Patient Centered Medical Home Model

Peach State Health Plan is committed to supporting its network providers in achieving recognition as Patient Centered Medical Homes (PCMH) and will promote and facilitate the capacity of primary care practices to function as medical homes by using systematic, patient-centered and coordinated care management processes. In alignment with the vision of DHHS, it is Peach State Health Plan's goal to have all of its primary care providers recognized as a PCMH by an accrediting agency. Peach State Health Plan will support providers in obtaining NCQA’s Patient-Centered Medical Home (PCMH) Recognition and as an NCQA Partner in Quality, Peach State Health Plan is able to offer practices a 20% discount on their initial application fee. Peach State Health Plan is also proud to offer additional incentives to PCMH recognized practices. 

The purpose of the PCMH program is to promote and facilitate a medical home model of care that will provide better healthcare quality, improve self-management by members of their own care and reduce avoidable costs over time. Peach State Health Plan will actively partner with our providers, with community organizations, and groups representing our members to increase the numbers of providers who are recognized as PCMHs (or committed to becoming recognized) and who achieve the meaningful use of health information technology (HIT). 

Peach State Health Plan has dedicated resources to ensure its providers achieve the highest level of PCMH recognition with a technical support model that will include:

• Education on the process of becoming certified
• Resource tools and best practices.
• Additional incentives for PCMH recognized practices.

From an information technology perspective, Peach State Health Plan be offering several HIT applications for our network providers who are either recognized PCMH’s or are committed to becoming NCQA recognized medical home. Our secure Provider Portal offers tools that will help support PCMH accreditation elements. These tools include:

• Online Care Gap Notification
• Member Panel Roster including member detail information
• Trucare Service Plan
• Health Record
• Provider Overview Report

For more information on Patient Centered Medical Home recognition and best practice models visit the following web sites: 

• NCQA Patient Centered Medical Home Recognition Program
• Primary Care Development Corporation
• National Center for Medical Home Implementation
• Understanding and Running a Patient-Centered Medical Home
• Patient-Centered Primary Care Collaborative