Update on State's Proposed Medicaid Budget Cuts to CTC/PCMH-Kids Program

  • 02 Nov 2017

We have great news to share. CTC received a call from Patrick Tigue, Director of Medicaid, and thanks to the advocacy provided by so many of our key stakeholders, the Governor has restored funding to CTC adult and pediatric practices.

The announcement sent to the SIM Steering Committee by Director Marti Rosenberg states, "At the request of Secretary Beane and Director Tigue, Governor Raimondo has instructed the Office of Management and Budget (OMB) not to proceed with a reduction to the PCMH programs for adults and kids. After hearing from stakeholders like you and exploring alternative funding options, EOHHS concluded that there is no other way to bring as much money into the practices as can be leveraged through state funds, when matched with federal Medicaid dollars, and distributed through the Managed Care Organizations. To protect this strategic investment through the remainder of its pilot program, the Medicaid program will continue making per member per month payments to the managed care plans to support the implementation of PCMH programs this fiscal year."

This is a great victory, a testament to the power of our collaborative and the value of the work we are doing to transform practices in Rhode Island.

All practices should continue to work to achieve contract deliverables --- and new CTC practices that started in July should continue to hire care coordinators and nurse care managers as planned. Congratulations to all!

- Debra Hurwitz and Pano Yeracaris

CTC Leadership Team