The Centers for Medicare and Medicaid Services (CMS) has approved Medicaid coverage of health homes in twelve states, six of which include mental and substance use disorders as eligible chronic conditions. Learn how these states structured their health homes, especially Missouri and Rhode Island, which were the first states to receive federal approval for health home services coverage.
Designed specifically for use by community-based primary care and behavioral health providers, the report includes both a general overview of most aspects of health home service design and a detailed description of specific policy areas (e.g., use of CMS core quality measures and available reimbursement options). It also discusses the roles of quality measurement and health information technology (HIT) in a health home.
The report conveys what processes state governments may need to employ with the Substance Abuse and Mental Health Services Administration (SAMHSA) and CMS to receive consultation and approval for Medicaid health home services.