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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 challenges for provider organizations. OPEN MINDS has compiled this reference guide as a tool for tracking care coordination initiatives. The different Medicaid care coordination types tracked in this report include:

  1. Certified Community Behavioral Health Clinics (CCBHC) demonstration
  2. Dual eligible demonstration
  3. Managed long-term services and supports (MLTSS)
  4. Accountable care organizations (ACOs)
  5. Patient-centered medical homes (PCMH)
  6. Patient Protection and Affordable Care Act (PPACA) health homes
  7. Specialty consumer health plans

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