CMS Rules Clarification Expands State Financing Options For Medicaid Financing Of Integrated Care Models

CMS has clarified the range of options available to states in deploying integrated care models (ICM) in two letters to State Medicaid Directors released on July 10, 2012. The new rules apply to ICMs such as primary care medical homes, Health Homes, Accountable Care Organizations (ACO), and ACO-like models -- and include the full range of health care services including primary care, acute care, specialty services, dental care, behavioral health services, and long-term support services. States expanded flexibility is based on three options for structuring ICM reimbursement for care coordination services using a state plan amendment: Set of services . . .