The Division of Developmental Disabilities Health Home (DD Health Home) is being designed in collaboration with the Missouri Department of Social Services, MO HealthNet Division. The DD Health Home is intended for individuals statewide served through the Division of DD, who have a qualifying chronic health condition, or are at higher risk of health issues or destabilization. The DD Health Home provides population health management and assists individuals with meeting their health and wellness goals while also ensuring individuals get the care they need.
- Eligibility
Individuals covered by MO HealthNet are eligible to be served by a DD HH if they have a chronic condition of Intellectual and/or Developmental Disability; and have or be at risk of developing one of the following conditions:
- Diabetes;
- Asthma;
- Cardiovascular disease or hypertension;
- Chronic Obstructive Pulmonary Disease (COPD);
- Overweight (Body Mass Index (BMI)>25);
- Dementia;
- Dependent on a ventilator;
- Tobacco use;
- Diagnosis of Autism Spectrum Disorder;
- One of the Fatal Five Plus Conditions: Pulmonary Aspiration, Bowel Obstruction, Gastroesophageal Reflux Disease (GERD), Seizures, Sepsis, Dehydration;
- Using the Health Risk Screening Tool that identifies potential risk for individuals with a Healthcare Level of 3 or greater.
- DD Health Home Forms
This section contains the forms and tools needed to complete the daily operations of a DD Health Home.
- DD HH Contact Profile Form
- DD HH Enrollment Form
- DD HH Transfer Form
- DD HH Discharge Form
- DD HH Enrollment Error Attestation Form
- DD HH Recoupment Form
- DD HH Introductory Script
- DD HH Physician Notification Letter
- DD HH Hospital Discharge Preparation Checklist
Forms must be submitted to the Division of DD at DDHHEnrollTransferDischarge@dmh.mo.gov. Please encrypt all emails containing PHI by using the State of Missouri’s Proofpoint System.
- Enrollment
The Division has identified approximately 20,000 waiver and non-waiver individuals statewide who are eligible for the DD Health Home program. Auto-enrollment phase will begin in June 2024, for DD Health Home services to start July 1, 2024. For this first quarter, approximately 5,656 eligible individuals in the Central, Springfield, and St. Louis Regional Office areas will receive an enrollment letter with DD Health Home Provider contact information. Eligible individuals will be enrolled in phases each quarter through next year.
- Stakeholder Resources
Your Individual Journey
Allison's Journey (Use Case)
Informational Flyer
Frequently Asked Questions
Talking Points for Support Coordinators
Powerpoint Update May 2024- Provider Resources
DD Health Home State Plan Amendment- CMS Approved DD HH State Plan Amendment (effective 7/1/2024)
- CMS DD HH State Plan Amendment Approval Letter
9 CSR 45-7.010 Developmental Disabilities Health Home - Emergency Rule
DD Health Home Provider Operations Manual
DD Health Home Initial Provider Application
DD Health Home Application Memo - Companion Document Info
DD Health Home PMPM Rate Chart- Schedule
The table below indicates the timeframes for the major milestones of DD Health Home program implementation by July 1, 2024:
- Other Missouri Health Homes and Resources