The Application for MaineCare Health Homes Initiative and Maine Multi-Payer Patient Centered Medical Home Pilot is Re-Opened

April 25, 2012

The Application for MaineCare Health Homes Initiative and Maine Multi-Payer Patient Centered Medical Home Pilot is Re-Opened

More than doubling the multi-payer PCMH Pilot expansion: We are writing to notify the Maine primary care community of the opportunity to more than double the planned 20-practice expansion of the multi-payer Maine Patient Centered Medical Home (PCMH) Pilot to include up to 50 qualified adult primary care practices.

Application re-opened for MaineCare Health Homes Initiative and Maine Multi-payer PCMH Pilot: As a result of this news, MaineCare and Maine Quality Counts are re-opening the online application process for the Maine PCMH Pilot and the MaineCare Health Homes Initiative for a 2 week period, from Friday, April 20 through 5PM on Friday, May 3. Please go to the http://www.mainequalitycounts.org/component/content/article/129-news-main/563-maine-pcmh-pilot-to-add-20-new-practices.html>Maine Quality Counts website for comprehensive information, along with an updated timeline and eligibility criteria.

ALL primary care practices encouraged to apply for MaineCare Health Homes Initiative: This opportunity for the 50-practice PCMH expansion is made possible through Maine’s participation in the Medicare Advanced Primary Care Practice (MAPCP) demonstration. Due to the Medicare funding, the multi-payer PCMH expansion is limited to adult primary care practices. However, MaineCare encourages pediatric and all other primary care practices to fill out the application to apply for the MaineCare Health Homes Initiative. While the multi-payer PCMH expansion will be limited to 50 additional practices, MaineCare will be accepting all practices that meet Health Homes eligibility criteria. MaineCare will provide a per member per month care management payment to support operation of the medical home and the provision of intensive care management support to members with multiple chronic conditions.

Practice transformation support for the 50-practice multi-payer PCMH Pilot: In order to proceed with the 50-practice PCMH expansion, CMS requires that Maine’s other payers agree to participate, and that Pilot Conveners offer the same level of practice transformation support for all practices in the Pilot. Since resources do not currently exist to provide this practice transformation support for an additional 50 practices, the Pilot Conveners propose that new practices selected for the multi-payer Pilot contribute a modest per member per month (pmpm) payment to support these required practice improvement activities.

We appreciate your interest in and support for the MaineCare Health Homes Initiative and the Maine multi-payer PCMH Pilot.

Questions For questions about the MaineCare Health Homes program, contact Michelle Probert at 207-287-2641, or Michelle Probert.

For questions on the Maine PCMH Pilot, contact Nancy Grenier at 207-240-8767 or Nancy Grenier.

For questions on the Maine PCMH Pilot Community Care Teams (CCTs), contact Helena Peterson at 207-266-7211, or Helena Peterson.

For general questions or clinical concerns, contact Dr. Lisa Letourneau at 207-415.4043 or Lisa Letourneau.