People with Chronic Conditions

  • Louisiana

    Act 243 of the 2007 Regular Legislative Session, known as the Health Care Reform Act of 2007, directed the state to develop and implement a medical home system of care called Louisiana Health First. The law further stipulated that the medical home system incorporate health information technology (HIT) and quality measures to increase access, improve quality, and provide sustainability in medical care for the Medicaid and low-income uninsured populations.  However, the Centers for Medicare & Medicaid Services (CMS) did not approve the Louisiana Health First Section 1115 waiver required to implement the program. Act 243 of the 2007 Regular Legislative Session required the Louisiana Department of Health and Hospitals (DHH) to implement the legislation as feasible if CMS did not approve the waiver.
  • Kentucky

    Federal Support: Kentucky has received a planning grant from the Centers for Medicare & Medicaid Services (CMS) to develop a state plan amendment to implement Section 2703 of the Affordable Care Act (ACA), establishing health homes for Medicaid enrollees with chronic conditions. To learn more about Section 2703 Health Homes, visit the CMS Health Homes webpage.
    Last Updated: April 2014
  • Virginia

    In 2010, the Virginia Department of Medical Assistance Services (DMAS) began developing plans for a medical home pilot with a federally qualified health center (FQHC) in southwest Virginia. The goal of the pilot was to improve primary care delivery within the framework of an existing primary care case management (PCCM) program. The expansion of Medicaid managed care to Southwest Virginia in July 2012 required a shift in plans for the pilot. Contracts between the state’s Medicaid MCOs and DMAS now require the MCOs to partner with DMAS in developing the southwest Virginia medical home pilot. Full contract language is available online here.
    Last Updated: December 2013
    Forming Partnerships
  • Florida

    In 2009, the Florida Legislature enacted Chapter 223 of the 2009 Laws of Florida, an omnibus health care bill. Section 17 of this statute required the Florida Agency for Health Care Administration (AHCA) to develop a plan to implement a Medicaid medical home pilot project enhanced by medical home networks in two geographic areas of the state.  The law also required the Secretary of Health Care Administration to appoint a medical homes task force to assist AHCA in the development and implementation of the medical home pilot project.  The Medicaid Medical Homes Task Force released its final recommendations in a 2010 report.
    Last Updated: April 2014

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