Developing and Implementing the Section 2703 Health Home State Option: State Strategies to Address Key Issues
The health home state option provides an enticing opportunity for states to better coordinate care for Medicaid enrollees with serious mental illness or chronic health issues. This NASHP report identifies strategies from the first four states with approved state plan amendments (MO, NY, OR, and RI) to address five key considerations that states will likely face during the development and implementation of the health home option. The five issues discussed in this paper are: coordination with existing programs, financing/payment, integrating behavioral and physical health care, sharing health data, and evaluation considerations. The Commonwealth Fund provided support for the development of this report.