
Phone: (573) 333-5875
 
Specific services offered are comprehensive care management including outreach and engagement, care coordination, health promotion and education, comprehensive transitional care, individual and family support services, prevention/intervention activities, development of a person-centered treatment plan, assistance with managing health conditions, access to a family physician, or family nurse practitioner with authority to prescribe, and other healthcare providers such as optometrists, ophthalmologists, dentists, orthopedic specialists, general surgeons etc. and access to health education opportunities addressing smoking cessation, medications, nutrition, physical activity and chronic diseases such as diabetes, COPD (chronic obstructive pulmonary disease), cardiovascular disease, and obesity.
  
  
Eligibility
 
The HealthCare Home (HCH) Care Coordinator will accept the internal referral form and consider the referred person(s)-served for HCH membership by checking the following eligibility criteria:
 
  • Person(s)-served (and/or guardian) has been introduced and agrees to participate
  • Person(s)-served meets diagnosis/condition criteria
 
  • A serious and persistent mental illness (enter the primary DSM-V diagnostic code).  A serious and persistent mental illness includes a serious mental illness (SMI) for an adult and a serious emotional disturbance (SED) for children and youth.
  • A mental health condition and a substance use disorder (enter the primary DSM-V diagnostic code for both).
  • A mental health condition or a substance use disorder (enter the primary DSM-V diagnostic code for one or the other), and a chronic health condition (check the box next to at least one chronic health condition). Eligible chronic health conditions include:  Diabetes; Cardiovascular Disease; Chronic Obstructive Pulmonary Disease; Asthma: Chronic Bronchitis; Emphysema; Tobacco Use; Overweight (Body Mass Index > 25); Developmental Disability.
 
  • Person(s)-served has active Medicaid with no or minimal spend down (per agency protocol)
  • Person(s)-served has appropriate Medicaid eligibility code
  • Person(s)-served is not enrolled in another HCH (per CyberAccess)
  • For Youth (under age 18): A mental health condition and a DLA 20/CAFAS score of less than 50.
  
DMH Health Home Website
  1. Managing Director
  2. Managing Director
  3. Managing Director
  4. Managing Director
  5. Managing Director
  6. Managing Director
  7. Managing Director
HealthCare Home Director
Vicky Fairey
HealthCare Home Director
Teresa Webb
HealthCare Home Director
Alex Jefferson
Contact