Person-Centered Medical Home Program
Practices must meet Level 2 or Level 3 National Committee for Quality Assurance (NCQA) patient-centered medical
home recognition standards to participate in Husky Health. In addition,
Connecticut’s program mandates that medical home practices meet
federal Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
requirements as well as other criteria such as participation in
initiatives to decrease racial and ethnic health disparities.
As of November 2014, 83,364 children are being served in the
Connecticut PCMH Program. This includes children served in multiple
practice settings including private practices, Federally Qualified
Health Centers, and a hospital outpatient clinic.
The Glide Path program provides practices the support and financial
incentives to become fully recognized as person-centered medical homes.
Of the 29 Glide Path practices, 11 are pediatric-only and one is a
family medicine practice serving both children and adults. Practices
have 18- 24 months to complete the three phases of the program.
Practices apply with the state and agree to work towards the Glide Path
milestones with specified timeframes and an established work plan.
Practices must demonstrate progress toward attaining NCQA PCMH
recognition, participate in trainings, and provide ongoing
documentation as described in their work plan.
A Community Practice Transformation Program at Community Health
Network of CT (CHNCT) assesses and provides support to the individual
primary care practices and continues to work with the practices once
they receive NCQA recognition. The program is comprised of:
- Registered Nurses
- A lawyer
- Business professionals
- Pediatric advanced practice registered nurse
- A pediatrician who serves as the CHNCT Chief Medical Officer
- A public health professional who services as the PCMH liaison
from Connecticut Department of Social Services (DSS) and works
closely with the PCMH Program Administrator on all process aspects of
the PCMH Program.
The Medical Director at DSS who oversees the program is also a
pediatrician. A key requirement for practices includes employing a care
coordinator and establishing the goal of becoming a meaningful user of
an electronic health record (EHR). Based on the program’s success, the
state is currently working towards a plan to provide Glide Path
support to practices beyond those who accept Medicaid patients.