Medicaid Health Homes is a program that coordinates all primary, acute, behavioral health, and long-term services for Medicaid patients that have 2 or more chronic conditions or has one serious and persistent mental health condition. Currently the Medicaid Health Homes are costing the state millions of dollars while helping fewer people than projected.
According to an article by Politico on November 13th, the Cuomo Administration is petitioning the federal government to allow the state to make changes, including to the rates providers are paid, in an effort to cut waste and improve outcomes. The states $65 billion Medicaid program pays health homes to find and engage Medicaid members that are in need, and coordinates and manages their care. Last year, New York State spent $500 million on the Health Home program which enrolled under 200,000 people into the program.
While the Health Home program has seen some success since its implementation over 5 years ago, the Cuomo Administration is looking to revamp the payment rates to providers to include a new rule that says the second month of outreach much include a face-to-face in order to receive additional payments from the state. These new rules need to be approved by the Centers of Medicare and Medicaid Services before they can go into effect.