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?

  • 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.

  • Haven't Heard From Us Lately?

    It is important that your contact information in the Health Care Home Data Base Portal are up to date. Please take a moment to make sure the most current person we can contact at your organization is listed in the Portal. Thank you.

  • Health Care Homes/State Innovation Model: Upcoming Webinar

    Care Coordinator Burnout
    Wednesday, November 19 from Noon - 1:00 p.m. CST

    Care coordination work is stressful and, over time, can be overwhelming.  This webinar will offer strategies for preventing and addressing care coordinator burnout and working with challenging patients with mental health concerns. Presented Jennifer Butler, MSW, LICSW, Behavioral¬† Health Triage Therapist, Sanford Clinics. Registration is now open.

    For more information on upcoming webinars being offered please visit the Monthly Webinar Series page.

  • 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.

  • Minnesota Community Health Worker Alliance - Upcoming Webinar

    • Learning Session for Asthma Care Providers and Home Visiting Programs on Integrating CHW Services into Pediatric Asthma Care
      Friday, Nov. 21, at 8:00-11:00 a.m. CST
      Wilder Center, St. Paul

      This free workshop will feature Megan Sandel, MD, MPH, and Anne Walton, RN, AE-C from Boston Medical Center who will discuss the implementation and value of team-based CHW strategies to improve asthma outcomes based on their nationally-recognized Reducing Ethnic/Racial Asthma Disparities in Youth (READY) program and related work underway in New England and around the US. Register for webinar.

      More details are listed on our Education Page.

  • MAPCP Demonstration ending soon.

    In August the ending of the MAPCP Demonstration with CMS was announced. We are providing some preliminary information on the care management codes that may be used. The CMS website has information relating to the use of the final rule and care management codes.

  • Care Coordination Toolkit:

    As a part of Minnesota's Medicare Multi-payer Advanced Primary Care Practice (MAPCP) Demonstration Project, a toolkit has been developed to assist health care homes and primary care clinics in serving the complex population of seniors and persons with disabilities. For more information, please visit the Care Coordination Toolkit webpage.


  • Introduction to Health Care Homes Webinar Series

    The Health Care Homes Learning Collaborative is hosting a webinar series designed to increase knowledge of standards and help equip clinics to transform their practice into patient-centered medical homes. For more information please visit the Introduction to Health Care Homes webpage.
Updated Wednesday, November 12, 2014 at 03:04PM