2018 State HIT Connect Summit

Michigan has partnered with CMS and seven managed care organizations (integrated care organizations) in what is known as the MI Health Link Demonstration. Health Plans participating in this demonstration are required to create a person-centered care plan that allows beneficiaries to sit in the driver's seat when navigating their healthcare, with the assistance of a designated care coordinator. The care plan is used to coordinate medical services and supplies, behavioral health, substance use disorder, pharmacy, dental, vision, long term services and supports including home and community based services.

MDHHS developed a solution to reduce the burden for care coordinators and streamline the process for creating, updating, and sharing patient-centered care plans with members of the care team. MDHHS developed an electronic care plan using the C-CDA and paired it with a complimentary rendering tool for a customized view of the care plan for members of the care team. The solution enables care team members to view the care plan within electronic health records (EHRs). For care team members without an EHR, the care plan is configurable to view and print via a secure portal. This approach facilitates real-time integrated and coordinated care. During this workshop, MDHHS will review the architecture and functions of the C-CDA and rendering tool and discuss how other state Medicaid agencies could potentially leverage this approach to improve beneficiaries care coordination.