COD E R E D

Table 1 (Continued). Local Care InitiativesLocation Indianapolis, IN Tampa, FL Milwaukee, WI Austin, TX Buncombe Cty, NCLocal Care InitiativeHealth AdvantageHillsborough CountyHealthCare PlanGeneral AssistanceMedical ProgramICare SystemProject AccessStart Date 1997 1992 1998 1997 1999OverviewOrganizational FormHealth CarePurchasing withManaged CareHealth CarePurchasing withManaged CareHealth CarePurchasing withManaged CareIntegrated EligibilityAnd PatientRecords with Pub/PrivProvided ServiceSystemProviders volunteerhealth care servicesConsolidated Yes No No No NoCoordinated Yes Yes Yes No YesCollaborative Yes Yes Yes Yes YesAdministrative AuthorityDelivery SystemCoordinated Features *Health and HospitalCorporationIES, CM, QA, SR,PHDLCounty Dept of Healthand SSIES, PCA, QAMilwaukee Cnty Div ofHealth ProgramsIES, PCA, IPRS, CM,QA, SRIndigent CareCollaborationIPRS, IES, PHDLBuncombe CountyMedical SocietyIES, CM, QA, SRServices Provided ** A – F A - E A - D NA A, B, C, D, ECommunity PartnersPatient Cost Share (y/n)Provider PaymentEligibilityMed School, FQHCs,Other Safety NetYes if Income >150%FPLCapitation-PCPhysicians FFS- OtherMed School, FQHCs,Other Safety NetMed School, FQHCs,Other Safety NetAll Safety NetProvidersCHCs, FQHC,Hosp Dist, PrivatePhysiciansYes Yes NA NoFFSFFS- Physicians80% Charges-HospitalsChildren Yes Yes Yes NA YesAdults Yes Yes Yes NA YesIncome Threshold 200% FPL 100% FPLOtherNot eligible forother programsNot eligibile forother programs115%-125% FPLbased on family sizeMedical need requiredNA250% FPL dependingon programNA200% of FPLResidents not eligiblefor other programsTotal Enrolled/Served 47,000 (2004) 29,000 (2004) 25,000 (2004) 83,000 ∞ (2002) 26,000 (2005)*FeaturesIES Integrated Eligibility System(w/ local safety net)PCA Primary Care AssignmentRPR Reduced Provider ReimbursmentCM Case ManagementQA Quality AssuranceSR Structured Referral networkBC Broker CollaborationMC Marketing CampaignRC Rate Cap**Services ProvidedA Primary and Preventative CareB Inpatient careC Specialty CareD Pharmacy AccessE Behavioral Health CareF DentalG VisionD-36