Table 4.1. State diabetes disease management (DM) programs
Diabetes Care Quality Improvement: A Resource Guide for State Action
Table 4.1. State diabetes disease management (DM) programs
State | Program |
---|---|
Colorado | In 2002, Colorado partnered with Eli Lilly to fund a pilot program to improve access to quality care for beneficiaries with diabetes and schizophrenia. |
Delaware | 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 | Florida's Disease Management Initiative program is 7 years old and covers a number of diseases including diabetes. |
Illinois | In 2003, Illinois authorized a pilot DM program to evaluate the effect DM has on health outcomes and costs. |
Indiana | In Spring 2003, Indiana launched the Coordinated Care Management program to help Medicaid enrollees diagnosed with chronic conditions, including diabetes. |
Iowa | In 2003, Iowa authorized a pilot DM program for Medicaid beneficiaries suffering from a range of chronic conditions including diabetes. |
Kentucky | Medicaid managed care enrollees with diabetes are identified to receive services ranging from patient education to access to a 24-hour nurse hotline. |
Maine | Maine's new Dirigo Health Insurance Plan promotes DM along with disease prevention and quality improvement programs. |
Maryland | 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. |
Mississippi | For Medicaid beneficiaries with diabetes, Mississippi offers DM services including patient and provider education and case management. |
Missouri | Missouri's Disease State Management Program serves fee-for-service Medicaid enrollees with chronic conditions at-risk of negative health outcomes. |
New Jersey | Through its Medicaid managed care programs, enrollees have access to DM services for a number of diseases including diabetes. |
New Mexico | 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. |
North Carolina | Through its Medicaid managed care program — Carolina ACCESS — North Carolina provides case management services for enrollees with chronic diseases. |
Oregon | Oregon's DM program is targeted to save $1.5 million net in the first 6 months of operation. |
South Carolina | Since 2001, South Carolina has offered an adult diabetes DM program through its Medicaid managed care program. |
Texas | Recently, Texas expanded its DM program to include fee-for-service Medicaid beneficiaries and enrollees in the State's children's health insurance program. |
Virginia | In 1997, Virginia's successful pilot DM program was expanded to incorporate other diseases, including diabetes. |
Washington | 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. |
West Virginia | 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.