Michigan Primary Care Transformation Demo (CMS)

Michigan is one of the eight states selected by CMS in November 2010 for participation in a multi-payer demonstration of advanced primary care practices, also known as patient-centered medical homes (PCMH).  The other states are Maine, Minnesota, New York, North Carolina, Pennsylvania, Rhode Island and Vermont.   The Michigan demonstration  is called the Michigan Primary Care Transformation (MiPCT) Project 

 

Unique Features of the MiPCT Project

•  Large size.  Michigan’s 484 eligible practices represent half of the practices identified for
    participation during Year One in all eight states combined.
•  Supportive Network of Physician Organizations.  Participating physician             
    organizations will assist with practice recruitment and reporting and provide support to
    assist practices in their transformation.  
•  PCMH Transformation Process.  The eligible practices are well along in the process of
    transforming  their practice to a PCMH, a process which often requires  several years for a
    practice to complete.   These practices have been top performers on measure of PCMH
    capabilities in place, cost and utilization for two years in a large PCMH initiative.
• Care Management Component.  Practices and physician organizations will engage 
    care managers and complex care managers to provide self-management support, assist
    with transitions of care and coordinate care. 

MiPCT Basics

• MiPCT Vision:               Michigan will lead the nation in Primary Care Transformation

• MiPCT Intervention:  Participating Practices will receive enhanced funding and technical
                                                support to develop PCMH capabilities and services.

• Project Dates:                January 1, 2012 - December 31, 2014

• Confirmed Payers:       Medicare, Medicaid Managed Care, Blue Cross Blue Shield of
                                                Michigan  and Blue Care Network

• Eligible  Practices:       PCMH Level 2 or 3 Recognition through NCQA before July 1,
                                                2010 and/or PCMH designation through the BCBSM
                                                Provider Group Incentive Program 2010 and 2011.                                                 Associated with Participating Physican Organization or
                                                Physician Hospital Organization

What's New?

1.  MiPCT is enrolling eligible PCMH practices through November 8, 2011 for participation 
      in the Demonstration as of January 1, 2012. 

2.  MiPCT Project Description: Information for POs/PHOs and Payers

3.  Frequently Asked Questions:  click here

 

Information on MiPCT

MiPCT Web Site  www.mipctdemo.com

MiPCT Fact Sheet click here  
MiPCT Slide Presentation click here 
MiPCT Elevator Speech and Talking Points click here 
Monthly Project Updates:  May 2011  April 2011    March 2011  February 2011
January 2011

Information from CMS

CMS Q & A on the Demonstration (PDF)    
CMS Announcement of Selected States and Launch of Center for Innovation   
CMS Demonstration Website 

Contacts:

Send queries to  mipctdemo@michigan.gov   or
•  Carol Callaghan (Co-Chair)  callaghanc@michigan.gov
•  Jean Malouin, MD MPH (Co-Chair, Medical Director)  jskratek@med.umich.edu
•  Sue Moran (Co-Chair)  MoranS@michigan.gov
•  Diane Bechel Marriott, DrPH (Project Manager) dbechel@umich.edu