MMHC qualifications are that primary care practices lead by physicians (internal medicine, general medicine, pediatric, and family practice) must:
Either have completed EMR implementations at Meaningful Use Stage One for at least six months prior to the beginning the MMHC or plan not to implement EMR during the first 12 months of the collaborative timeframe or until after submitting its National Committee of Quality Assurance (NCQA) Primary Care Medical Home application (whichever occurs later).
At least 66% of practices selected into the MMHC must be MO HealthNet providers participating in either the MO HealthNet fee-for-service program or as a network provider of a Missouri Medicaid managed care plan (MFH, 2012; MO HealthNet, 2012).
The MMHC requires that practices provide services by a Clinical Care Manager (CCM) and a Care Coordinator (CC), in addition to a primary care clinician.
The MMHC requires the CCMs to be in place and begin providing care management services no later than six months after the practice begins participation in the Learning Collaborative (MFH, 2011; MO HealthNet, 2011).
The Learning Collaborative is a unique aspect of the MMHC initiative.
This dilemma emerges powerfully for some counselors who work with the MMHC industry.
There are two common approaches to MMHC for clients who want to use an HMO and for counselors who want to participate in MMHC.
For many service providers who participate in MMHC programs, maintaining the obligation to client care as a professional value and as an expression of expert power often conflicts with the institutional value to minimize financial loss.
Specifically, this example concerns MMHC protocols that call for counselors to use a brief, time-limited form of intervention as a standard procedure for client care.
The connection between business practices and the MMHC industry is grounded in the institutional value placed on meeting time limitations.