This issue brief by the Kaiser Family Foundation examines the Medicaid "Health Home" plan option that was created by the Affordable Care Act. With this plan, individuals with chronic conditions could participate in a "health home" care model, and states would receive a temporary federal match rate of 90% for services covered by the plan.

From the report:

Medicaid’s New "Health Home" Option Many Medicaid beneficiaries suffer from multiple or severe chronic conditions and could potentially benefit from better coordination and management of the health and long-term services they receive, often in a disjointed or fragmented way. An increasing number of states have been adopting strategies to achieve such improvements, such as medical homes and enhanced primary care case management. The Patient Protection and Affordable Care Act (ACA), the health reform law enacted on March 23, 2010, provided states with a new Medicaid option along these lines – to provide "health home" services for enrollees with chronic conditions. Further, to encourage states to take up the new option, ACA authorized a temporary 90% federal match rate (FMAP) for health home services specified in the law. The health home option, established by 2703 of ACA, became available to states on January 1, 2011.

Full Report: Medicaid’s New “Health Home” Option (PDF | 421 KB)

Kaiser Family Foundation. (2011). Medicaid's new "health home" option.