Reducing exposure to lead and asthma triggers in the home environment can significantly improve health outcomes, reduce healthcare utilization, improve educational outcomes for children, and improve quality of life for people of all ages. These types of services are a recommended component of care for people with asthma or children with lead exposure but are not widely available and often limited in scale. This paper examines the findings of interviews with Medicaid agencies, public health departments, and other stakeholders in 11 states on how to pursue health care financing for healthy homes, e.g., asthma home-based services, at the state level.