This SPA updates Chronic Care Management for Individual with Serious and Persistent Mental Health Conditions to expand the Behavioral Health Home in 16 Michigan counties in Prepaid Inpatient Health Plan (PIHP) regions 3, 4, and 9, and adds F91 and F98 International Classification of Diseases (ICD-10) codes to increase eligibility for SED children and youth. This SPA also changes the required FTE for Health Home Directors from .50 to .25 per 100 beneficiaries and adds Youth Peer Support Specialist to the Health Home staffing structure. Additionally, this SPA assurance the state complies with Health Home quality reporting requirements.