Patricia (Pat) Taft, Program Specialist, Division of Medicaid and Long-Term Care, Nebraska Department of Health and Human Services discusses Nebraska's Medical Home Medicaid Pilot at webinar New Tactics for Building Medical Homes in State Medicaid and CHIP Programs on December 16, 2010

1. Nebraska Medicaid Medical Home Pilot
• Legislative initiative: 2 year pilot
• 2 practices in rural Nebraska
• Outcomes: improved access, health outcomes, cost
containment and measure of patient and
provider satisfaction
• Standards: Two tiers
• Support: TA through TransforMED + Care
Coordinator staff + patient registry
http://www.dhhs.ne.gov/med/Pilot/index.htm
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2. Payment Methodology
• FFS for all allowable Medicaid services
• Initial $2 PMPM; increase to $4 when meet
Tier 1 Minimum Standards
• (optional) 5% enhanced FFS on office visits
when meet Tier 2 Advanced Standards
• Shared savings and pay‐for‐performance (P4P)
– not feasible
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3. Lessons Learned
• Active Advisory Council of physicians as
champions – PRICELESS
Anticipated challenges
• Limitations in Medicaid Management
Information System (MMIS) system
• Timely claims for ongoing data
• Evaluating the pilot
• Achieving cost neutrality, at a minimum
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