Funds are available to assist state Medicaid agencies in planning health home programs. Section 1945 of the Social Security Act (“the Act”) was enacted by Section 2703 of the Affordable Care Act and provides authority for planning grants for states interested in health homes for individuals with chronic conditions. Section 1945A of the Act was enacted as part of the Medicaid Services Investment and Accountability Act of 2019 (P. L. 116-16) and contains authority for planning grants for states interested in health homes for children with medically complex conditions.
Interested states should submit a grant application on grants.gov describing their health home planning activities, with an estimated budget request. The following categories would be considered by CMS as appropriate planning activities:
- Hiring of personnel or contractors to determine feasibility and develop the health home program;
- Outreach initiatives to obtain consumer and provider feedback;
- Training and consultation related to designing components of any provisions of the SPA;
- Development of systems for reporting and other infrastructure building tasks; and
- Travel to accomplish such activities.
Once the grant application is approved, a state must report its approved planning activities and subsequent expenditures as directed on grants.gov.
The application materials and instructions can be found here for Section 1945 (targeting individuals with chronic conditions) planning grants.
The application materials and instructions can be found here for Section 1945A (targeting children with medically complex conditions) planning grants.