* § 364-m. Statewide patient centered medical home program. 1. The
commissioner of health is authorized to certify certain clinicians and
clinics as health care homes in order to improve health outcomes and
efficiency through patient care continuity and coordination of health
services. These providers will be eligible for enhanced payments for
services provided to: recipients eligible for Medicaid fee-for-service;
enrollees eligible for Medicaid managed care; enrollees eligible for and
enrolled in Family Health Plus organizations pursuant to title eleven-D
of this article ("Family Health Plus"); and enrollees eligible for and
enrolled in Child Health Plus. As used in this section "clinic" means a
general hospital providing outpatient care or a diagnostic and treatment
center, licensed under article twenty-eight of the public health law.

2. By December first, two thousand nine, the commissioner of health
shall develop and implement standards of certification for patient
centered medical homes for Medicaid fee-for-service and Medicaid managed
care, Family Health Plus and Child Health Plus programs. In developing
such standards, the commissioner of health shall: (a) consider existing
standards developed by national accrediting and professional
organizations; and (b) consult with national and local organizations
working on medical home models, physicians, hospitals, clinics, health
plans and consumers and their representatives.

3. To maintain their certification, patient centered medical homes
must: (a) renew their certification at a frequency determined by the
commissioner of health; and (b) provide data to the department of health
and to health plans in which the patient is enrolled to permit the
commissioner of health to evaluate the impact of patient centered
medical homes on quality, outcomes and cost.

4. Subject to the availability of funding and federal financial
participation, the commissioner of health is authorized:

(a) To pay enhanced rates of payment to clinics and clinicians that
are certified as patient centered medical homes under this section. Such
enhancements may be tiered based on the level of standard achieved by
the clinician or clinic; and

(b) To pay additional amounts for patient centered medical homes that
meet specific process or outcome standards specified by the commissioner
of health.

5. By December thirty-first, two thousand twelve, the commissioner of
health shall report to the governor and the legislature on the impact of
the statewide patient centered medical home program on quality, cost and
outcomes for enrollees in Medicaid fee-for-service, Medicaid managed
care, Family Health Plus and Child Health Plus.

* NB Repealed April 1, 2025