Chronic Illness Demonstration Project (CIDP)

Lessons for Health Homes Identified Through the Chronic Illness Demonstration Project Learning Collaborative

In State Fiscal Year 2007-08, the New York State Commissioner of Health, in consultation with the Commissioners of the Office of Mental Health and the Office of Alcohol and Substance Abuse Services, were authorized to develop the Chronic Illness Demonstration Projects (CIDP). The project was established to improve health outcomes and reduce costs for persons with chronic medical and behavioral illness. The demonstrations were geographically diverse targeting medically complicated Medicaid fee-for-service beneficiaries across the state. The specific focus of the program was to provide better care coordination/management of individuals exempt or excluded from mandatory managed care. The demonstrations utilized integration of all health care services, aimed to improve access to needed services and assisted with the delivery of care in the most appropriate setting. The CIDPs utilized multifaceted interventions and were designed to enhance the patient-provider relationship, promote patient self-management and compliance to the prescribed treatment plan with the goal of reducing emergency department visits and inpatient hospitalization's.

While official outcomes are still being evaluated, the CIDP experience contributed to the development of New York's Health Home strategy, which is focusing specifically on adults with complex needs. Thus, lessons from CIDP may provide valuable guidance for Health Home implementation given the similarly complex characteristics of beneficiaries targeted for enrollment in both programs.

A summary report on the CIDP may be accessed here: