Researcher: MF Page 1 4/2/25
OLR Bill Analysis
sSB 1483
AN ACT CONCERNING THE PATIENT -CENTERED MEDICAL
HOME-PLUS PROGRAM.
SUMMARY
This bill requires the Department of Social Services (DSS)
commissioner to pay federally qualified health centers (FQHCs)
participating in the Person-Centered Medical Home-Plus (PCMH+)
program the amounts they were due under the program for the last two
months of 2024.
PCMH+ is a Medicaid program that provides coordinated care under
a shared savings model that allows health care providers who provide
care at reduced costs to receive half of any savings, if the care meets
certain quality standards. In addition to shared savings payments,
FQHCs are eligible for monthly prospective payments for care
coordination. These monthly payments are based on the number of
Medicaid enrollees assigned to the FQHCs. The payments are limited
based on the appropriation for them and if they are exhausted in a given
year, no further payments are made. This occurred in September 2024
and FQHCs participating in the PCMH+ program did not receive care
coordination payments for November or December of that year.
The bill prohibits the commissioner from making shared savings
payments under PCMH+ until amounts due for November and
December are paid.
EFFECTIVE DATE: Upon passage
COMMITTEE ACTION
Human Services Committee
Joint Favorable
Yea 17 Nay 5 (03/18/2025)