On May 3, 2012, HHS’s ASPE/Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the Urban Institute released a report describing Rhode Island's two approved State Plan Amendments (SPAs), which were developed in the context of several ongoing initiatives aimed at reforming the health system so as to increase care management, develop the medical home model, and integrate care for those who are dually eligible for Medicare and Medicaid, with particular focus on high-cost, high-need populations. The state has characterized the health homes model as an opportunity to improve an existing system of . . .

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