Resources

Team-Based Care Resources

• The South Dakota Team-Based Care Toolkit
• Team-Based Care Toolkit from the Cambridge Health Alliance
• Creating a Patient-centered Team-based Primary Care  
• Patients and Health Care Teams Forging Effective Partnerships
• AMA Steps Forward: Implementing Team-Based Care
• CCHN & CHAMPS Team-Based Care Webinar Series

Team-Based Care for Chronic Conditions

• Promoting Team-Based Care to Improve High Blood Pressure Control
• CDC Best Practice Guide for Cardiovascular Disease
• Team-Based Care to Improve Blood Pressure Control

Resources for Medicaid Health Homes

South Dakota Medicaid's Health Homes is a form of team-based care focused on transforming care for high cost, high need Medicaid recipients to improve the patient experience, increase preventive and primary care services while improving outcomes for Medicaid recipients and managing costs to South Dakota's Medicaid program.

• Health Home Attribution and Payment Flow Chart
• Health Home Brochure
• Health Home Orientation
  • Disenrollment Process for Behavior Issues
  • Disenrollment Process Due to No Contact
• Health Home Administrative Orientation
• Health Home Provider Orientation
• Health Home Training
• Health Home Provider Manual

Reporting Requirements for Health Homes

All Health Homes are required to follow reporting standards as designated by the South Dakota Department of Social Services. The following resources provide information on quarterly core services reporting and outcome measure reporting:

• Health Home Outcome Measures
• Outcome measures for Health Home are required to be submitted twice a year:
  • January - June are due by August 31st.
  • July - December are due the following February 28th.
    

Impact of Medicaid Health Homes in South Dakota

This page breaks down the numbers to show how Health Homes in South Dakota are transforming the way individuals receive care, increasing preventive screenings, and improving the patient experience in a cost-effective way:

• Health Home Dashboard

National Medicaid Health Home Resources

• Medicaid.gov Health Homes
• Medicaid.gov Guide to Health Home Design & Implementation
• Health Home Technical Assistance