What is a CMHC Healthcare Home?
Missouri's CMHC Healthcare Homes (HCH) are designed to integrate care for chronic health conditions into the CMHC setting. The CMHC HCHs assist individuals in accessing needed health services and supports, in learning to manage their health conditions, and in improving individuals’ general health by monitoring health conditions, healthcare needs and intervening when health conditions are not properly controlled or managed. HCHs promote and encourage wellness, healthy lifestyles and preventative care, educate and teach persons how to better manage their chronic health conditions, educate agency staff about chronic health conditions and how to manage them, and encourage a population health approach to help improve chronic health conditions for persons served by CMHCs.
Individuals covered by MO HealthNet are eligible to be served by a CMHC Healthcare Home if they have:
- A serious mental illness (including children and adults receiving psychiatric rehabilitation services under the Medicaid Rehabilitation Option), or
- A mental health condition and a substance use disorder, or
- A mental health condition or a substance use disorder, and one of the following chronic conditions or risk factors:
- Cardiovascular Disease
- Developmental Disability
- Overweight (BM >25)
- Use Tobacco
The Disease Management (DM) Projects: DM 3700 and SUD DM are a collaborative effort among the Department of Mental Health’s (DMH) Division of Behavioral Health (DBH), the Department of Social Services’ (DSS) MO HealthNet Division (MHD), and the Coalition for Community Behavioral Healthcare. The DM Projects outreach Medicaid-eligible adults who have a serious mental illness or substance use disorder, high medical costs, and are not currently receiving behavioral health services.
This website provides information regarding the development, and current status, of Missouri’s CMHC Healthcare Homes. Information regarding Missouri’s Primary Care Health Homes can be accessed at the following website: dss.mo.gov/mhd/cs/health-homes/
- Introduction to Missouri's CMHC Healthcare Homes
This section contains general information, achievements, and reports regarding MO CMHC Healthcare Homes (HCH).
State Plan Amendment (SPA) for Missouri's Healthcare Homes
Department of Mental Health Certification Standards
The Behavioral Health Healthcare Homes (CMHC HCH) standards can be found in Division 10 - Chapter 7: Core Rules for Psychiatric and Substance Abuse Programs beginning on page 11.
Awards and Recognition
HCH Annual Reports
- Missouri Community Mental Health Center Healthcare Home
- HCH Policy Memos and Clinical Bulletins
This section contains the policy memos, clinical bulletins, and guidelines regarding the operations of HCHs.
CMHC HCH Memos and Bulletins
- CMHC HCH Staffing Expectations memo
- Documentation of HCH Services
- Primary Care Physician Consultant (PCPC) Options for HCHs
- Billing Policies for NCMs
- Addressing Physical Health Needs of Assertive Community Treatment (ACT) Clients
- Healthcare Home Health Screenings
- Metabolic Syndrome Screening Billing and Healthcare Homes
- HCH Forms and Tools
This section contains the forms and tools needed to complete the daily operations of a HCH.
- The Healthcare Home Contact Profile Form must be completed for all new HCH hires. Staffing changes must be reported to the DBH Integrated Care Program Coordinator within five days of a vacancy or filled position.
- CMHC HCH Enrollment Form
- CMHC HCH Transfer Form
- CMHC HCH Discharge Form
Please encrypt all emails containing PHI, if you have any questions please email the DBH Integrated Care Program Coordinator at: Jessica.Bounds@dmh.mo.gov.
- HCH Training
This section contains educational information for training new staff and provides other HCH training materials.
HCH General Training Tools
- HCH 101 PowerPoint
- HCH Q&A
- CMHC Healthcare Home Flyer
- CMHC Introductory Script
- HCH Letter to MO HealthNet Providers
- HCH Introductory Letter to Hospitals
- The Howard Narrative
- Healthcare Home and CPRC Integration
- Population Health Management Roadmap
HCH Staff Training Tools
Metabolic Syndrome Screening Training Tools
Medication Reconciliation Tools
- Guidelines for Medication Reconciliation
- Medication Reconciliation Post Hospital Discharge Guidelines
HCH Training Links
The Missouri Coalition for Community Behavioral Healthcare and the Missouri Department of Mental Health are sponsoring this website for champions of health and wellness. On this website you will find health and wellness articles, news, videos, and webinars. You can find documents from trainings, meeting minutes, activities, PowerPoints, etc. https://www.wellmissouri.com/
- Seasonal Flu Information
Are you Ready to Fight Flu this Season?
- 2018-2019 was a moderate severity flu season that lasted a record-breaking 21 weeks. The best protection against flu is getting a flu vaccine.
- While the timing of flu season is unpredictable, seasonal flu activity often begins to increase in October, most commonly peaks between December and February, but can last as late as May.
CDC recommends a three-step approach to fight flu:
- Get a flu vaccine. Everyone 6 months and older should get a flu vaccine by the end of October. It takes about two weeks after vaccination for antibodies to develop in the body to protect against flu virus infection. Getting a flu vaccine every year provides the best protection against flu.
- Take everyday actions to stop the spread of germs. Try to avoid close contact with sick people, and if you become sick, limit your contact with others. Cover your nose and mouth with a tissue when you cough or sneeze, and wash your hands often.
- Take flu antiviral drugs if your doctor prescribes them. If you get sick with flu, prescription flu antiviral drugs can be used to treat flu illness. Antiviral drugs can make illness milder and shorten the time you are sick. They may also prevent serious flu complications.
Most people who get sick with flu will have mild illness, will not need medical care or antiviral drugs and will recover in less than two weeks. Some people, however, are more likely to get flu complications that can result in hospitalization and sometimes death. Pneumonia, bronchitis, sinus infections and ear infections are examples of flu-related complications. Flu also can make chronic health problems worse. For example, people with asthma may experience asthma attacks while they have flu and people with chronic congestive heart failure may experience a worsening of this condition triggered by flu. Below are the groups of people who are more likely to get serious flu-related complications if they get sick with flu.
Information for Specific High Risk Groups:
- Adults 65 and older
- Pregnant women
- Young children
- Heart disease and stroke
- Children with neurologic conditions
- Health care workers
- Seasonal Flu Digital Campaign Toolkit – find everything you need to guide seasonal flu campaign in a variety of settings.
- Communication Resources – free resources to assist in flu prevention communication and education promotion
- Print materials
- Web tools
- Widgets - CDC’s Flu widgets are interactive web tools that you can use to share influenza messages.
- Flu Vaccine finder – locates flu vaccine clinics near you, enter your zip code or city and state to find mapped locations of flu vaccine clinics \
- Med finder – search for pharmacy locations that offer antiviral flu medication you need
- Buttons and Badges
- Toolkits - CDC’s seasonal flu vaccination campaign materials are available to assist partners in communicating about the importance of vaccination. This digital toolkit includes details on events/activities, sample social media and newsletter content, graphics, web assets, and media prep material. This material is downloadable, shareable, and some of the material is customizable.
- Healthcare professional toolkit
- 2019-2020 Digital Media Tool kit
- Messaging - Use these sample newsletter blurbs as is or customize and spread the word about flu prevention to your network.
- Graphic novel
- Multi language factsheets
- Images and infographics
- Animated images
- Videos and podcasts