Primary Care Health Home Initiative header

MO HealthNet's Primary Care Health Home (PCHH) initiative strives to provide intensive care coordination and care management as well as address social determinants of health for a medically complex population. One aspect of the program includes the implementation and evaluation of the Patient Centered Medical Home (PCMH) model as a means to achieve accessible, high quality primary care; demonstrate cost-effectiveness in order to validate and support the sustainability and spread of the model, and support primary care practices by increasing available resources and improving care coordination thus improving the quality of clinician work life and patient outcomes. There are currently more than 43 participating organizations with over 208 clinic sites that make up the MO HealthNet PCHH providers.

The PCHH initiative offers comprehensive care management services for Medicaid participants who have two or more chronic health conditions including anxiety, asthma, chronic pain, COPD, depression, developmental disabilities, diabetes, heart disease, obesity, substance use disorder, and tobacco use. The program also emphasizes the integration of primary care and behavioral health care in order to achieve improved health outcomes. This website provides information regarding the development and current status of Missouri’s Primary Care Health Homes. For more information regarding the Missouri Department of Mental Health (DMH) Behavioral Health Homes, this can be accessed on the DMH website: CMHC (Behavioral) Healthcare Homes.

 Resources

 State Plan Amendment (SPA) Documents

The State of Missouri provides these federal documents as a public resource. As this is a third-party publication, the State cannot alter or adjust the file to meet current WCAG 2.2 Level AA accessibility standards. To request an accessible version or an equivalent format, please contact altformatrequest@cms.hhs.gov or visit the CMS website.

 Health Home Resources

Implementation & Operation

Screening, Brief Intervention, & Referral to Treatment (SBIRT)

Community Health Worker Pilot

Patient-Centered Primary Care Medical Home

Historical Information

MO HealthNet News

The table below provides general information and updates that are relevant to this program page, as well as all MO HealthNet providers. To find information for all other MO HealthNet programs, or to search by date, program or keyword, visit the MO HealthNet News page. If you would like to receive updates in your inbox, subscribe to MO HealthNet News!
Date Volume Number Subject Type Program
03/27/2023 COVID-19: Testing and Specimen Collection Hot Tips All MO HealthNet Providers
03/27/2023 COVID-19: DME: Delivery Slip Signature Requirement Hot Tips All MO HealthNet Providers
03/03/2023 Bright Futures Hot Tips All MO HealthNet Providers
03/02/2023 How to File a Claim with MHD as the Tertiary Payer Hot Tips All MO HealthNet Providers
02/27/2023 The 2022 - 2023 Respiratory Syncytial Virus (RSV) season is winding down Hot Tips All MO HealthNet Providers
02/16/2023 Participant Annual Review Date Hot Tips All MO HealthNet Providers
02/09/2023 45-37 2023 Healthcare Common Procedure Coding System (HCPS) Bulletins All MO HealthNet Providers
01/26/2023 Annual Reviews Coming: Partners & Providers: Help Spread the Word! Hot Tips All MO HealthNet Providers
01/23/2023 2023 Relias Training Schedule Hot Tips All MO HealthNet Providers
01/10/2023 Provider Communications Interactive Voice Response (IVR) Update Hot Tips All MO HealthNet Providers
01/05/2023 45-35 Non-emergency Medical Transportation Bulletins All MO HealthNet Providers
12/29/2022 Third Party Liability Information for Providers Hot Tips All MO HealthNet Providers
12/29/2022 Care Management in Managed Care Hot Tips All MO HealthNet Providers
12/27/2022 MHD Provider Training Schedule, January – March 2023 Hot Tips All MO HealthNet Providers
12/08/2022 Vaping, Tobacco and Nicotine Treatment Hot Tips All MO HealthNet Providers