Medical home efforts in North Dakota have been led by the private sector. In 2009, Blue Cross Blue Shield North Dakota (BCBSND) launched MediQHome, a statewide program to provide enhanced care coordination and chronic condition management in primary care practice. More than 72% of primary care providers across the state participate in this program. On October 1, 2011, North Dakota Medicaid began transitioning their disease management program to a Health Management program. Services of this program include patient-centered care coordination, telephone contact with a care coordinator or nurse within the clinic, involvement from a team of medical professionals as needed, and patient education. Providers, pratitioners, clinics, or Disease Management Organizations (DMOs) may be eligible to provide additional health management services to certain, eligible Medicaid recipients with chronic diseases. North Dakota also has an Integrated Services for Children and Youth with Special Health Care Needs grant that is working to provide significant education, training, and opportunities for primary care providers, families and other important partners in coordinated care.
Dual Eligible | 2703 SPA | CPC | CPC+ | PCMH QHP | PCMH Legislation | Private Payer |
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Program Name | Payer Type | Coverage Area | Parent Program | Outcomes |
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North Dakota Comprehensive Primary Care Plus | Multi-Payer | Statewide | CMS Comprehensive Primary Care Plus (CPC+) |
Program Name | Payer Type | Coverage Area | Parent Program | Outcomes |
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CMS Health Care Innovation Award - Northland PACE Senior Care Services | Grant | Rural North Dakota | CMS Health Care Innovation Award (Round 1) | |
CMS Health Care Innovation Award - Sanford Health | Grant | South Dakota, North Dakota and Minnesota | CMS Health Care Innovation Award (Round 1) |
Program Name | Payer Type | Coverage Area | Parent Program | Outcomes |
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Blue Cross Blue Shield of North Dakota - MediQhome program | Commercial | Statewide | Blue Cross Blue Shield Value-Based Care Program |