“The Medicaid health home state plan option is designed to provide a comprehensive system of care coordination across medical, behavioral, and long-term services and supports (LTSS) for Medicaid beneficiaries with chronic physical or serious mental health conditions. Individuals with serious mental illness are commonly targeted by states for enrollment in health homes because of their relatively poor health outcomes, high care coordination needs, and the high costs typically associated with serious mental illness and related comorbidities. To date, 11 of the 14 states with approved health home state plan amendments (SPAs) have included individuals with serious and persistent mental illness (SPMI) and serious emotional disturbance (SED) in the target population.”

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