Medical Homes

What Is It?
A Person Centered Medical Home (PCMH) provides coordinated health care services to individuals with an emphasis on preventive care, managing chronic conditions and coordinating care through the use of electronic record keeping.  Each patient enrolled in a PCMH has a primary care physician whose role (and fee) is expanded to include proving additional services like nutritional and management of chronic disease management training, extended hours and coordination of all care.

How Does A PCMH Affect Me?
The federal government and many states, including Connecticut, are developing pilot projects to test the PCMH model. Connecticut’s Department of Social Services (DSS) has started a project to move most non-elderly Medicaid patients into a PCMH practice. However, after spending hundreds of thousands of dollars to recruit and train physicians in the PCMH model, very few private physicians have agreed to participate.

If you are on Medicaid in HUSKY A, HUSKY B, or HUSKY D, you may be required to participate in a PCMH. While DSS has spent lots of money to train and prepare physicians, DSS has not spent any money training or preparing patients for the PCMH model. For the PVCMH model to succeed patients will have to assist in their own health care management.

What Is Caring Families Coalition Doing On This Issue?
CFC supports the development of PCMH practices. However, CFC is concerned that DSS has provided no information to Medicaid enrollees on what a PCMH model is and what changes it will mean for them. CFC has already met with DSS Commissioner Bremby to address this problem. He has agreed to work with CFC on how patients are introduced to the model.

What Can You Do?
Contact CFC at 860-524-0502 for more information on the PCMH model or to join other CFC members in meeting with DSS to make sure that patients’ voices are heard in the way the model is implemented.