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Primary care coordination – policy development
As a key component of state health care reform efforts, the Department of Human Services (DHS) is working to improve primary care through clinic-based care coordination and the establishment of “health care homes” for Minnesota Health Care Programs (MHCP) clients. This page contains additional information on the development of the primary care coordination (PCC) program and its relationship to statewide health reform efforts.
Program development and criteria
Since fall 2007, DHS staff have worked with stakeholders from medical and patient communities, health plans, counties and other interested groups to develop the PCC program. The program is designed for a subset of MHCP clients in fee for service who have chronic medical conditions and complex needs.
In October 2008, the recommendations of stakeholders and workgroup members were compiled into criteria for provider participation (PDF). In February 2009, the federal Centers for Medicare and Medicaid Services approved a three-tiered payment schedule (PDF) for providers serving patients’ with varying levels of complexity. DHS worked with the University of Minnesota on the payment methodology (PDF) as well as other program components.
Relationship to health care homes
The PCC program, created under 2007 legislation, is an important precursor to health care homes statewide under the 2008 Minnesota Health Reform Act. The act calls for development of a health care home certification process and a corresponding system of risk-stratified per-person care coordination payments to certified practices. Because the PCC program shares key goals and design elements with the health care home vision, PCC’s implementation with select clients offers a working model for development of health care homes for a broader population. PCC is expected to fold in to the health care home program for MHCP clients. This means that practices that register as PCC providers will eventually be required to be certified as health care homes under the statewide process in order to continue receiving care coordination payments.
Additional information is available on the Minnesota Department of Health (MDH) health care homes Web page.
DHS also awarded grants in January 2009 for the establishment of care delivery models in numerous Minnesota clinics to prepare providers to participate in the primary care coordination program and the state's health care home initiative.
A $202,666 grant was awarded in spring 2008 to the University of Minnesota-Fairview Children's Clinic for a medical home pilot project for children with autism.
Funding for the grants was appropriated by the 2007 Legislature and awarded through a request for proposals process.
Fitting Minnesota into the National Landscape:
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