Bryan Tomlinson, MPH, Director, Division of Health Care Services, Virginia Department of Medical Assistance Services discusses Virginia's Medicaid medical home pilot project.

1. Virginia Medicaid’s Medical Home Pilot
Origin: Recognition that PCCM program provides minimal coordinated
care & focus on outcomes; need for delivery system designed to
improve quality of care among a medically underserved population.
Key Partnerships:
Southwest Virginia Community Health Systems (an FQHC) --
includes six facilities in far southwest
Community Care Network of Virginia
Carilion
Pilot Elements:
Recognition or certification standards
Practice coaching
Care coordinators
Information sharing
Health information technology (HIT )
Reimbursement methodology
Tentative start date: 2011 (for 2 year duration) 1

2. Other Partners/Stakeholders to Engage
Providers/Provider Associations
Hospital and Healthcare Association
Virginia American Academy of Family Physicians (AAFP) and
American Academy of Pediatrics (AAP) chapters
Payers
Anthem
Consumers
Community Service Boards
Foundations
Virginia Healthcare Foundation
Legislative champions
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3. Lessons Learned/Challenges
Involve stakeholders early in the process
and identify each group’s contribution
up-front.
The stakeholders in each state’s medical
home projects differ based on program
design and budget constraints.
Difficult and time consuming process
without legislative mandate, designated
staffing and financial resources.
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