The basics of good health care are defined by the federal Maternal and Child Health Bureau and the American Academy of Pediatrics (AAP) in a model called the “medical home”. A medical home is an approach to providing high-quality, cost-effective health care in which the primary care physician works in partnership with the family, other health care providers and community to ensure health care is accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally effective.^{1, 2} Historically, a medical home has been determined simply by the presence of a usual or primary source of care, such as a pediatrician or family physician. However, it is now a national health goal to assure that all children have a medical home using this expanded model for defining the basics of good health care for children and youth. Studies are beginning to document the association of having a medical home on improved outcomes of care for children.³ Factors which contribute to children not having a medical home include the availability of providers, provider reimbursement levels, as well as geographic, cultural, and language barriers.