Medicare Payment for Health Care Home Services
Through Minnesota's participation in the Medicare Multi-payer Advanced Primary Care Practice (MAPCP) demonstration, certified health care homes will be reimbursed for care coordination services provided to fee-for-service Medicare beneficiaries began on10/1/11.
Health care home payment rates for Medicare have been approved by the federal Office of Management and Budget (OMB) [PDF: 284KB/2 pages], clearing the final hurdle before the demonstration can be launched. Implementation planning is well underway to equip Minnesota's contracted Medicare Part B carrier to process health care home claims. Detailed Medicare billing instructions for providers will be made available soon.
Please visit the Minnesota Department of Health's health care home web site for the most up-to-date information. Certified Health Care Homes who wish to participate in the MAPCP demonstration and have not already notified MDH should contact MDH at firstname.lastname@example.org or call 651-201-5421.
Minnesota has been selected by the Centers for Medicare and Medicaid Services (CMS) to be one of eight states participating in the Medicare Multi-payer Advanced Primary Care Practice (MAPCP) demonstration project. This demonstration will add Medicare to Minnesota's existing multi-payer health care home initiative as a payer for certified health care homes.
The Minnesota Departments of Health and Human Services jointly applied for the demonstration project, with guidance from a wide array of stakeholders. The demonstration began in 2011 and will last for three years.