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.

The MO HealthNet PCHH initiative currently has 36 providers with over 130 sites. A complete list of Primary Care Health Home providers and sites can be found in the Featured Links section.

The PCHH initiative offers comprehensive care management services for Medicaid participants who have two or more chronic health conditions including asthma/COPD, behavioral health conditions (anxiety, depression, substance use disorder), developmental disabilities, heart disease, overweight, and tobacco use. Participants can also be enrolled with just one of these conditions: pediatric asthma, diabetes or obesity.

The Health Home Resources page has more information and documents used in implementing the PCHH initiative.

This website provides information regarding the development and current status of Missouri's Primary Care Health Homes. For more information, see Missouri's CMHC (behavioral) Healthcare Homes, contact Natalie Cook, or call (573) 526-3683.


MHD is expanding its PCHH initiative.  The goals of the initiative are to:

  • Continue to implement and evaluate the Patient-Centered Health Home (PCHH) model as a means to achieve accessible, high quality primary care;
  • Demonstrate cost effectiveness in order to justify 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.

The Missouri Department of Social Services (DS) currently has 36 providers participating in this initiative and seeks applications from additional primary care practice sites comprised of licensed physicians, collaborating with other licensed healthcare professionals, including nurse practitioners and physician assistants, to serve as Health Homes for MO HealthNet eligible participants.  The application to be considered as a Health Home provider, and instructions for its completion, are available here.  All applications must be submitted by August 31, 2018.

Questions about the application can be submitted by email through August 10, 2018.  The MHD will host a Webinar at 10:30 AM on Monday, August 13, 2018, to answer questions and provide additional information to interested providers.  Details of the Webinar are as follows.

MO HealthNet will host a Webinar on Monday, August 13th from 10:30 to 11:30 a.m. offering further discussion and an opportunity for interested providers to gain additional information.

To access the Webinar:

Click on this link for computer video: Join WebEx meeting

Meeting number (access code): 807 786 571

For audio connection, join by phone: 1-650-479-3207 Call-in toll number (US/Canada)

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