Barbara (Barb) Langner, PhD, Medicaid Director, Kansas Health Policy Authority. New Tactics for Building Medical Homes in State Medicaid and CHIP Programs webinar Langner discusses Kansas Efforts.

1. New Tactics for Building Medical Homes in
State Medicaid and CHIP Programs
Kansas Efforts to Engage Providers in Drafting Recognition
Standards
December 16, 2010
Barb Langner, Kansas Medicaid Director
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2. Defining Medical Home
in Kansas
• Stakeholder driven process
• Began in 2007 and occurred during 2008
Legislative Session
• Culminated with the passage of Senate Bill 81
– Codified the definition of medical home in statute
– Directed KHPA to establish a medical home delivery
model for Medicaid, children’s health insurance
program (CHIP), and State Employees Health Plan
– Directed the agency to develop systems and
standards for implementing medical home model of
care
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3. NASHP Consortium to
Advance Medical Home
• Kansas selected to participate in the
Consortium in 2009
– Develop a plan for statewide implementation of
medical home
– Implementation to occur when funds available
– Kansas team working with Kansas Primary Care
Physician Coalition to develop standards for
medical home
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4. Drafting Medical Home
Recognition Standards
• KHPA
– Transform health care system in Kansas
– Medical Home statute with physician directed team
– Coordination of patient’s health care needs across the system
– Payment reform to help support the model
• Kansas Primary Care Physicians Coalition
– Three tiered medical home function/payment structure
– Entry level
– Advanced
– Optimal
• Kansas Department of Health and Environment
– Additional provider category inclusions/integration
Chronic Disease Electronic Management System (CDEMS)
• Medicaid Managed Care Health Plan
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