What is a Behavioral Health Healthcare Home?
Missouri's Behavioral Health Healthcare Homes (BH HCH) help connect physical health care with behavioral health services for people with chronic health conditions. These programs help individuals get the services and support they need, learn how to manage their health, and improve their overall well-being.
BH HCHs track health conditions and needs, and step in when conditions are not well managed. They promote wellness, healthy lifestyles, and preventative care. They also teach individuals how to better manage chronic conditions and train staff on how to support those needs. These programs take a population health approach to improve outcomes for people served by DMH-contracted behavioral health providers.
Who is eligible?
Individuals covered by MO HealthNet are eligible for services through a Behavioral Health Healthcare Home if they meet one of the following:
- Have a serious mental illness (including children and adults receiving psychiatric rehabilitation services under the Medicaid Rehabilitation Option), or
- Have both a mental health condition and a substance use disorder, or
- Have a mental health condition or a substance use disorder, and at least one of the following chronic conditions or factors:
- Diabetes
- Asthma/COPD
- Cardiovascular Disease
- Developmental Disability
- Overweight (BM >25)
- Tobacco Use
- Complex Trauma
Disease Management (DM) Projects: (DM 3700 and SUD DM)
The Disease Management (DM) Projects: (DM 3700 and SUD DM) are a joint effort between the Department of Mental Health (DMH), Division of Behavioral Health (DBH), the Department of Social Services (DSS), MO HealthNet Division (MHD), and the Coalition for Community Behavioral Healthcare.
These projects reach out to Medicaid-eligible adults who have a serious mental illness or substance use disorder, have high medical costs, and are not currently receiving behavioral health services.
This website provides information about the development and current status of Missouri’s Behavioral Health Healthcare Homes. Information regarding Missouri’s Primary Care Health Homes can be accessed via the Department of Social Services website: Provider Information | mydss.mo.gov.
- Policies & Requirements
- Information about Missouri's Behavioral Health Healthcare Home program is available in the approved State Plan Amendment (SPA): Health Home State Plan Amendment.
- The Behavioral Health Healthcare Home Policy and Procedure Manual
- Appendix A - HCH & DM Contacts
- Appendix B - APRN Specialties for SHC
- Appendix C - HCH Medicaid Ineligible Codes
- Appendix D - MO HealthNet Eligibility Codes & Categories
- Appendix E - Eligible SMI/SED Diagnosis Codes
- Appendix F - Health Screen Components for Adults & Children/Youth
- Appendix G - Health Information Technology User Account Set Up
- Appendix H - HCH Payment Information
- HCH Measure Flow Charts
- HCH Measure Handbook
- Behavioral Health Healthcare Home standards can be found in 9 CSR 10-7: Core Rules for Psychiatric and Substance Use Disorder Programs.
Forms & Tools
- 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 Specialist within five days of a vacancy or filled position.
- CMHC HCH Enrollment Form
- CMHC HCH Transfer Form
- CMHC HCH Discharge Form
- Behavioral Health HCH Enrollment Error Attestation Form
- Behavioral Health HCH Recoupment Form
HCH General Training Tools
- HCH Q&A
- BH Healthcare Home Flyer
- Introductory Script
- HCH Letter to MO HealthNet Providers
- DMH/DBH Partnership Request Letter to Hospitals
- The Howard Narrative
- Healthcare Home and CPRC Integration
- Population Health Management Roadmap
HCH Staff Training Tools
HCH Training Links
The Missouri Behavioral Health Council 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/
- Reports & Data
Annual Reports
- 2024 MO CMHC Healthcare Home Annual Report
- 2021 MO CMHC Healthcare Home Annual Report
- 2020 MO CMHC HCH Annual Report
- 2019 MO CMHC HCH Annual Report
Awards and Recognition
- Additional Resources
FQHC Providers with Dental Clinics
Click here for a list of FQHC Providers with Dental Clinics. This list is provided by an outside entity and is updated twice per year.
Hepatitis C
- Hepatitis C Provider Pocket Guide - Swope Health implemented a Hepatitis C treatment program in 2019 and developed this guide that includes information on testing, diagnostic studies, vaccine recommendations, treatment guidelines and other helpful 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.
People at High Risk for 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
- Asthma
- Heart disease and stroke
- Diabetes
- HIV/AIDS
- Cancer
- Children with neurologic conditions
CDC Flu Resources
- Seasonal Flu Digital Campaign Toolkit – find everything you need to guide seasonal flu campaign in a variety of settings.
- Healthcare Professional Toolkit
- 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
- Operation Outbreak Graphic Novel
- Flu Resources
