Accountable Communities Request for Applications (RFA)

October 11, 2013

The Department of Health and Human Services has posted the RFA for its MaineCare Accountable Communities Initiative at:

Key dates are listed below: 1. Optional Notice of Intent/ Interest Survey due - November 15, 2013 2. Application due - December 9, 2013 3. Implementation - May 1, 2014

Through Accountable Communities, MaineCare will engage in shared savings arrangements with provider organizations that, as a group, coordinate and/or deliver care to a specified patient population. Accountable Communities that demonstrate cost savings, as well as the achievement of quality of care standards, share in savings generated under the model. This initiative will be offered statewide as a Medicaid State Plan option.

Accountable Communities will achieve the triple aim of better care for individuals, better population health, and lower cost through four overarching strategies:

  1. Shared savings based on quality performance- Accountable Communities will benefit from a Value-Based Purchasing strategy that supports more integrated and coordinated systems of care.
  2. Practice-level transformation- Accountable Communities will align with and build on the principles of Maine’s multi-payer Patient-Centered Medical Home (PCMH) Pilot and MaineCare Health Homes Initiatives.
  3. Coordination across the continuum of care- Accountable Communities will ensure the coordination of primary, acute, and behavioral health care, as well as long-term services and supports. This includes leveraging the Maine Department of Health and Human Services’ existing investment in care coordination for members with chronic conditions, behavioral health needs, and long term services and supports needs.
  4. Community-led innovation- Local health care needs, resources, and solutions will drive Maine’s Accountable Communities. While each Accountable Community will meet baseline criteria, report on core quality measures, and be responsible for the cost of a set of core services, they will also be encouraged and afforded flexibility to structure services and solutions that fit locally-identified priorities and context.

If you have questions, please contact Michelle Probert.