10200.1 The purpose of this chapter is to establish standards governing Medicaid reimbursement for Health Home services provided to District Medicaid beneficiaries with multiple chronic conditions. This program shall be known as the “My Health GPS” program.

10200.2 The goal of the My Health GPS program is to improve the integration of medical and behavioral health, community supports and social services, and is designed to result in the following outcomes for eligible beneficiaries:

(a) Lower rates of avoidable emergency department (ED) use;

(b) Reductions in preventable hospital admissions and re-admissions;

(c) Reductions in healthcare costs;

(d) Improvements in the experience of care, quality of life and beneficiary satisfaction; and

(e) Improved health outcomes.

10200.3 Services offered through the My Health GPS program shall be consistent with, but not limited to, those described under 42 CFR § 440.169(d).

SOURCE: Final Rulemaking published at 65 DCR 0636 (January 26, 2018).