Collaborative Care

​Background

HB 1682/SB 835—Maryland Medical Assistance Program – Collaborative Care Pilot Program (Chapters 683 and 684 of the Acts of 2018) establishes a Collaborative Care Pilot Program.  Specifically, the bill requires the Maryland Department of Health (MDH) to establish and implement the Collaborative Care Model (CoCM) in primary care settings in which health care services are provided to Medical Assistance Program participants enrolled in HealthChoice. SB 835 requires MDH to administer the Pilot Program and to select up to three pilot sites with certain characteristics to participate. The bill also requires the Governor to include in the annual budget $550,000 for fiscal years (FY) 2020, 2021, 2022, and 2023 for the Pilot Program. The bill stipulates that MDH shall apply to the Centers for Medicare and Medicaid Services (CMS) for an amendment to the State’s §1115 HealthChoice Demonstration Waiver if necessary to implement the Pilot Program. MDH received approval for an amendment to the State's §1115 HealthChoice Demonstration Waiver on April 16, 2020. Lastly, MDH shall report to the Governor and the General Assembly the findings and recommendations from the Pilot Program by November 1, 2023.

GENERAL NOTICE – WAIVER AMENDMENT

The Maryland Department of Health (the Department) has proposed an amendment to its §1115 demonstration waiver known as HealthChoice to establish a limited Collaborative Care Pilot Program. The Centers for Medicare and Medicaid Services (CMS) has authorized the Department’s existing §1115 waiver through December 31, 2021. HealthChoice, first implemented in 1997 under the authority of §1115 of the Social Security Act, is Maryland’s statewide mandatory managed care program for Medicaid enrollees. Under HealthChoice, eligible families and individuals are required to enroll in a managed care organization (MCO) that has been approved by the Department. Each MCO is responsible for ensuring that HealthChoice enrollees have access to a network of medical providers that can meet their health needs.
 
The State’s 30-day public comment period was open from May 17, 2019 through June 16, 2019.

The approved §1115 HealthChoice Demonstration Waiver Amendment (April 16, 2020) is available here.
 

RESOURCES AND INFORMATION

​The funding opportunity period is closed. Funding opportunity information found in the subsequent archives is for educational and reference purposes only. 

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Collaborative Care Model Pilot Funding Opportunity 
The Department's Medical Assistance Program is offering primary care provider sites the opportunity to apply for the Collaborative Care Model (CoCM) Pilot Program. The application documents are found below.

The draft waiver amendment is available here; the final waiver amendment (as submitted on June 24, 2019) is available here.

The following public hearings provided an overview of the content of the waiver amendment and gave public stakeholders the opportunity to provide input and feedback.
 
Baltimore City 
Thursday, May 23, 2019; 3:00 PM – 5:00 PM
Maryland Department of Health 
201 West Preston Street 
Baltimore, Maryland 21201 
Room L-1

Please click here for the agenda.
 
Crownsville
Friday, June 7, 2019; 10:00 AM– 12:00 PM
100 Community Place
Crownsville, Maryland, 21032
First Floor Conference Room, Side A​