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
04/26/2019 Third Party Vendor Requesting Drug Prior Authorization Hot Tips All MO HealthNet Providers
02/15/2019 Reimbursement Issues - Pricing Inquiry Process Hot Tips All MO HealthNet Providers
02/13/2019 41-40 2019 Healthcare Common Procedure Coding System Bulletins All MO HealthNet Providers
01/31/2019 41-38 Telehealth Originating Site Reimbursement Bulletins All MO HealthNet Providers
12/17/2018 NADAC Pricing Inquiries Hot Tips All MO HealthNet Providers
12/13/2018 41-29 Medicare Crossover Claims Bulletins All MO HealthNet Providers
10/17/2018 41-25 ICD-10 Annual Updates 2018 Bulletins All MO HealthNet Providers
10/12/2018 41-24 Ordering Prescribing and Referring Provide Requirements Bulletins All MO HealthNet Providers
10/10/2018 41-22 Provider Enrollment Requirement Bulletins All MO HealthNet Providers
10/05/2018 41-20 Telehealth Telemedicine Bulletins All MO HealthNet Providers
09/24/2018 Updated EBPT Invoice Hot Tips All MO HealthNet Providers
07/16/2018 41-06 Primary Care Health Home Bulletins All MO HealthNet Providers
05/11/2018 Participants with Other Insurance Coverage Hot Tips All MO HealthNet Providers
02/02/2018 40-47 Telehealth Bulletins All MO HealthNet Providers
01/30/2018 40-45 2018 Healthcare Common Procedure Coding System Bulletins All MO HealthNet Providers