State Innovation Model (SIM)
As part of the State Innovation Models funding opportunity from the Centers for Medicare & Medicaid Innovation (CMMI), the state of Maryland received funding to engage in a planning process to develop the Community-Integrated Medical Home (CIMH) model. This model of care will integrate patient-centered medical care with community-based resources while enhancing the capacity of local health entities to monitor and improve the health of individuals and their communities as a whole. The state of Maryland is committed to designing the CIMH based on input from a wide range of health care stakeholders.
Through a stakeholder engagement process, we will develop the details of the model and devise an innovation plan to guide its implementation. A payer and provider engagement process will be used to develop programmatic standards and administrative structures for the CIMH. Second, local health improvement coalitions (LHICs), which are panels of local health departments, hospitals, physicians, community organizations, and other local entities, will be engaged to develop plans for the integration of community health with medical care and buidling capacities at the local level for health planning and hot-spotting of areas with inefficient use of health services.
Near the end of the six-month funding period, a summit will be held to finalize policy decisions from the dual processes and development a comprehensive innovation plan. This plan will form the basis of a subsequent proposal to CMMI to fund the implementation of the CIMH model over a 4-year period.