Health Care Homes

Resources on Payment Methodology

Getting Denied Claims?

Health Care Home Payment Methodology: Structure and Design (PDF)

Complexity Tier Assignment Tool, Version 1.0 (PDF)

MHCP Fee-for-Service Care Coordination Rate Methodology (DHS Web site - PDF)

Health Care Homes Payment Methodology - Expanded Diagnosis Clusters (EDCs) (PDF)
Health Care Homes condition categories, drill down list. Adapted from the John Hopkins ACG tool.

From the Institute for Clinical Systems Improvement (ICSI) health care homes initiative:

Resources on Health Care Homes for Employers

  • Minnesota Health Action Group: Health Care Home Tool Kit - This tool kit is designed to help employers learn how primary care is being restructured and financed through Health Care Homes (HCH) in Minnesota and Patient Centered Medical Homes (PCMH) nationally. This information includes questions, topics and resources for employers to consider, discuss with health plans and providers, and use as guides as you explore HCH.

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Payment Methodology Home


Updated Wednesday, September 23, 2015 at 11:57AM