Nebraska Medicaid Program
Medicaid Medical Home Pilot Progress
The design of the Nebraska Medicaid Patient-Centered Medical Home Pilot is a collaboration between the Medical Home Advisory Council and the Nebraska Department of Health and Human Services. As progress is made, additional information will be posted to this page.
Pilot Outcomes: There will be an evaluation of the pilot for these outcomes:
- Improve health care access
- Improve health outcomes for patients
- Contain costs in the Medicaid program
- Measure patient satisfaction
- Measure practice satisfaction
Patient Experience Survey Data
Practice Core Competencies and Standards: Practices participating in the pilot will demonstrate five core competencies and will be expected to meet specific standards to be recognized as a medical home.
Payment Methodology: Practices participating in the pilot will be reimbursed for all allowable Medicaid services and receive an initial per-member-per-month (PMPM) payment. The PMPM will be increased once the practice has met Tier 1 Minimum Standards. Practices will have the option to meet Tier 2 Advanced Standards to receive an enhanced fee-for-service on selected procedure codes.
Pilot Practice Selection Process: The Department published a Request for Information soliciting interested practices. These practices were selected to participate in the pilot:
Kearney Clinic, P.C., Kearney www.kearneyclinic.com/
KHAS-TV News Report
Plum Creek Medical Group, P.C., Lexington www.pcmed.biz
CMS Authority: Nebraska submitted a Medicaid State Plan Amendment to the Centers for Medicare and Medicaid (CMS) for authority to implement the medical home pilot. This was approved effective 2-1-11.
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