To encourage better coordination of care for the highest risk families, Vermont implemented intensive home visiting (IHV) in which teams of service providers reviewed each case and 1) decided what services the family should receive, 2) developed a care plan, and 3) determined which agencies should provide the care.  The services were designed to be holistic and comprehensive, to focus on prevention and early intervention strategies, and to provide outreach, support, and education to targeted families.  The state’s Department of Health and its Medicaid agency worked together to implement incentive payments to local providers who participated in these teams; a new case management billing code was authorized by Medicaid to support provider time spent at weekly clinical team meetings and other case management activities.

This section contains resources for “Paying for Improvements” developed by Vermont.