Medicaid will soon enhance its primary care case management system by integrating a full patient-centered medical home (PCMH) model of care. This is one of many efforts occurring across the nation to implement the PCMH model to improve clinical quality, enhance patients’ experience, and reduce overall healthcare costs.
All Healthy Connections providers who agree to meet the requirements of becoming a Health Home are eligible to participate. Practices will receive a per-member-per-month payment of $15.50 from Medicaid for eligible Medicaid participants to facilitate implementation of the requirements.
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Please complete the form below if you are considering becoming an Idaho Medicaid Health Home provider, would like additional information on the program, or would like information on the number of patients in your clinic that may be eligible for Health Home reimbursement.
Provider Requirements NCQA Recognition Disease Registry Requirements Access to Care Assessment Care Plans Progress Reporting Data Reporting Patient Satisfaction Survey NCQA Recognition Disease Registry Quality Improvement
Healthy Connections participants who have serious and persistent mental health conditions, diabetes and asthma or diabetes or asthma with an additional risk factor, such as hypertension, dyslipidemia, coronary arterial disease, diseases of the respiratory system, obesity and tobacco use, are eligible. Diagnosis Codes
Joint Principals of a Medical Home Idaho Medical Home Brochure Medicaid Directors Letter State Plan Amendment Summary Approved Health Home State Plan Amendment Health Home Rules - See page 300 for this rule change
American Academy of Family Physicians American Academy of Pediatrics American College of Physicians American Osteopathic Association Patient-Centered Primary Care Collaborative - Video Patient-Centered Primary Care Collaborative - Principals Safety Net Medical Home National Committee for Quality Assurance TransforMED Primary Care Development Corporation Idaho Medical Home Collaborative Chronic Disease Registry Registry Help PCMH Patient Brochure tool from Primary Care Collaborative with Merck support