Health Care Homes (aka Medical Homes)



A "health care home," also called a "medical home," is an approach to primary care in which primary care providers, families and patients work in partnership to improve health outcomes and quality of life for individuals with chronic health conditions and disabilities.

The development of health care homes in Minnesota is part of the ground-breaking health reform legislation passed in May 2008. The legislation includes payment to primary care providers for partnering with patients and families to provide coordination of care.

What's new?

  • Call For Proposals: 2015 Health Care Home/State Innovation Model Learning Days

    Proposals are being accepted from those interested in leading a breakout session at Moving Forward Together: Building Healthy Communities, May 12-14, 2015, in St. Cloud, Minnesota. The submission deadline is January 16, 2015 at 4:00 pm CST.

  • Intensive Behavioral Therapy: Medicare's Obesity Counseling Benefit Webinar

    Date: January 14, 2015
    Time: 12:00 p.m. CST

    It’s been almost two years since Sanford Health implemented obesity counseling for a population of 120 unique patients using the Medicare intensive behavioral therapy benefit. Linda Bartholomay, LD, RLD, and Manager of Diabetes Education and Nutrition Therapy, will share Sanford’s experience with implementing a model of care, including the ins and outs of coding, billing, documentation and care coordination.

    Registration is now open.

  • Requests for Proposals for Learning Community Grants

    New opportunities are now available. The Minnesota Department of Health (MDH) is seeking proposals from qualified professionals or organizations to plan, implement, facilitate, and evaluate four Learning Communities visit the Health Reform Minnesota Learning Communities Page.


  • Newly Certified Health Care Homes

    The Minnesota Department of Health announces the following two clinics as newly certified health care homes:
  • Mayo Clinic - Employee and Community Health (Baldwin Bldg. Internal Medicine) Rochester, MN
    Mayo Clinic - Employee and Community Health (Baldwin Bldg. Pediatrics) Rochester, MN

We now have certified a total of 356 clinics.

Interactive map of all certified health care homes.

  • Learn More about our Learning Communities

    Health Care Homes funded four learning community opportunities during the last year. They focused on Community Care Coordination, Pediatric Obesity, Data Analytics and Prevention and Patient and Family Involvement. Learning Communities are intended to provide learning for primary care teams in a focused environment to improve specific aspects of care. Visit our Learning Communities page to learn more.

  • MAPCP Demonstration Project Ends December 31st, 2014

    Participating clinics may continue to submit claims for services rendered to Medicare fee-for-service beneficiaries through 12/31/2014. Please submit any remaining 2014 claims as soon as possible. Claims submitted for dates of service on or before December 31, 2014 may be submitted in 2015, but claims submitted late may be subject to late submission penalties. Any claims with of dates of service after 12/31/2014 will not be paid. To read the entire memo visit our Medicaid Demonstration/Payment Page.

    The CMS website has information relating to the use of the final rule and care management codes.

Updated Friday, December 19, 2014 at 01:12PM