Value-Based Purchasing (VBP) Strategy
Since 2011, the Department of Health and Human Services has made significant investments in a 21st century primary care and chronic disease management model. This work is designed to move MaineCare away from a payment system that rewards volume to one focused on high-quality care, accountability, and appropriate use of health care. The MaineCare Value-Based Purchasing (VBP) strategy includes the following inter-related reform efforts:
- Accountable Communities
- Behavioral Health Home Program
- Case Coordination Unit (CCU)
- Emergency Department (ED) Collaborative
- Health Home Program
- Opioid Health Home Program
There are over 113,000 MaineCare members currently being served by these programs. More detail can be found in the individual pages linked below.
VMS Portal Transition
As of July 2, 2018, the MaineCare’s Value-Based Purchasing Management System (VMS) portal has been relocated. To be able to access the updated location of the VMS portal on or after July 2, users must have Trading Partner Account (TPA) access through the Health PAS Online Portal. Please see the links below for training materials for requesting TPA access to the VMS portal.
- Training for Non-Accountable Community Providers to Gain VMS Portal Access (PDF)
- Training for Accountable Community Providers to Gain VMS Portal Access (PDF)
MaineCare Services is pleased to announce that beginning November 12, 2018, we will be accepting applications for participation in MaineCare’s Health Home (HH) program. Applications must be submitted online by December 7, 2018.
Approved HH providers from this application process will have a start date no sooner than January 21, 2019. To access the online application please see the Health Home Application.
You can download and review a reference copy of the HH Application (PDF) before completing the online application.