Person-Centered Medical Home Program
Practices must meet Level 2 or Level 3 National Committee for Quality Assurance (NCQA) patient-centered medical home recognition standards to participate in Husky Health. In addition, Connecticut’s program mandates that medical home practices meet federal Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) requirements as well as other criteria such as participation in initiatives to decrease racial and ethnic health disparities.
As of November 2014, 83,364 children are being served in the Connecticut PCMH Program. This includes children served in multiple practice settings including private practices, Federally Qualified Health Centers, and a hospital outpatient clinic.
The Glide Path program provides practices the support and financial incentives to become fully recognized as person-centered medical homes. Of the 29 Glide Path practices, 11 are pediatric-only and one is a family medicine practice serving both children and adults. Practices have 18- 24 months to complete the three phases of the program. Practices apply with the state and agree to work towards the Glide Path milestones with specified timeframes and an established work plan. Practices must demonstrate progress toward attaining NCQA PCMH recognition, participate in trainings, and provide ongoing documentation as described in their work plan.
A Community Practice Transformation Program at Community Health Network of CT (CHNCT) assesses and provides support to the individual primary care practices and continues to work with the practices once they receive NCQA recognition. The program is comprised of:
- Registered Nurses
- A lawyer
- Business professionals
- Pediatric advanced practice registered nurse
- A pediatrician who serves as the CHNCT Chief Medical Officer
- A public health professional who services as the PCMH liaison from Connecticut Department of Social Services (DSS) and works closely with the PCMH Program Administrator on all process aspects of the PCMH Program.
The Medical Director at DSS who oversees the program is also a pediatrician. A key requirement for practices includes employing a care coordinator and establishing the goal of becoming a meaningful user of an electronic health record (EHR). Based on the program’s success, the state is currently working towards a plan to provide Glide Path support to practices beyond those who accept Medicaid patients.