2014 Snapshot of Healthcare Financing for Healthy Homes in the United States

In the spring of 2014, the National Center for Healthy Housing (NCHH) conducted a nationwide survey to identify states where healthcare financing for lead poisoning follow-up or home-based asthma services is already in place or pending.

The survey results are summarized in two reports:

Healthcare Financing of Healthy Homes: Findings from a 2014 Nationwide Survey of State Reimbursement Policies
This full-length report documents current policies regarding reimbursement for environmental health services in the homes of people with asthma and children exposed to lead. It contains the project’s complete findings and methodology, as well as a wealth of supporting information.

Healthcare Financing of Healthy Homes: Recommendations for Increasing the Number of States with Medicaid Coverage of Lead Follow-Up and Home-Based Asthma Services
This shorter report highlights opportunities for increasing access to these benefits. It includes an executive summary with key findings and several recommendations for galvanizing an increased healthcare investment in lead follow-up and home-based asthma services.
Click on the map below to find out what we learned from key stakeholders in your state about Medicaid reimbursement for home-based asthma or lead poisoning services. Note that all answers are self-reported and that reimbursement policies may have changed since the time of the survey. You can also visit the case studies page.


Click on a state for more information.

For additional links and information about each state’s Medicaid and Children’s Health Insurance Program policies, click here.

About the Survey

The online surveys were sent to Medicaid and state program contacts in April 2014. Data was collected through the end of June 2014. For the analysis above, only one response was permitted per state. Respondents were asked questions about Medicaid reimbursement for home-based asthma services and lead poisoning follow-up services, with an emphasis on environmental assessment, education, and remediation. Detailed information was collected about whether services were required (e.g., offered as part of a fee-for-service delivery system or as a required element of Medicaid managed care contracts) or optional, as well as whether there were efforts underway in the state to seek or expand reimbursement policies. For states where reimbursement was already in place, respondents also provided information about the geographic coverage of services, eligibility criteria, types of services covered, and more. Finally, respondents were asked a set of questions about important drivers and barriers to seeking reimbursement and also about other types of funding streams in their state (private insurers, ACOs, social impact bonds, hospital community benefits and state-funded programs). A subset of this information is available for each state by clicking on the map above.