Since the contract for chronic care management services is exclusive, can my practice still refer eligible patients to Health Homes for Medicaid care coordination?

Yes. The contract for CCM services applies only to those patients that have not already been assigned to an existing Medicaid Health Home. For example, Medicare beneficiaries with both Medicare and Medicaid coverage (dual eligible enrollees) may be assigned to a Medicaid Health Home that is not affiliated with the Trinity Health Integrated Care ACO. Incidentally, your practice may refer patients to any eligible participating Medicare provider regardless of their participation with the Trinity Health Integrated Care ACO.