HUSKY Health Provider Website

Types of Practices

The Connecticut Department of Social Services (DSS) Person-Centered Medical Home (PCMH) model is a proactive, team-based approach that puts the person at the center of their care. This proactive approach leads to improved care coordination and quality of care. The DSS PCMH program and National Committee for Quality Assurance (NCQA) PCMH recognition process run concurrently.

Important

An important aspect of the PCMH model is the use of Electronic Health Records (EHR). The use of EHR will allow your practice to track and use patient data to anticipate healthcare needs and close gaps in care.

Learn more about Electronic Health Records

Select the practice type that matches your practice:

Private Practice

Outpatient Hospital Clinic

Federally Qualified Health Center

Private Practices

The PCMH model will help you to improve your workflows and create consistent policies that result in better care coordination for your patients.

Please note: NCQA PCMH recognition is considered only for sites that have specifically achieved recognition.

The PCMH model is available to private practices through the NCQA PCMH recognition program. In addition, private practices are eligible for financial incentives during the Glide Path process and while maintaining NCQA PCMH recognition. Our Clinical Practice Transformation Specialist (CPTS) team is here to assist you with the submission process, renewal process, and any other PCMH related issues you may have along the way.

Learn more about NCQA PCMH Recognition

You are eligible for the Glide Path Option. The Glide Path Option includes financial incentives for an 18-24 month period and runs concurrently to the NCQA PCMH recognition process.

Learn more about the Glide Path Option

Outpatient Hospital Clinics

The PCMH model provides the processes and tools needed to effectively coordinate patient care and improve clinical quality.

Please note: Per DSS Provider Bulletin 2016-06, as of July 1, 2016, outpatient hospital clinics interested in participating in the DSS PCMH program are required to enroll as a practitioner group(s) in the Connecticut Medical Assistance Program (CMAP) to bill for outpatient professional services with Gainwell Technologies, the state’s claims and enrollment broker.

The DSS PCMH program is available to Outpatient Hospital Clinics through both the NCQA PCMH recognition program and The Joint Commission PCMH certification program. Outpatient Hospital Clinics are eligible for financial incentives for either program listed above through our Glide Path Option. Practices that pursue these recognition programs will receive technical assistance from a Clinical Practice Transformation Specialist (CPTS) to help you with the submission process.

To help you make the best decision for your practice, we have compiled important information about each program.

Glide Path: The Glide Path Option provides enhanced reimbursement rates for an 18-24 month period and runs concurrently with the NCQA recognition process.

Learn more about the Glide Path Option

Federally Qualified Health Centers

Keeping track of patients in a Federally Qualified Health Center (FQHC) and getting them to return for follow-up appointments can be challenging. The PCMH model of care provides FQHCs with the tools and processes needed to track patient encounters, health needs, and coordinate care.

Please note: NCQA PCMH recognition is considered only for sites that have specifically achieved recognition. PCMH Accreditation from The Joint Commission Ambulatory Care Accreditation recognizes the entire organization.

The PCMH Accreditation program is available to FQHCs through The Joint Commission PCMH recognition program and the NCQA PCMH recognition program and The Joint Commission PCMH Certification with Ambulatory Care program.

To help you make the best decision for your practice, we have compiled important information about each program.

FQHCs are eligible for no-cost Clinical Practice Transformation Specialist (CPTS) support. The assistance you receive from our CPTS team will reduce your administrative burden during the submission process and will significantly increase your chances of achieving PCMH recognition.

Learn more about the CPTS role here

In addition, non-standard sites that are part of an FQHC are eligible for DSS PCMH Accreditation, which includes the technical assistance from a CPTS. The DSS PCMH Accreditation program defines a non-standard site as (i.e., school-based health centers, mobile vans, homeless shelters) a practice setting that is staffed by one or more primary care providers, is licensed as a separate health care facility by the Department of Public Health through a parent entity, and would otherwise not be eligible for the DSS PCMH Program.

This portion of the HUSKY Health website is managed by Community Health Network of Connecticut, Inc.^®, the State of Connecticut’s Medical Administrative Services Organization (ASO) for the HUSKY Health program. For the general HUSKY Health website gateway, please visit portal.ct.gov/husky. HUSKY Health includes Medicaid and the Children’s Health Insurance Program, and is administered by the Connecticut Department of Social Services (DSS).