–Health Home Services must be evaluated by an independent entity, and the secretary shall report to Congress by January 2017 the results.
–A demonstration project is available to evaluate integrated care around a hospitalization. Up to 8 states can participate 2012-2016, up to $75 Million total. A state will designate one or more episodes of care in which they can improve services while reducing costs to MedicAid beneficiaries. A robust discharge plan must be included.
–5 states can participate in a demonstration project where global capitated payments can be made to a hospital system for MedicAid beneficiaries, during 2010 through 2012. No budget amount is set for this item.
–A Pediatric Accountable Care Organization Demonstration Project is set up for states to designate pediatric organizations to receive incentive payments. It runs from 2012 through 2016. Savings must be demonstrated.
–A Medicaid Emergency Psychiatric Demonstration Project is available to accept and stabilize mental patients with suicidal and homicidal tendencies for up to 72 hours. This is a 3-year project.