Medical Home & Patient-Centered Care



A medical home is an enhanced model of primary care that provides whole person, accessible, comprehensive, ongoing and coordinated patient-centered care. First advanced by the American Academy of Pediatrics in the 1960’s, the concept gained momentum in 2007 when four major physician groups agreed to a common view of the patient-centered medical home (PCMH) model defined by seven “Joint Principles.” (For more information on the “Joint Principles” please go to www.pcpcc.net.) Since 2007, NASHP has been tracking and supporting state efforts to advance medical homes for Medicaid and CHIP participants. NASHP’s medical home map allows you to click on a state to learn about its efforts. Our work is supported by The Commonwealth Fund.

As of April 2013, 43 states have adopted policies and programs to advance medical homes. Medical home activity must meet the following criteria for inclusion on this map: (1) program implementation (or major expansion or improvement) in 2006 or later; (2) Medicaid or CHIP agency participation (not necessarily leadership); (3) explicitly intended to advance medical homes for Medicaid or CHIP participants; and (4) evidence of commitment, such as workgroups, legislation, executive orders, or dedicated staff.

Over the past few years, there has been a notable increase in the number of states that are implementing medical home programs. NASHP has fostered a great deal of this work, directly providing technical assistance to 25 states since 2007. A few of our current medical home projects include:

  • NASHP is supporting four states seeking to implement multi-payer medical home programs through the Multi-Payer Medical Home Learning Collaborative: Building Primary Care Infrastructure through Public-Private Medical Home Pilots, funded by The Commonwealth Fund. This is NASHP’s fourth learning collaborative for states pursuing medical homes for Medicaid and CHIP populations.

  • NASHP is tracking and analyzing policy context and implementation activities in and across the eight states participating in the Centers for Medicare and Medicaid Services (CMS) Evaluation of the Multi-Payer Advanced Primary Care Practice (MAPCP) Five-Year Demonstration.

  • NASHP is providing summary analyses of each approved state plan amendment outlined in the 2014 Interim Report to Congress of Affordable Care Act Section 2703 Health Homes for Enrollees with Chronic Conditions funded by the Centers for Medicare & Medicaid Services.


Development and ongoing updates of this webpage would not be possible without the generous support of The Commonwealth Fund


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