The passage of the Patient Protection and Affordable Care Act (PPACA) of 2010 has resulted in an increase in the number of state Medicaid programs implementing care coordination initiatives—with the goal of improving the quality of consumer care and bending the health care cost curve. While some of these initiatives—such as health homes—were created by, or because of, the PPACA, others have risen organically out of the need to lower costs and improve care, such as state Medicaid managed care contracts that include specialty consumer based health plans. Adoption of these initiatives has created new opportunities and . . .