MTP 1115 Waiver Renewal Virtual Community Feedback Sessions

Care Coordination

The Care Continuum Network

Achieving whole-person health means taking into account both medical conditions and the social determinants of health. This framework is the foundation of our Care Continuum Network (CCN). The CCN is an ever-expanding network of services designed to bring disparate programs together to support health—from preconception to end of life—while reducing silos and barriers.

Health Homes

Long-Term Wraparound Care for High-Risk Individuals

In partnership with the Washington State Health Care Authority, Health Homes helps seriously ill individuals of all ages navigate the larger ecosystem of care, reach health goals and improve their self-management skills.

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A man with a prosthetic leg exercising on a mechanical bike.

Community Health Action Teams

Rapid Response and Intensive Short-Term Care for Medium- to High-Risk Individuals

Patient-centered and multidisciplinary teams integrate physical and mental health expertise to provide fast, direct and personalized support and counsel to people—especially those experiencing homeslessness or substance use disorder—who need help understanding and accessing different types of medical and social services.

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Elevate Health's Pathways Program

Focused, Learning-Based Care Coordination Services for Low- and Medium-Risk Individuals

Leveraging more than 20 years of evidence, the Elevate Health's Pathways Program trains community health workers to help people navigate health and social services systems. Together, the pair select and follow customizable plans of action, called Pathways, to eliminate barriers in reaching positive health outcomes.

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A father and his middle-aged son, confidently smiling.

Advance Accessible, Coordinated, Whole-Person Care

  • Become a Health Ally

    Help advance positive change in our community as a Health Homes Care Coordinator or Pathways Community Health Worker.

    Join Us
  • Partner With Us

    We want to collaborate with your organization to support people in need, close gaps in services, and affect positive change in our community.

    Become a Partner
  • Support Our Work

    Build a better future for all Pierce County residents by contributing to the OnePierce Community Resiliency Fund.

    Learn More

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