CURRENT UPDATES TO THIS WEBPAGE: 10/26/2009 - In Washington, the efforts to reform health care and health insurance include proposed legislative language that would have an impact on the Medicare Medical Home Demonstration as described in section 204 of the Tax Relief and Health Care Act of 2006 and amended by section 133 of the Medicare Improvements for Patients and Providers Act of 2008. Specifically, section 1302 of House Bill 3200 contains a provision to repeal this demonstration and replace it with an independent practitioner-based medical home pilot described further in the bill. In addition, the House bill includes a second medical home pilot to evaluate community-based medical home models. At this time, CMS believes it would be impractical to pursue clearance of the Medicare Medical Home Demonstration, which has been under review at the Office of Management and Budget, given the pending legislation that would repeal it and replace it with a similar pilot. CMS is moving forward with an Administration-initiated demonstration announced by Secretary Sebelius on September 16, 2009, whereby Medicare would partner with existing multi-payer medical home pilots to improve the delivery of care. This demonstration, titled the Multi-Payer Advanced Primary Care Practice Demonstration, would be implemented in 2010.
| | | Downloads | section 204, Tax Relief and Health Care Act of 2006 (TRHCA) [PDF, 41 KB]
Fact Sheet [PDF, 80 KB]
Demonstration Design Report [PDF, 381 KB]
Medical Home Qualification Criteria (PPC-PCMH-CMS) [PDF, 517 KB]
Crosswalk of Standards and Elements to Medical Home Capabilities-C-D Appendices [PDF, 240 KB]
Description of Medical Home Tiers [PDF, 51 KB]
Qualifying Chronic Conditions - Hwang List [PDF, 123 KB]
Medical Home Tier Qualifications [PDF, 39 KB]
Design Clarification [PDF, 97 KB]
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