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HSIA : sim

​​​​​​​​​​State Innova​tion Model (SIM)


SIM Overview


As part of the State Innovation Model funding opportunity from the Centers for Medicare & Medicaid Innovation, the state of Maryland received funding to engage in a planning process to develop the Community-Integrated Medical Home 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 developed the details of the model and devised an innovation plan to guide its implementation.  ​A payer and provider engagement process was used to develop programmatic standards and administrative structures for the CIMH. Second, local health improvement coalitions, which are panels of local health departments, hospitals, physicians, community organizations, and other local entities, were engaged to develop plans for the integration of  community health with medical care and build capacities at the local level for health planning and hot-spotting of areas with inefficient use of health services.

Stakeholder meeting agendas and materials may be found in the right sidebar.

Near the end of the six-month funding period, a summit was held to finalize policy decisions from the dual processes and to develop a comprehensive innovation plan.

 ​Maryland’s State Healthcare Innovation Plan

The State Healthcare Innovation Plan was posted on the Department’s website for informal public comment from April 1, 2014 through April 15, 2014.  The deadline for comments was extended until April 28, 2014 in order to provide all interested parties with sufficient time to review the State Healthcare Innovation Plan.  The Maryland SIM Team received 46 comments in total, 10 from state and local government agencies and 36 from external stakeholders, including physicians.  Many of the comments received have been incorporated into the response to the Funding Opportunity Announcement the Department will be submitting to the Centers for Medicare and Medicaid for Round Two of the State Innovation Models grant (#CMS-1G1-14-001) due July 21, 2014. The Department is grateful to those who contributed their comments, and we appreciate the instructive input and time spent.  All comments were closely examined. 

Thirty-eight organizations and individuals gave the Department permission to make their comments available to the public.  Click here to review the public comments received by the Department.  Based on the themes of the comments, they were grouped into the following topic areas:  

Care Coordination
Community Health Hubs
Community Health Workers
Community-Integrated Medical Home Advisory Body
Community-Integrated Medical Home Teams
Community Partners
Consumers and Stakeholders
Correctional System
Financial Model
Governance and Law
Health Disparities and Cultural Competency
Health Information Technology and Data
Local Health Improvement Coalitions and Local Health Departments
Maryland Access Point
Measures and Reporting
Oral Health
Patient Centered Medical Homes
School-Based Health Centers
Social Determinants of Health
Target Populations
Workforce Development and Trainings
Wraparound Services
Other Comments

The Department's response to public comments correspond to the same groups in these specific topics.