Person-Centered Medical Home Plus (PCMH+)

Documents

Care Management Committee: Shared Savings Results for PE’s (webinar)


PCMH+ Utilization Summary


2025 PCMH+ PCPCM 2025 Member Satisfaction Survey Reports


All Provider PPA-PPV Results


2021 PCMH+ PCPCM Survey Person Centered Primary Care Measure

The first version of the PCMH+ Member Satisfaction Survey results provided to the PCMH Care Management committee contained an error in the first Child Primary Care Experience was populated with the results from the first Adult Primary Care experience. Corrected results for the 2021 PCPM Survey Person Centered Primary Care Measure2021 PCMH+ PCPCM Survey Person Centered Primary Care Measure


Shared Savings Results


Member Complaint Survey


PCMH+ Wave 3

PCMH+ Wave 3 will span two years from January 2020 to December 2021. Participating Entities (PE) were awarded, through an RFP process, the right to participate in Wave 3. Two (2) Advanced Networks and ten (10) FQHCs will participate in Wave 3.

Hartford Healthcare Medical Group, Inc;
CT Children's Medical Center
Fair Haven Community Health Center
Cornell Scott-Hill Health Center
Generations Family Health Center
Southwest Community Health Center, Inc.
Community Health Center, Inc.
Optimus Health Care, Inc.
Charter Oak Health Center
First Choice Community Health Centers
United Community and Family Services Inc.
Wheeler Clinic

More information on Wave 3 will be posted to this webpage. Please visit the Program ResourcePCMH+ Wave 3 section of this page for additional information about PCMH+.


December 2019 CAHPS Survey and Exhibit


December 4, 2019

Care Management Committee Shared Savings Wave 2, Year 1 Results Webinar


October 2019

PE Collaborative Meeting October 24, 2019


September 2019


August 2019


July 2019


PE Collaborative Meeting Resources


June 2019


May 2019


April 2019


March 2019


February 2019


January 2019


December 2018


November 2018


October 2018


September 2018


August 2018


July 2018


June 2018


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.

Wave 2 Welcome Letter Mailings

Group 1 - Wave 1 Participating Entities who will Participate in Wave 2


Group 2 - New Participating Entities


Group 3 - Members who Opted Out of Wave 1 have the option to join Wave 2 or remain Opted Out


April 2018


March 2018


February 2018


January 2018


December 2017


November 2017

PCMH+ Program Compliance Assessment Reports


October 2017


Participating Entity Tools and Resources (provided at Collaborative Meeting)


September 2017


August 2017


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.


June 2017


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 websiteJune 2017.

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 claimsJune 2017

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


April 2017


January 2017


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 PresentationDecember 2016

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.


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