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
02/16/2016 2016 MO HealthNet Training Workshops Hot Tips All MO HealthNet Providers
01/12/2016 Provider Medicare Notification Letters Hot Tips All MO HealthNet Providers
01/07/2016 38-11 ASC Bulletins All MO HealthNet Providers
12/02/2015 38-17 Medicare Advantage Part C Claims Using the ASC X12 837 Transactions Bulletins All MO HealthNet Providers
12/01/2015 Periodicity Schedule for Health Children and Youth (HCY) Early Periodic Screening and Diagnosis & Treatment (EPSDT) Services Hot Tips All MO HealthNet Providers
11/17/2015 Interactive Voice Response (IVR) System Hot Tips All MO HealthNet Providers
11/03/2015 International Classification of Diseases (ICD) MO HealthNet Claim Filing Guidelines Hot Tips All MO HealthNet Providers
09/08/2015 ICD-10 is Nearly Here Hot Tips All MO HealthNet Providers
09/01/2015 Non-Emergency Medical Transportation Program Hot Tips All MO HealthNet Providers
07/30/2015 38-04 Internal Classification of Diseases ICD 10th Revision Bulletins All MO HealthNet Providers
07/06/2015 Claims Processing and Payment Schedule for Fiscal Year 2016 Hot Tips All MO HealthNet Providers
06/29/2015 37-29 Participants Annual Review Date Bulletins All MO HealthNet Providers
05/26/2015 Missouri Medicaid Audit and Compliance Screening Requirements Hot Tips All MO HealthNet Providers
05/18/2015 Missouri Medicaid Audit and Compliance Enrollment or Revalidation Process Hot Tips All MO HealthNet Providers
05/15/2015 37-21 National Correct Coding Initiative Bulletins All MO HealthNet Providers