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.

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
10/16/2014 Participant Lock-In Hot Tips All MO HealthNet Providers
10/14/2014 Non-QMB, Medicare Part C Plan Hot Tips All MO HealthNet Providers
09/22/2014 Electronic Claim Submission Hot Tips All MO HealthNet Providers
09/15/2014 Third Party Resources Hot Tips All MO HealthNet Providers
09/02/2014 MO HealthNet Spenddown Provider Form Hot Tips All MO HealthNet Providers
07/29/2014 Bundled Value Code - Medicare UB-04 Part A Institutional Claims Hot Tips All MO HealthNet Providers
07/14/2014 Provider Participant Page Hot Tips All MO HealthNet Providers
07/08/2014 37-03 Non-Payment of State Children's Health Insurance Premium Bulletins All MO HealthNet Providers
07/07/2014 Scheduled Webinars for Listed Claims Types Hot Tips All MO HealthNet Providers
06/30/2014 Claims Processing and Payment Schedule for Fiscal Year 2015 Hot Tips All MO HealthNet Providers
06/23/2014 Contacting the Provider Education Unit Hot Tips All MO HealthNet Providers
06/19/2014 36-33 ICD-10 Delay in Implementation Date Bulletins All MO HealthNet Providers
06/09/2014 Reason Some Crossover Claims do not Process Automatically Hot Tips All MO HealthNet Providers
06/02/2014 Benefit Matrix Hot Tips All MO HealthNet Providers
05/05/2014 Participant Administrative Lock-In Hot Tips All MO HealthNet Providers