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Medicaid Health Home Services for Beneficiaries with Chronic Conditions

Section 1945 of the Social Security Act created an optional Medicaid State Plan benefit for States to establish "health homes" to coordinate care for people with Medicaid who have chronic medical conditions. States receive a 90-percent enhanced Federal Medical Assistance Percentage (FMAP) for health home services valid through the first eight quarters of the program. The State option to provide health home services to eligible Medicaid beneficiaries became effective on January 1, 2011. As of May 2017, CMS has approved Medicaid State plan amendments for 21 States and the District of Columbia for health home programs. More than 1 million Medicaid beneficiaries have been enrolled in these programs. We will review Medicaid health home programs for compliance with relevant Federal and State requirements.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
September 2017 Centers for Medicare & Medicaid Services Medicaid Health Home Services for Beneficiaries with Chronic Conditions Office of Audit Services W-00-17-31524; A-02-17-00000 2019