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KanCare Behavioral Health Homes

Kansas

 
KanCare, Kansas' Medicaid program, is using the medical home model to target high-risk patients diagnosed with Serious Mental Illness (SMI). Behavioral Health Homes provide six core services: comprehensive care management; care coordination and health promotion; comprehensive transitional care (including appropriate follow-up from inpatient to other settings); individual and family support; referral to community and social support services, if relevant; and the use of health information technology to link services. An expansion of the model to serve people with chronic conditions like asthma or diabetes has been delayed.  

Partner Organizations

  • KanCare (Kansas Medicaid) Managed Care Organizations (MCOs)
  • Community providers (known as "Health Home Partners")

Target Population

Medicaid enrollees with Serious Mental Illness (SMI) and high ER utilization

Care Team

Case manager, nurse, physicians, behavioral health professionals

Timeframe

2014 - present

Results/ Studies

Peer-reviewed research showed that 2012-2013 ER use dropped 55% among the intervention group.

Funding

Federal and state prospective payments

Resources

Program announcement

Overview by the Patient-Centered Primary Care Collaborative