Idaho

In 2009, Idaho passed legislation (title 31, chapter 35) that provides medical home services to "medically indigent" populations and appropriate reimbursement to the medical home provider. In February 2014, Idaho passed an Executive Order (No. 2014-02) creating the Idaho Healthcare Coalition (IHC). The IHC is charged with building upon the work of the previously established Idaho Medical Home Collaborative (Executive Order No. 2010-10) to facilitate and support the transformation of primary care practices to the PCMH model, develop regional collaboratives to support practices in transformation, and integrate PCMHs with the medical neighborhood that includes hospitals, behavioral health and other community support services. The IHC also works to advance primary care payment methods that align with the PCMH model and encourage public and private payers to reimburse for improved health outcomes. This work is supported through Idaho's CMS Statewide Healthcare Innovation Plan (SHIP) award.

Primary Care Innovations and PCMH Activity

Dual Eligible	2703 SPA	CPC	CPC+	PCMH QHP	PCMH Legislation	Private Payer

Multi-Payer Programs

Program Name	Payer Type	Coverage Area	Parent Program	Outcomes
Idaho Medical Home Collaborative (IMHC)	Multi-Payer	Statewide

Public Payer Programs

Program Name	Payer Type	Coverage Area	Parent Program	Outcomes
Children's Healthcare Improvement Collaboration (CHIC) - Idaho	Grant	Idaho and Utah	CHIPRA Quality Demonstration Grant
CMS State Innovation Model (SIM) Testing Award - Idaho	Grant	Statewide	CMS State Innovation Model (SIM)

State Legislation

Legislation	Status	Year
Idaho Statutes, Title 31, Chapter 35 The legislation provides medical home services to "medically indigent" populations and appropriate reimbursement to the medical home provider.	Expired	2009
Executive Order NO. 2010-10 Executive Order 2010-10 established the Idaho Medical Home Collaborative (Collaborative) to implement a patient-centered medical home (PCMH) model of care to address the transformation of Idaho’s health care system to a PCMH model	Enacted	2010
Executive Order NO. 2014-02 This Executive Order creates the Idaho Healthcare Coalition (IHC). The IHC is charged with building upon the work of the previously established Idaho Medical Home Collaborative (Executive Order No. 2010-10) to facilitate and support the transformation of primary care practices to the PCMH model, develop regional collaboratives to support practices in transformation, and integrate PCMHs with the medical neighborhood that includes hospitals, behavioral health and other community support services.	Enacted	2014