Montana

The Patient Centered Medical Home Act was created by Senate Bill 84, which was passed by the 2013 Montana Legislature. This law requires the insurance commissioner to rely on a council of stakeholders to create standards for the program, qualify health care providers and insurers to participate, and promote the program. The volunteer council consists of representatives of primary care providers, health plans, Medicaid, public health, and consumer advocates. Council members consult the Montana Commissioner of Securities and Insurance (CSI) in qualifying patient-centered medical homes (PCMH).  Stakeholders work with CSI staff to develop Montana-specific PCMH standards and a qualification process for applicants.  The council also advises on the promotion, education and coordination of the PCMH program by providing guidance concerning medical home activities. Recently the CSI approved of PCMH designation of practices from NCQA, AAAHC, and the Joint Commission.  Primary care practices are in the process of being qualified for the Montana PCMH program. 

CHIPRA: 
No
MAPCP: 
No
Dual Eligible: 
No
2703 Health Home: 
No
CPCi: 
No
SIM Awards: 
Yes
PCMH in QHP: 
No
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
1,002,200
Uninsured Population:
15%
Total Medicaid Spending FY 2013: 
$1,007,145,361
Overweight/Obese Adults:
61.4%
Poor Mental Health among Adults: 
32.1%
Medicaid Expansion: 
Yes
CPC+: 
CPC+

Blue Cross and Blue Shield of Montana Patient-Centered Medical Home

Blue Cross and Blue Shield of Montana recognizes its network physicians and their health care teams that have demonstrated their commitment to delivering quality and patient-centered care through participation in BCBSMT Patient Centered Medical Home (PCMHs). 

Montana Patient-Centered Medical Home Initiative

In the fall of 2009 the Montana Department of Health and Human Services (DPHHS) received a technical assistance grant from the National Academy on State Health Policy (NASHP) to advance a multi-payer Patient-Centered Medical Home Initiative that included Medicaid and CHIP patients. In August of 2011, Commissioner Lindeen reformed the working group as an official state advisory council. The council includes insurance companies, medical providers, public agencies, and consumer advocates working together to lay the groundwork for patient-centered medical homes in Montana.

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