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.

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