Following are health home State Plan Amendments (SPAs) that have been approved by the Centers for Medicare & Medicaid Services (CMS). See also the Health Home State Plan Amendment Matrix for a summary of program design features from all approved health home SPAs.

• Alabama Health Home State Plan Amendment (approved 4/9/13)
• Idaho Health Home State Plan Amendment (approved 11/21/12)
• Iowa Health Home State Plan Amendment (approved 6/8/12)
• Maine Health Home State Plan Amendment (approved 1/22/13)
• Missouri Community Mental Health Center Health Home State Plan Amendment (approved 10/20/11)
• Missouri Primary Care Practice Health Home (PCP-HH) Clinic – State Plan Amendment (approved 12/22/11)
• New York Health Home State Plan Amendment for Individuals with Chronic Behavioral and Mental Health Conditions (Phase 3 expansion statewide:  approved 12/412)
• North Carolina Health Home State Plan Amendment (approved 5/24/12)
• Ohio Health Home State Plan Amendment (approved 9/17/12)
• Oregon Health Home State Plan Amendment (approved 3/13/12)
• Rhode Island CEDARR Family Center Health Home State Plan Amendment (approved 11/23/2011)
• Rhode Island Community Mental Health Organization Health Home State Plan Amendment (approved 11/23/2011)
• Wisconsin Health Home State Plan Amendment  (approved 10/1/12)