1. NCM Significance Care Transformation Collaborative of R.I.
Deidre Gifford, MD, MPH, Medicaid Director
NCM Learning Day May 5, 2015

2. Birth of the role of the NCM
Initial need for the NCM
How the role was incorporated into the PCMH
Importance of practice-based care management

3. Importance of the NCM Payer-blind resource Team-based care
Working to top of licensure
NCM focus – transitions of care and the highest risk/highest need patients
Collaboration with the medical neighborhood and community health team to support the clinical, social and behavioral needs of patients