Care Delivery

At the core of the Patient-Centered Medical Homes (PCMH) Initiative, a State Innovation Model partnership with Michigan Primary Care Transformation (MiPCT), are comprehensive strategies for coordinated delivery of care.  Building upon the foundation of the MiPCT demonstration, the PCMH Initiative leverages multi-payer participation to further advance the PCMH model of care across Michigan in an effort to realize improvements in the quality of care, health outcomes, patient satisfaction, and increased participation in alternative payment methodologies. Over the next three years, beginning January 1, 2017, the SIM Care Delivery PCMH Initiative will work towards realizing those goals through achieving the following objectives:

  • Increasing the percentage of active primary care providers practicing in PCMH settings.
  • Increasing the percentage of Michigan residents receiving primary care services in a PCMH setting.
  • Increasing the percentage of active primary care providers participating in Category 3B or higher Alternative Payment Methodologies.
  • Continuing measurable improvements in quality of care, health outcomes and patient satisfaction measures
  • Making a positive impact on PCMH’s understanding and management of their patients’ healthcare cost.

For more detail on aspects of the PCMH Initiative, please review the supporting materials found on this web page. This web page will serve as a library of Care Delivery information and other program material and reports that will provide participants, citizens and other entities visibility into the progress and impact of the SIM Test in Michigan.


PCMH Initiative Newsletters:

Upcoming Events:

  • Check out the June 2017 Calendar for the details on each planned event in June
  • Care Manager and Coordinator Affinity Group:
    • For more information about the Affinity Group, check here
      All Sessions are held from 2:00 - 3:00PM 
      Date Patient Population Topic Registration
      Wednesday, August 2nd  Adult Care Manager and Care Coordinator Visit Documentation: What and How?  CLICK HERE
      Thursday, August 3rd Adult Shared Care Planning: What and How?  CLICK HERE
      Thursday, August 10th  Pediatrics

      1) Care Manager and Care Coordinator Visit Documentation: What and How?  


      2) Shared Care Planning: What and How? 



  • Billing and Coding Collaborative: for more information about the Collaborative, check here
    • Q/A Session Re: CCM Codes 
    • Webinar Session: Patient Financial Liability
    • Q/A Session Re: Patient Financial Liability
  • Practice Transformation Collaborative: for more information about the Collaborative, check here
    • Action Period Calls
      • Thursday, July 13th | 4:00PM - 5:00PM | REGISTER HERE  
    • Peer Coaching Calls
      • July Opportunities: 
All Sessions are held from 12:00 - 1:00PM | REGISTER HERE
Date Focus Area Session Details
Tuesday, July 18th

Implementing SDoH Screening

Screening tool, mapping to current screenings/processes, testing the workflow design

Wednesday, July 19th

Establishing Linkage Process

Going beyond the referral, examples from developing and testing the linkage process and documentation

Thursday, July 20th

Designing CCL QI Activities 

Identifying activities to test CCL design, how will success be measured? Driving continuous improvement

Friday, July 21st 

Practice/PO Leaders

Supporting a larger team, or multiple practices in CCL design, testing and implementation 

  • ​​Quarterly Update Virtual Meeting


If you have questions about the PCMH Initiative, please contact the SIM Team at


Past Events: