Idaho

In 2009, Idaho passed legislation (title 31, chapter 35) that provides medical home services to "medically indigent" populations and appropriate reimbursement to the medical home provider.  In February 2014, Idaho passed an Executive Order (No. 2014-02) creating the Idaho Healthcare Coalition (IHC). The IHC is charged with building upon the work of the previously established Idaho Medical Home Collaborative (Executive Order No. 2010-10) to facilitate and support the transformation of primary care practices to the PCMH model, develop regional collaboratives to support practices in transformation, and integrate PCMHs with the medical neighborhood that includes hospitals, behavioral health and other community support services. The IHC also works to advance primary care payment methods that align with the PCMH model and encourage public and private payers to reimburse for improved health outcomes. This work is supported through Idaho's CMS Statewide Healthcare Innovation Plan (SHIP) award.

CHIPRA: 
Yes
MAPCP: 
No
Dual Eligible: 
No
2703 Health Home: 
Yes
CPCi: 
No
SIM Awards: 
Yes
PCMH in QHP: 
No
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
1,591,700
Uninsured Population:
14%
Total Medicaid Spending FY 2013: 
$1.7 Billion 
Overweight/Obese Adults:
64.9%
Poor Mental Health among Adults: 
36.7%
Medicaid Expansion: 
No

Idaho Medical Home Collaborative (IMHC)

The Idaho Medical Home Collaborative (IMHC) is a collaboration of primary care physicians, private health insurers, healthcare organizations, and Idaho Medicaid created to make recommendations to the governor on the development, promotion, and implementation of a patient-centered medical home (PCMH) model of care statewide. The IMHC officially commenced on January 1, 2013. Practices receive technical assistance in the form of materials, coaching, and technical assistance webinars.

CMS State Innovation Model (SIM) Testing Award - Idaho

In April 2013, the Centers for Medicare and Medicaid Services awarded Idaho up to three million dollars to develop a Statewide Healthcare Innovation Plan (SHIP). The design project activities will address the needed resources to enhance communication and coordination of care across the health care continuum; opportunities for improved patient care management through patient-centered medical homes; and mechanisms to link the local health care system through part

Children's Healthcare Improvement Collaboration (CHIC) - Idaho

Utah and Idaho will develop a regional quality system guided by the medical home model to enable and assure ongoing improvement in the healthcare of children enrolled in Medicaid and CHIP programs. The project will focus on improving health outcomes for children and youth with special health care needs through the use electronic health records, health information exchanges, and other health information technology tools.

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