Health Home for Children with Medically Complex Conditions Notice of Funding Opportunity


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Today, the Centers for Medicare & Medicaid Services (CMS) released a notice of funding opportunity (NOFO) that is intended to award planning grants to states for activities related to the development of a State Plan Amendment (SPA) for children with medically complex conditions in order to plan and develop this health home model.

CMS expects state implementation of the new health home state plan option to improve care coordination for children with medically complex conditions. Section 1945A of the Social Security Act provides an opportunity for states to cover care coordination and other services that are expected to support a family-centered system of care for children with medically complex conditions and could help to improve health outcomes for these children.  By implementing the health home option, states can cover coordination of care provided by the full range of pediatric specialty and subspecialty medical services, including coordination of care and services from out-of-state providers.