Examples of PCMH Programs
Rural program examples of patient-centered medical homes (PCMHs) are provided below. For additional rural PCMH
program examples, see Module 7: Program
Medicaid Medical Home Programs: Several states have PCMHs that provide services to
Medicaid enrollees. The PCMHs include community
health teams that are comprised of multidisciplinary staff working in partnership with primary care
practices to connect patients, providers, and systems through care coordination. Early data suggests that
community health teams can help to reduce costs, improve quality, and increase capacity in smaller primary
Community Care of North
Carolina (CCNC): Sponsored by the North Carolina Department of Health and Human
Services and the North Carolina Division of Medical Assistance, CCNC is implementing a PCMH model. CCNC
helps 14 regional networks in North Carolina to implement care improvement initiatives for Medicaid and
underserved populations. CCNC has extended care into rural communities by connecting providers and community
organizations in North Carolina's 100 counties.
Organizations may use the PCMH model in their primary care practices.
Resources to Learn More
Medical Home Tool Kit
This toolkit presents PCMH information and resources for both families and healthcare providers. The information
was developed for providers in Tennessee but is applicable to other states.
Organization(s): Tennessee Department of Health
Patient-Centered Primary Care Collaborative Webinars
A collection of webinars that discuss a range of PCMH topics.
Organization(s): Patient-Centered Primary Care Collaborative