New York has pursued numerous health care reform initiatives over the past several years that aim to improve health outcomes for its residents. Most recently, New York received a $99.9 million State Innovation Model Testing Award (SIM) to improve its primary care model and transition from a fee-for-service environment to a system that uses value-based payments. Recognizing an important component of creating high quality primary care is through promoting patient-centered medical homes (PCMH), New York’s SIM plan intends to strengthen primary care capacity and increase access to medical home services by building on New York’s existing PCMH model, which has demonstrated success in improving care for children and adults.

In 2009, legislation supporting the delivery of care through a PCMH model to Medicaid recipients created two medical home initiatives—the Adirondack regional multi-payer medical home demonstration and a statewide Patient-Centered Medical Home (PCMH) Program. Both programs serve children and adults enrolled in Medicaid or Child Health Plus (New York’s Children’s Health Insurance Program (CHIP) program).

New York State utilizes the National Committee for Quality Assurance (NCQA) PCMH recognition for both initiatives, and currently has the highest number of NCQA recognized PMCH practices in the country.


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American Academy of Pediatrics