Innovative Paths to Sustainable Financing for Home-Based Asthma Services: New Snapshots Are Here
by RAMP and NCHH
In May 2025, Regional Asthma Management and Prevention (RAMP) and the National Center for Healthy Housing (NCHH) released a new resource, Sustainable Financing for Home-Based Asthma Services: Snapshots of Innovation and Progress Across the Country.
Available now: Sustainable Financing for Home-Based Asthma Services: Snapshots of Innovation and Progress Across the Country collects success stories from from California, Hawai’i, Michigan, Minnesota, New York, and Virginia.
Despite robust evidence about the impact of home-based asthma services, programs historically have had to rely on unstable grant funding to provide services. But in recent years, that pattern has begun to shift, and we have seen progress in communities and states across the country in building systems for sustainable asthma home visiting services.
Snapshots provides an overview of what progress and pathways for building systems to expand and sustain access to home-based asthma services might look like. Progress can take a long time, and there are many pathways for achieving similar outcomes. As such, progress can look different from one place to the next. The tool features success stories from across the country, highlighting both state Medicaid policy advances, and stories about local partnerships, pilot programs, and other innovations that create a groundswell for statewide change; all serving as models for new community action.
Of course, one resource can’t capture the range of successes happening across the country. That’s why, in recognition of National Indoor Air Quality Awareness Month, we’ll share a snapshot every Tuesday in October to highlight progress, whether that’s advancing a state Medicaid policy, a story about local partnerships, or other innovations that create a groundswell for statewide change.
October 7: A Pioneering Win and the Work that Follows: Missouri’s Story. This snapshot highlights Missouri’s groundbreaking work to build and sustain asthma home visiting services. In 2016, the state became the first in the nation to provide Medicaid coverage for home-based asthma self-management education and home environmental assessments through a State Plan Amendment (SPA) using the Preventive Services Rule.
October 14: Building Partnerships and Leveraging Existing Resources to Provide Home-Based Asthma Services in New Hampshire. This snapshot features New Hampshire’s experience with Mobile Integrated Healthcare, where Emergency Medical Services (EMS) professionals partner with healthcare providers and community organizations to deliver non-emergency care—in this case, asthma home visiting services—outside of traditional emergency responses. This model is a creative approach that leverages available resources and new partnerships.
October 21: Persistence and Adaptability Drive Utah’s Steps Toward Sustainability. This snapshot focuses on the Utah Department of Health and Human Services Asthma Program and the remarkable persistence and flexibility staff have demonstrated over many years. The result? The program has started to integrate asthma home visiting services into Medicaid managed care plans/accountable care organizations, secured administrative funding from the state Medicaid agency to expand the home visiting program’s footprint, and is now poised to shape chronic disease management within the fee-for-service portion of the state’s Medicaid system.
October 28: Wisconsin’s Asthma-Safe Homes Program: Start Small, Demonstrate Success, and Build from There. This snapshot shows how Wisconsin’s Asthma-Safe Homes Program has steadily grown in scope and impact. First, a pilot project demonstrated better health outcomes, decreased healthcare expenditures, and improved quality of life. The success of that effort convinced policymakers to support an expanded program through a Health Services Initiative under the state’s Children’s Health Insurance Program. The success of that effort, in turn, is fueling the next step: Asthma-Safe Homes Program staff are currently preparing a business case for program expansion that’s tailored for different payers, including health plans, health systems, and the state Medicaid agency.
We hope these snapshots will inspire work in your own community, and as always, NCHH and our partners at RAMP are here to provide no-cost technical assistance to you and your partners. Please reach out to us!
Revised October 27, 2025.