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This second report on the long-term evaluation of Medicaid health homes, provides an overview of the program and evaluation, describes programs in 11 states, and summarizes cross-cutting qualitative findings. The Urban Institute is conducting the five-year evaluation for the DHHS Assistant Secretary of Planning and Evaluation. Health homes, created in the Affordable Care Act, is an optional benefit for high-need, high-cost beneficiaries with chronic physical conditions or serious mental illness. Distinctive model features are the focus on comprehensive management of clinical and nonclinical services for persons with specific conditions, the variety of providers who may be health homes, and the elevated emphasis on integrating physical and behavioral/mental health care and linking enrollees to social services and other community supports.

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