Health Homes for Children with Medically Complex Conditions (SMD 22-004)
This letter provides guidance on the implementation of section 1945A of the Social Security Act
(“the Act”), enacted as part of the Medicaid Services Investment and Accountability Act of 2019
(P. L. 116-16), which authorizes states to cover an optional health home state plan benefit for
Medicaid-eligible children with medically complex conditions. Under this provision, beginning
October 1, 2022, states have the option to cover health home services for Medicaid-eligible
children with medically complex conditions as defined in section 1945A(i) of the Act.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 01, 2022
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.