Health Home Data requirements

Health Homes will be required to submit data elements to help the Department of Social Service determine if the Health Home model is successful in South Dakota. Health Home data will be shared back with Health homes after it is aggregated and then all Health homes data will be rolled into a summary report. Data from this set will also be submitted to the Centers for Medicaid and Medicare Services as required.

There are two sets of outcome measures:

The first is for Primary Care Provider Health Homes and the second is for Community Mental Health Center Health Homes.

These outcome measures for each recipient will be submitted using the following formats:

PCP and CMHC Data Submission Layout - PCP File Layout and Template are on the first two tabs of this document and CMHC File Layout and template are on 3rd and 4th Tabs of this document

Providers will receive claims data for each of their recipients on a monthly basis.  This information can be downloaded from a secure FTP site using the user name and password provided to each Health Home.  The data fields and format can be found here:

Claims Data Extract for Health Home Providers

Instructions for Submitting Outcomes Data