Wyoming’s 2013 Supplemental Budget included a $300,000 earmark to “[develop] a primary care medical home network in Wyoming.” The Wyoming Department of Health, which administers the state’s Medicaid program, leveraged a $14 million Health Care Innovation Award led by the Wyoming Institute for Population Health to help achieve this goal. The Department of Health allocated $250,000 of the earmarked funds to increase the number of practices receiving TransforMED support through the Innovation Award.
As a pilot, The Wyoming Department of Health began making enhanced payments ($3.00 per-member per-month) to four NCQA-recognized medical homes participating in WyHealth, a care management program for Medicaid enrollees. Beginning April 10, 2015, the Wyoming Department of Health will make enhanced payments to any WyHealth-participating primary care practice that completes a PCMH attestation form. The attestation form is built off of NCQA PCMH standards, but practices will not be required to achieve NCQA PCMH recognition to receive the enhanced payments.
Last updated: March 2015
|Forming Partnerships||The Wyoming Department of Health has partnered with the Wyoming Institute of Population Health, a division of Cheyenne Regional Medical Center.|
|Defining & Recognizing a Medical Home||Recognition:
The Wyoming Department of Health developed an attestation form built on NCQA PCMH standards; however, practices are not required to receive NCQA recognition in order to receive payment.
|Aligning Reimbursement & Purchasing||Beginning in April 2015, The Wyoming Department of Health will pay medical homes an extra $3 per-member per-month. In order to receive payment, practices must:
|Supporting Practices||The Wyoming Department of Health provided $250,000 in funding to increase the number of practices receiving support from TransforMED through a Health Care Innovation Award led by the Wyoming Institute for Population Health.|
|Measuring Results||The Wyoming Department of Health selected nine clinical quality measures that practices are required to report in 2015: