Section 2799-S. Medical home demonstration programs


Latest version.
  • 1. The commissioner,
      in consultation with the New York state chapter of the American  College
      of  Physicians  and primary care physicians, shall establish two medical
      home demonstration programs, one to be located in the county  of  Nassau
      and  the  second to be located in the county of Onondaga, the purpose of
      which is to evaluate the effectiveness of the medical  home  concept  in
      promoting health through both treatment of patients with chronic medical
      conditions  and  providing  preventative  care and improving health care
      delivery. A "medical home demonstration program", for purposes  of  this
      article,  is  defined  as  a  program  that incorporates the delivery of
      health care in a variety of settings based upon the needs of the patient
      and the skills of a provider, and is  designed  to  furnish  continuous,
      comprehensive  medical  care.  It  is  facilitated  through  an ongoing,
      personal relationship between a patient and  his  or  her  primary  care
      provider.
        2.   In  approving  such  medical  home  demonstration  programs,  the
      commissioner shall consider the following characteristics, including but
      not limited to, the extent to which the program:
        (a) uses  health  information  technology  and  other  innovations  to
      support the management and coordination of care provided to patients;
        (b) has established, where practical, effective referral relationships
      between  the primary care provider and the major medical specialties and
      ancillary services in the region;
        (c) applies standards  for  access  to  care  and  communication  with
      demonstration participants for whom it provides care;
        (d)  has  the  ability  to  collect  and  maintain readily accessible,
      clinically useful information on demonstration  participants  that  will
      enable  the  program  to  comprehensively  and systematically treat such
      participants;
        (e) can implement evidence-based guidelines and apply such  guidelines
      to  the  identified  needs  of individual participants and the programs'
      patient population over time;
        (f) assists in the early identification of health care needs; and
        (g) provides ongoing primary care including care  for  acute,  chronic
      and preventative needs.
        4.  The  commissioner  is  authorized  and directed to promulgate such
      rules and regulations as are necessary to implement  the  provisions  of
      this article.
        5.  The  department  shall  evaluate  the  programs'  effectiveness in
      promoting health through improving health care delivery,  and  promoting
      participants'  and physicians' satisfaction with the medical home model,
      and shall issue a report of its  findings  and  recommendations  to  the
      governor  and  legislature  on  or  before April thirtieth, two thousand
      twelve.
        * NB Repealed January 1, 2012