Wisconsin

Wisconsin has several activities that encompass PCMH principles: 1) the Governor expanded coverage through Medicaid and SCHIP program to nearly all children, with an additional waiver for childless adults scheduled to go into effect in January 2009; 2) the Milwaukee Health Care Partnership (a collaboration between 5 hospital systems, 4 FQHCs, Wisconsin Medicaid/DHFS, and the County DHHS) has advanced activity relating to health information exchange (which went live in March 2008), emergency room triage protocols, and scheduling non-emergent patients directly into a local federally-funded Health Center, to serve as their medical home; 3)Medicaid has been reorganized into the Division of Health Care Access and Accountability, which made sweeping changes to oversight and administration of HMO contracts, with special attention on care management, incentives to ensure patients are actively managed in a primary care home, and maintaining appropriate physician panels; 4) three of four Milwaukee Health Centers received a local grant to enhance case management to serve as medical homes.