DMHAS Behavioral Health Homes

Program Location: 
Hartford, CT
Payer Type: 
Medicaid
Payers: 
Connecticut Medicaid
Description: 

The Connecticut Behavioral Health Home model has been developed by the Department of Mental Health and Addiction Services (DMHAS) in collaboration with the Department of Social Services (DSS) and includes input from a CT BHH Workgroup with participants from various stakeholder groups, including the Connecticut Behavioral Health Partnership (CT BHP) Oversight Council and individuals in recovery and their families. 

A Behavioral Health Home is an innovative, integrated healthcare service delivery model that is recovery-oriented, person and family centered and promises better patient experience and better outcomes than those achieved in traditional services.  The Behavioral Health Home service delivery model is an important option for providing a cost-effective, longitudinal “home” to facilitate access to an inter-disciplinary array of behavioral health care, medical care, and community-based social services and supports for both adults and children with chronic conditions. 

Components of a Behavioral Health Home:
  • Comprehensive care management;
  • Care coordination;
  • Health promotion;
  • Comprehensive transitional care;
  • Individual and family support;
  • Referral to community and support services; and
  • Health information technology
Goals of Behavioral Health Home Initiative:
  • Achieve the Triple Aim of improving individual experience of care, improve population health, and reduce per capita health care costs;
  • Implement and evaluate the Behavioral Health Home model as a way to achieve accessible, high quality integrated health care;
  • Demonstrate cost-effectiveness in order to justify and support the sustainability and spread of the model;
  • Support behavioral health practice sites by increasing available primary care resources and enhancing care coordination to result in improved quality of care and patient outcomes; and
  • Decrease unnecessary inpatient hospitalization and emergency room visits.

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Payment Model: 

States participating in the 2703 Health Home demonstration qualify for 90% Federal match (FMAP) for the first 8 quarters (as compared to the standard 50% match)

  • BHH services will be billed using a statewide Per Member Per Month (PMPM) rate
  • BHH services are eligible for reimbursement for a recipient when one or more BHH services are rendered during the month
  • BHH services claimed under Medicaid must be substantiated by documentation in the individual’s service record
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