Person-Centered Medical Home Plus (PCMH+)

Documents/Forms

August 2018

August 2 Collaborative Meeting Material

PCMH+ August 2 Collaborative Meeting Presentation (CYSHCN and TAY)
CSHCN Screener Tool (example)
CSHCN Screener Fast Facts
TAY with IDD Integration Practice Plan (example)
TAY Sample Letter
TAY Plan of Care (example)
TAY Policy (example)

July 2018

Participating Entity Monthly/Quarterly Reports – July 2018
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Participating Entity #7
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Participating Entity #9
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Participating Entity #11
Participating Entity #12
Participating Entity #13
Participating Entity #14

June 2018

PCMH+ Participation Detail - April to June 2018

May 2018

PCMH+ Participation Detail – April to May 2018
FQHC PCMH & PCMH+ Member Complaint Summary - May 2018
PCMH+ Only Member Complaint Summary - May 2018

In May, the Wave 2 PCMH+ Member Welcome Letters were sent to HUSKY members who's medical home is participating in Wave 2. Letters were divided into three groups. Below are the groupings and copies of the letter available for download (PDF) in both English and Spanish. Also posted below are materials shared during the May 15 PCMH+ Collaborative meeting.

May 15 Collaborative Meeting Material

PCMH+ Provider Collaborative Presentation Wave 2
211 Brochure
CT Child Development Infoline
Enhanced Care Coordination Activities
Enhanced Care Coordination Guide
HUSKY Covered Services Quick Guide
PCMH+ One-Sheet (English)
PCMH+ One-Sheet (Spanish)
PCMH+ PE Resource Packet
Underservice Utilization Strategy

PCMH+ Status Update May 2018 SIM Steering Committee

PCMH+ Member Video

Wave 2 Welcome Letter Mailings

Group 1 - Wave 1 Participating Entities who will Participate in Wave 2
Wave 1 Members (English)
Wave 1 Members (Spanish)

Group 2 - New Participating Entities
New Members (English)
New Members (Spanish)

Group 3 - Members who Opted Out of Wave 1 have the option to join Wave 2 or remain Opted Out
Members who opted out during Wave 1 (English)
Members who opted out during Wave 1 (Spanish)

April 2018

PCMH+ Participation Detail – April 2018
PCMH+ Complaint Report Summary (from April 18 Webinar presentation)
FQHC PCMH & PCMH+ Member Complaint Summary - April 2018
PCMH+ Only Member Complaint Summary - April 2018

March 2018

REVISED 2017 Mystery Shopper Report
A minor error was found on the 2017 Mystery Shopper report which affected the bucketing of results of 5 calls. The report has since been corrected. Please find the revised version with changes highlighted.

2017 Mystery Shopper Survey Final Report (original report)
Fair Haven Community Health Care Response to 2017 Mystery Shopper Survey Final Report
Value Care Alliance Response to 2017 Mystery Shopper Survey Final Report

PCMH+ Participation Detail – January 2017 to March 2018
FQHC PCMH & PCMH+ Member Complaint Summary - March 2018

February 2018

PCMH+ Participation Detail – January 2017 to February 2018
FQHC PCMH & PCMH+ Member Complaint Summary - February 2018

Participating Entity Monthly Reports – February 2018
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 2018

PCMH+ Participation Detail – January 2017 to January 2018
FQHC PCMH & PCMH+ Member Complaint Summary - January 2018

Participating Entity Monthly Reports – January 2018
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

December 2017

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

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

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
Value Care Alliance Response to Program Compliance Assessment Report

Participating Entity Monthly Reports – November
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

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 Opens in a new window Opens in a new window Opens in a new window Opens in a new window Opens in a new window Opens in a new window Opens in a new window Opens in a new window (Start video at 12:12 for PCMH+ discussion)
FQHC PCMH & PCMH+ Member Complaint Summary - January to July 2017

Participating Entity Monthly Reports - July
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Participating Entity #2
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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
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Participating Entity #5
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Participating Entity #8
Participating Entity #9

Special Notice to PCMH+ Participating Entities
Connecticut's Person-Centered Medical Home-Plus Initiative
Update/June 29, 2017

PCMH+ is a State of Connecticut initiative administered by the Department of Social Services that was launched on January 1, 2017. PCMH+ represents an opportunity for Connecticut Medicaid to build on, but not supplant, its existing and successful Person-Centered Medical Home (PCMH) initiative, through which over 43% of members are being served. While PCMH will remain the foundation of care delivery transformation, PCMH+ is building on PCMH by incorporating additional requirements for care coordination, focusing upon integration of behavioral and physical health care, children with special health care needs, health equity, and competency in care for individuals with disabilities. It also represents the Department's first use of an upside-only "shared savings" approach under which participating providers that meet specified quality standards and generate savings for Medicaid will receive a portion of the savings that are achieved. DSS is very proud of all PCMH+ Participating Entities for committing to build on longstanding support for Medicaid members.

  • All of you are deeply committed to further transforming your practices, beyond being Person-Centered Medical Homes, to make them as receptive and coordinated as possible for the people whom you serve.
  • All of you are working hard to implement important and challenging new features of care coordination, including coordination of medical and behavioral health care, that will continue to improve members' care experience and outcomes.
  • All of you are working together in an active, dynamic, provider-led collaborative that is meeting regularly and diving into the actual day-to-day practice of how to support people with complex needs.
  • All of you are using extensive Medicaid data, provided by the Community Health Network, Inc. (CHN-CT) through the PCMH portal, to advance evidence-based practices and, most important, to identify and fill members' gaps in care.
  • All of you are coordinating with CHNCT on transition of people who previously received CHN-CT Intensive Care Management.
  • All of you are working, as is DSS, with helping Medicaid members to retain eligibility, to understand their covered benefits, and to help them coordinate the full range of their health needs.

DSS is proud of the process that the state has observed in developing PCMH+. We have participated in countless meetings and work groups and webinars on model design with the General Assembly's Medical Assistance Program Oversight Council Care Management Committee. DSS also reported extensively on PCMH+ to the State Innovation Model (SIM) Steering Committee. Collectively, we have carefully listened to, and incorporated many aspects of the feedback that we have received from advocates. The entire process is carefully documented on the MAPOC website Opens in a new window Opens in a new window Opens in a new window Opens in a new window Opens in a new window Opens in a new window Opens in a new window.

Finally, we believe that this program deserves to have the opportunity to flourish. The public doesn't have to wonder how you are doing in your work. You are submitting detailed monthly reports to document the intense effort and learning in which you are involved. These reports are all being posted publicly on this dedicated web page. Further, DSS has signaled exactly how the program will be monitored, using a range of tools including claims Opens in a new window Opens in a new window Opens in a new window Opens in a new window Opens in a new window Opens in a new window Opens in a new window

We agree that accountability is extremely important in this ambitious new program. But equally important is attention to facts and experience. We are confident that the record speaks directly to a strong positive launch of PCMH+, and a great deal of potential for good on behalf of Medicaid members. We are also proud of the open, public, collaborative process used to develop PCMH+ and that is being used to conduct the initiative. We will continue to encourage everyone involved to get to know, and monitor, our collective progress.

Thank you!
Kate McEvoy, Director, Division of Health Services
Dr. Rob Zavoski, Medical Director, Division of Health Services

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
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Participating Entity #2
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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

Member Welcome Letter (English)
Member Welcome Letter (Spanish)

Information Session (English)
Information Session (Spanish)

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