Table 4.1. State diabetes disease management (DM) programs
||In 2002, Colorado partnered with Eli Lilly to fund a pilot program to improve access to quality care for beneficiaries with diabetes and schizophrenia.
||In 2003, the State passed a bill to create a task force to evaluate how implementing a statewide DM program could impact quality and cost.
||Florida's Disease Management Initiative program is 7 years old and covers a number of diseases including diabetes.
||In 2003, Illinois authorized a pilot DM program to evaluate the effect DM has on health outcomes and costs.
||In Spring 2003, Indiana launched the Coordinated Care Management program to help Medicaid enrollees diagnosed with chronic conditions, including diabetes.
||In 2003, Iowa authorized a pilot DM program for Medicaid beneficiaries suffering from a range of chronic conditions including diabetes.
||Medicaid managed care enrollees with diabetes are identified to receive services ranging from patient education to access to a 24-hour nurse hotline.
||Maine's new Dirigo Health Insurance Plan promotes DM along with disease prevention and quality improvement programs.
||From 1991-1997 Maryland ran a Diabetes Care Program that provided DM services to Medicaid beneficiaries with diabetes. These services are now provided through the State's Medicaid managed care providers.
||For Medicaid beneficiaries with diabetes, Mississippi offers DM services including patient and provider education and case management.
||Missouri's Disease State Management Program serves fee-for-service Medicaid enrollees with chronic conditions at-risk of negative health outcomes.
||Through its Medicaid managed care programs, enrollees have access to DM services for a number of diseases including diabetes.
||New Mexico requires Medicaid managed care providers to offer DM services to beneficiaries with chronic conditions. The 2003 law also directs the State to pilot a DM program for the fee-for-service population.
||Through its Medicaid managed care program — Carolina ACCESS — North Carolina provides case management services for enrollees with chronic diseases.
||Oregon's DM program is targeted to save $1.5 million net in the first 6 months of operation.
||Since 2001, South Carolina has offered an adult diabetes DM program through its Medicaid managed care program.
||Recently, Texas expanded its DM program to include fee-for-service Medicaid beneficiaries and enrollees in the State's children's health insurance program.
||In 1997, Virginia's successful pilot DM program was expanded to incorporate other diseases, including diabetes.
||In 2002, Washington rolled out a statewide DM program for Medicaid beneficiaries. In its first year, the diabetes program served 8,468 clients and is estimated to have saved the State $900,000.
||The West Virginia Health Initiative Project (WVHIP) works to promote evidence-based best practices in diabetes management.
Source: The Council of State Governments (CSG). This table is derived from a review of State and Federal Web sites and published literature on Medicaid disease management by CSG staff. Published source material included Brown and Matthews, 2003; Wheatley, 2001; Faulkner, 2003; NCSL, 2003, U.S. Department of Health and Human Services, 2003b.
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