Missouri’s behavioral health homes have been successful in improving chronic conditions. Sixty-eight percent of Missourians with mental illness have one or more chronic physical conditions. Poor nutrition can lead to chronic health conditions that many people living with mental illness are at a high risk of developing: obesity, metabolic syndrome, hypertension, and diabetes.


What is a Health Home?

The Health Home is an alternate approach to the delivery of health care services that promises better patient experience and better results than traditional care.


What are the components of Health Homes?

  • Comprehensive care management

  • Care coordination and health promotion

  • Comprehensive transitional care including follow-up from inpatient and other settings

  • Patient and family support

  • Referral to community and support services

  • Use of health information technology to link services


What are the Goals of the Health Home Initiative?

  • Implement and evaluate the Health Home model as a way to achieve accessible, high-quality primary health care and behavioral health care

  • Demonstrate cost-effectiveness in order to justify and support the sustainability and spread of the model

  • Support primary care and behavioral care practice sites by increasing available resources and improving care coordination to result in improved quality of clinician work life and patient outcomes.


Missouri uses this initiative to reduce inpatient hospitalization and emergency room visits, enhance the amount of primary care nurse liaison staffing available at community mental health centers, add primary care physician consultation, and enhance the State’s ability to provide transitional care between institutions in the community.


Who is eligible to be served in by a Health Home?

  • Persons covered by MO HealthNet including those covered through MO HealthNet’s Managed Care Plans

  • Persons with two chronic conditions

  • Persons with one chronic condition who are also at risk for a second chronic condition

  • Persons who have one serious and persistent mental health condition


What chronic conditions qualify?

  • Serious Mental Health Condition

  • Asthma

  • Substance Use Disorders

  • Diabetes

  • Cardiovascular Disease – including hypertension

  • Overweight (BMI>25)

  • Developmental Disabilities

  • Smoking or Diabetes*

      *qualifies a person for being at risk of having a second chronic condition