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

 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
09/29/2021 44-18 COVID 19 Vaccine Bulletins All MO HealthNet Providers
09/28/2021 RSV Prophylaxis – Update #3 Hot Tips All MO HealthNet Providers
09/21/2021 44-14 Non Emergency Medical Transportation for Vaccines Bulletins All MO HealthNet Providers
08/27/2021 RSV Prophylaxis – Update #2 Hot Tips All MO HealthNet Providers
08/02/2021 RSV Prophylaxis - Update Hot Tips All MO HealthNet Providers
07/07/2021 RSV Prophylaxis Hot Tips All MO HealthNet Providers
04/12/2021 43-24 COVID-19 Vaccine Revised Bulletins All MO HealthNet Providers
04/12/2021 43-24 COVID 19 Vaccine Revised Bulletins All MO HealthNet Providers
03/24/2021 COVID-19: COVID Testing and Specimen Collection Codes - Revised Hot Tips All MO HealthNet Providers
03/04/2021 43-22 2021 Health Care Common Procedure Coding System Bulletins All MO HealthNet Providers
03/03/2021 43-21 Revised Monoclonal Antibody COVID 19 Infusion Bulletins All MO HealthNet Providers
02/11/2021 43-19 Money Follows the Person Program Bulletins All MO HealthNet Providers
02/08/2021 43-18 Monoclonal Antibody COVID 19 Infusion Bulletins All MO HealthNet Providers
01/19/2021 COVID-19: Radiology (Diagnosis Codes Added effective 1/1/21) Hot Tips All MO HealthNet Providers
01/13/2021 Logisticare Solutions, LLC Changes Name to ModivCare Solutions, LLC Hot Tips All MO HealthNet Providers