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
02/20/2024 46-43 2024 HCPCs Bulletins All MO HealthNet Providers
02/01/2024 Telemedicine Billing Resource Hot Tips All MO HealthNet Providers
01/30/2024 Master Plan on Aging – Upcoming Town Halls Hot Tips All MO HealthNet Providers
01/25/2024 46-39 Provider 1099 Forms Bulletins All MO HealthNet Providers
01/25/2024 General Provider Resource Hot Tips All MO HealthNet Providers
12/28/2023 Prior Authorization for Your Patient’s Medications Hot Tips All MO HealthNet Providers
12/20/2023 New Missouri Tobacco Quitline Services in 2024 Hot Tips All MO HealthNet Providers
12/20/2023 MO HealthNet making the following changes to the Preferred Drug Listing for Insulin Agents Hot Tips All MO HealthNet Providers
11/20/2023 Payment Error Rate Measurement (PERM) Audit Hot Tips All MO HealthNet Providers
11/15/2023 It's almost time for HealthHelp's Provider Satisfaction Survey. Hot Tips All MO HealthNet Providers
11/14/2023 2023 Great American SmokeOut Hot Tips All MO HealthNet Providers
10/13/2023 Optimizing MO's Managed Care Plan Benefits for Maternal and Infant Health November 13, 2023 Hot Tips All MO HealthNet Providers
10/10/2023 46-20 ICD-10 Annual Updates Bulletins All MO HealthNet Providers
09/19/2023 Upcoming Relias Webinars Hot Tips All MO HealthNet Providers
09/01/2023 New Provider Manual for All MO HealthNet Providers Hot Tips All MO HealthNet Providers