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New Medical Home Opportunities through Health Care Reform

The Children’s Health Insurance Program and the Affordable Care Act both have a strong focus on improving the quality of care for children and families. On this page, you can learn more about the initiatives and outcomes of medical home efforts and their relationship to these important programs.

  • AAP Advocacy and Policy Brief: Children and the Medical Home: The 2010 Affordable Care Act provided additional funds for medical home implementation for individuals with chronic health conditions, and federal grants to support community and state-led initiatives to support teams of primary care providers.
  • Health Care Reform & Medical Home: Health care reform has created new possibilities for the advancement of medical home. This page of the National Center for Medical Home Implementation Web site provides information and resources related to health care reform—the Affordable Care Act (ACA)—and its relationship to medical home. Included are four newly released plain language fact sheets for families that provide an overview of provisions of the ACA that benefit children and youth with special health care needs.
  • State Strategies to Implement the Medical Home State Option: The 2010 Affordable Care Act provides additional funding opportunities for medical home implementation for individuals with chronic conditions, but individual states are responsible for defining, regulating and coordinating medical home implementation. To assist with state development and implementation, The National Academy of State Health Policy (NASHP) outlined key strategies for states to consider. Focus is placed on coordinating with existing programs, financing structures, integration of physical and behavioral health care, and evaluation methodologies.
  • Health Care Reform Integrates Primary and Behavioral Health Care: The Substance Abuse and Mental Health Services Administration (SAMHSA) is currently providing consultation in the development, implementation and quality monitoring of medical homes. Individuals can qualify for medical home services for a severe mental health condition, or if they have two or more chronic conditions (including mental health conditions and substance abuse). SAHMSA’s focus is on the integration of primary and behavioral health services to provide continuity of care for individuals with substance abuse or mental health needs. SAMHSA has also released a guidance document that outlines key questions that need to be addressed by states implementing medical homes under the ACA Section 2703.