On July 10, the Centers for Medicare & Medicaid Services (CMS) issued two letters in a series of communications to provide states with guidance on designing and implementing integrated care models (ICMs) in Medicaid programs. ICMs include medical/health homes, accountable care organizations and other arrangements that emphasize person-centered, continuous, coordinated and comprehensive care.
The first letter outlines four areas to focus: reform, modernization, stewardship, and collaboration. The second letter discusses options states have available to implement ICMs, including doing so through state plans or through Medicaid demonstrations and waivers. The letter advises states to consider the goals of the model and its core features when determining the best path to implementation.