Hawaii – Medical Homes

In May 2011, Hawaii Governor Neil Abercrombie announced his administration’s intent to secure medical homes for Hawaii’s 270,000 Med-QUEST (Medicaid) beneficiaries. Integrating behavioral health and social services with primary care will be a major goal of the state’s medical home efforts.

Hawaii is currently working to develop and obtain approval for a health homes state plan amendment (SPA). A State Plan Option Collaborative has been meeting to select chronic conditions to focus on, define what “health home” will mean in Hawaii, reach consensus on culturally competent health home service definitions, agree on a payment methodology, and identify key measures to track. The state is now carrying out a workplan for developing the health homes SPA.

In addition, a public-private partnership—known as the Hawaii Healthcare Project— between the Office of the Governor and Hawaii’s health care industry identified development of “Accountable Care-Like (ACO-like) Organizations” as health system transformation priorities in 2012. To learn more about accountable care activity in Hawaii, visit the Hawaii page of NASHP’s State Accountable Care Activity Map.

Federal support: Hawaii County is the recipient of a $16.1 million Beacon grant intended to improve quality, promote efficiency, and increase capacity through the use of health information technology. There are many potential synergies with medical homes and heath homes. Further information is available online.

Last Updated: April 2014

Forming Partnerships
The following groups are represented on Hawaii’s Health Homes State Plan Option Collaborative:
  • Hawaii Department of Human Services
  • Hawaii Department of Health
  • Hawaii Primary Care Association
  • Medicaid managed care plans
  • Other providers