Person-Centered Medical Home Plus (PCMH+)

Documents/Forms

November 2017

PCMH+ Program Compliance Assessment Reports
PCMH+ Wave 1 Compliance Review Findings (November 20, 2017 webinar presentation)
Charter Oak Health Center
Community Health Center, Inc.
Cornell Scott-Hill Health Center
Fair Haven Community Health Center
Generations Family Health Center
Northeast Medical Group - Yale New Haven Health
Optimus Health Care
Southwest Community Health Center
Value Care Alliance

October 2017

PCMH+ Participation Detail – January to October 2017

Participating Entity Tools and Resources (provided at Collaborative Meeting)
Connecticut Association for Community Action (CAFCA) Presentation
Comparison Group Presentation
Shared Savings Example

Participating Entity Monthly Reports - October
Participating Entity #1
Participating Entity #2
Participating Entity #3
Participating Entity #4 (pending)
Participating Entity #5
Participating Entity #6
Participating Entity #7
Participating Entity #8
Participating Entity #9

September 2017

PCMH+ Participation Detail – January to September 2017
FQHC PCMH & PCMH+ Member Complaint Summary - January to September 2017

Participating Entity Monthly Reports – September
Participating Entity #1
Participating Entity #2
Participating Entity #3
Participating Entity #4
Participating Entity #5
Participating Entity #6
Participating Entity #7
Participating Entity #8
Participating Entity #9

August 2017

PCMH+ Participation Detail – January to August 2017 
FQHC PCMH & PCMH+ Member Complaint Summary - January to August 2017

Participating Entity Monthly Reports – August
Participating Entity #1
Participating Entity #2
Participating Entity #3
Participating Entity #4
Participating Entity #5
Participating Entity #6
Participating Entity #7
Participating Entity #8
Participating Entity #9

Participating Entity Tools and Resources (provided at Collaborative Meeting)
CT Child Development Infoline
Online Resources for CYSHCN and TAY
PCMH+ Shared Savings Calculation Presentation
Connecticut NEMT Program Webpage
Connecticut NEMT Guide / Handbook
PCMH+ Phone Survey Opt Out Detail

July 2017

The Medical Assistance Program Oversight Council (MAPOC), is a collaborative body established by the General Assembly to advise the Department of Social Services on the development and implementation of Connecticut's Medicaid program. On Friday, July 14 the Department presented an update on the PCMH+ program. Five PCMH+ Participating Entities co-presented with Department.

HUSKY Health DSS MAPOC PCMH+ Presentation
Participating Entity MAPOC PCMH+ Presentation
Watch the video of the July 14 MAPOC Meeting (Start video at 12:12 for PCMH+ discussion)
FQHC PCMH & PCMH+ Member Complaint Summary - January to July 2017

Participating Entity Monthly Reports - July
Participating Entity #1
Participating Entity #2
Participating Entity #3
Participating Entity #4
Participating Entity #5
Participating Entity #6
Participating Entity #7
Participating Entity #8
Participating Entity #9

June 2017

PCMH+ Participation Detail - January to June 2017
FQHC PCMH & PCMH+ Member Complaint Summary - January to June 2017
FAQ Document Request

Participating Entity Tools and Resources (provided at Collaborative Meeting)
SAMHSA Recovery Planning Tool
HUSKY Health CultureVision
WRAP Resources Online

Participating Entity Monthly Reports - June
Participating Entity #1
Participating Entity #2
Participating Entity #3
Participating Entity #4
Participating Entity #5
Participating Entity #6
Participating Entity #7
Participating Entity #8
Participating Entity #9

May 2017

Evaluation Tools Chart
2015 PCMH CAHPS Member Satisfaction Survey
2016 DSS Mystery Shopper Study
FQHC PCMH & PCMH+ Member Complaint Summary - January to May 2017
PCMH+ Participation Detail - January to May 2017
PCMH+ Phone Survey Opt Out Detail

Participating Entity Monthly Reports - May
Participating Entity #1
Participating Entity #2
Participating Entity #3
Participating Entity #4
Participating Entity #5
Participating Entity #6
Participating Entity #7
Participating Entity #8
Participating Entity #9

April 2017

FQHC PCMH & PCMH+ Member Complaint Summary - January to April 2017

Participating Entity Tools and Resources (provided at Collaborative Meeting)
Medicaid Strategies for Supporting Medicaid Members
Overview of Practice Transformation Supports for Providers
Practice Transformation Support for Providers

Participating Entity Monthly Reports - April
Participating Entity #1
Participating Entity #2
Participating Entity #3
Participating Entity #4
Participating Entity #5
Participating Entity #6
Participating Entity #7
Participating Entity #8
Participating Entity #9

January 2017

SPA 17-002 PCMH+ - Approval Package
Connecticut Regulations Concerning PCMH+

December 2016

The Department hosted two informational sessions to discuss the provider's roles and responsibilities, Enhanced Care Coordination Activities, and PCMH+ Quality Measures.

Information Session Presentation
PCMH+ Enhanced Care Coordination Activities Guide

November 2016

The Department has been working with the Centers for Medicare and Medicaid Services (CMS) to obtain State Plan Amendment (SPA) approval for the PCMH+ program. A state plan is an agreement between the State and Federal government which gives assurances that the State will abide by Federal rules. The state plan allows for the claiming of Federal matching funds, outlines individuals and services to be covered, and how the State administers the Medicaid program. Currently, CMS is in the informal stages of the PCMH+ SPA approval process and discussions between DSS and CMS are ongoing.

Enhanced Care Coordination Activities
Quality Measure List
Quality Measure Descriptions
Measures of Under-Service

June 2016

The Department issued a Request for Proposal (RFP) from qualified Federally Qualified Health Centers and Advanced Network Lead Entities (on behalf of Advanced Networks) to become Participating Entities in the PCMH+ Program. Selected FQHCs and Advanced Networks will provide care coordination activities to improve the quality, efficiency, and effectiveness of care delivered to Medicaid beneficiaries. The RFP closed on August 2, 2016.

PCMH+ Request for Proposal