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Medical Homes

Project Overview

Washington State health agencies lead two Medical Homes pilot projects that are closely coordinated:

• The Health Care Authority (HCA) and Department of Social and Health Services (DSHS), in conjunction with the Puget Sound Health Alliance (PSHA) leads the Patient Centered Medical Home Multipayer Reimbursement Model; a project to develop, implement and evaluate a pilot of one or more medical home provider reimbursement models, pursuant to ESSB 5491 of 2009. It is anticipated to become operational in fall of 2010.
• The Department of Health (DoH) leads the Patient Centered Medical Homes Collaborative; a project in conjunction with the Washington State Medical Association (WSMA) and Washington Academy of Family Practice (WAFP) to expand patient-centered medical homes to improve quality, access and affordability. This project, pursuant to ESSHB 2549 of 2008, became operational in fall of 2009 and includes 33 participating primary care providers.

While the two projects differ in focus, they are closely linked. Several performance measures are similar, and it is anticipated that at least some of the collaborative participating providers will be included in the multipayer reimbursement pilot as well.

Report

• HCA / DSHS Primary Care Provider Reimbursement Report (703.6 KB)