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CTC Agreement for PCMH Kids Care Transformation Collaborative of R.I.

This agreement outlines the common contract elements for the CTC Practice Transformation Committee, including multi-payer participation and a 3-year contract. Provider files will be updated quarterly, and various medical practices are included as attachments. The agreement also covers budgeting, care coordination, reporting requirements, and future expectations for participation in advanced payment model contracts.

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CTC Agreement for PCMH Kids Care Transformation Collaborative of R.I.

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  1. CTC Agreement for PCMH KidsCare Transformation Collaborative of R.I. CTC Practice Transformation CommitteeJanuary 21, 2016

  2. Common Contract Elements • Multi-payer • Base CTC language and made adjustments relevant to pediatrics • Attachments • 3 year contract

  3. Attachment A • Provider file • Update every quarter

  4. Attachment B • Anchor Medical Associates (Lincoln, Providence, and Warwick) • Associates in Primary Care (Warwick) • Barrington Family Medicine, SolmazBehtash, North Kingstown Family Practice, Primary Care Barrington, Wickford Family Medicine • Blackstone Valley Community Health Center (Central Falls and Pawtucket) • John Chaffey, Coventry Primary Care Associates • Charter Care Medical Associates • Coastal Medical (East Providence, Narragansett, Pawtucket, Providence, and Wakefield) • Comprehensive Community Action Program (Cranston, Coventry, and Warwick) • East Bay Community Action Program (East Providence and Newport) • East Greenwich Pediatrics (East Greenwich) • Family Health and Sports Medicine (Cranston) • Hasbro Pediatric Primary Care (Providence) • Hasbro Medicine-Pediatric Primary Care Clinic (Providence) • Internal Medicine Partners (North Providence) • Kristine Cunniff, MD (Narragansett) • Medical Associates of RI (Bristol and Barrington) • Memorial Hospital Family Care Center (Pawtucket), Internal Medicine Center (Pawtucket), Family Medicine at Women’s Care (Pawtucket) • Nardone Medical Associates (Pawtucket) • Ocean State Medical (Johnston) • Pediatric Associates (East Providence) • Providence Community Health Centers • Richard Del Sesto (East Greenwich) • SouthCoast Health System (Linden Tree Health Center, Tiverton Family Practice, Family Medical Middletown, Family Medicine Center) • South County Hospital Family Medicine (East Greenwich) • South County Hospital Primary Care and Internal Medicine/Wakefield and Westerly • South County Internal Medicine (Wakefield) • South County Walk-In and Primary Care (Narragansett) • Stuart Demirs, MD (Charlestown) • Thundermist Health Center (Wakefield, West Warwick, and Woonsocket) • Tri-Town Community Action Program (Johnston) • University Family Medicine (East Greenwich) • University Internal Medicine (Pawtucket) • University Medicine (8 sites – East Providence, Newport, Portsmouth, Providence and Warwick) • WellOne Primary Medical and Dental Care (Foster, North Kingston, and Pascoag) • Women’s Primary Care, Women’s Medical Collaborative (Providence) • Wood River Health Services (Hope Valley)

  5. Attachment C • Budget • Care coordination staff • After hours policy • CAHPS • Practice reporting • Utilization data • Outpatient transition procedure • Participate in learning collaboratives, training and practice coaching • NCQA PCMH recognition

  6. Attachment D • Health plan reporting requirements for • Attribution • Subscriber panels • High risk panels • Inpatient and ED utilization • Cost and quality data

  7. Attachment E • BMI • Developmental Screening • CAHPS • Emergency Room Visits

  8. Attachment F • Facilitation engagement requirement • Work plan • CTC Learning Collaborative Oct 5th • Care Coordination training Feb 24th • Year 3- ACO success learning • CTC Committee Attendance requirements

  9. Attachment G • Practice Transformation Committee • Jan 21, April 21, July 21, Oct 20 • Care Coordination/Manager Best Practice Sharing • Feb 24, May 10, Aug 9, Nov 8 • Practice Reporting Committee • March 22, June 28, Sept 27, Dec 27

  10. Attachment H and I

  11. Attachment J and K • Roles and Responsibilities for Care Coordinators • Outpatient Transitions Procedure

  12. Integrated Behavioral Health • Tufts and CTC Funding • Learning collaborative • Facilitation • CTC IBH Committee • March 10, June 9, Sept 8, Dec 8 • MOU practice dollars

  13. Future Expectations • Best efforts to participate in advanced payment model contracts • OHIC Care Transformation Plan • Crosswalk

  14. Hannah Hakim, MPH • PCMH-Kids Project Manager • Hannah.Hakim@ohhs.ri.gov • 401-462-0751

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