Section 364-M. Statewide patient centered medical home program

1. The
  commissioner of health is authorized to certify certain  clinicians  and
  clinics  as  health  care  homes in order to improve health outcomes and
  efficiency through patient care continuity and  coordination  of  health
  services.  These  providers  will  be eligible for enhanced payments for
  services provided to: recipients eligible for Medicaid  fee-for-service;
  enrollees eligible for Medicaid managed care; enrollees eligible for and
  enrolled  in Family Health Plus organizations pursuant to title eleven-D
  of this article ("Family Health Plus"); and enrollees eligible  for  and
  enrolled  in Child Health Plus. As used in this section "clinic" means a
  general hospital providing outpatient care or a diagnostic and treatment
  center, licensed under article twenty-eight of the public health law.
    2. By December first, two thousand nine, the  commissioner  of  health
  shall  develop  and  implement  standards  of  certification for patient
  centered medical homes for Medicaid fee-for-service and Medicaid managed
  care, Family Health Plus and Child Health Plus programs.  In  developing
  such  standards, the commissioner of health shall: (a) consider existing
  standards   developed   by   national   accrediting   and   professional
  organizations;  and  (b)  consult  with national and local organizations
  working on medical home models, physicians, hospitals,  clinics,  health
  plans and consumers and their representatives.
    3.  To  maintain  their  certification, patient centered medical homes
  must:  (a) renew their certification at a frequency  determined  by  the
  commissioner of health; and (b) provide data to the department of health
  and  to  health  plans  in  which  the patient is enrolled to permit the
  commissioner of health  to  evaluate  the  impact  of  patient  centered
  medical homes on quality, outcomes and cost.
    4.  Subject  to  the  availability  of  funding  and federal financial
  participation, the commissioner of health is authorized:
    (a) To pay enhanced rates of payment to clinics  and  clinicians  that
  are certified as patient centered medical homes under this section. Such
  enhancements  may  be  tiered based on the level of standard achieved by
  the clinician or clinic; and
    (b) To pay additional amounts for patient centered medical homes  that
  meet specific process or outcome standards specified by the commissioner
  of health.
    5.  By December thirty-first, two thousand twelve, the commissioner of
  health shall report to the governor and the legislature on the impact of
  the statewide patient centered medical home program on quality, cost and
  outcomes for enrollees in  Medicaid  fee-for-service,  Medicaid  managed
  care, Family Health Plus and Child Health Plus.
    * NB Repealed April 1, 2013