December 4, 2009 Centers for Medicaid and Medicaid Services 7500 Security Boulevard Baltimore, Maryland 21244-1850

To Whom It May Concern: Utah’s political, academic and economic environments are fully supportive of using electronic health records and statewide health information exchanges to enable a meaningful implementation of the medical home model across primary, specialty, and complex care practices caring for children. Legislation passed in 2008 provided funding for a statewide, all-inclusive insurance payer database where carriers and providers are cooperatively submitting data for research purposes to the Utah Department of Health. In 2009, we authorized public and private payers, including Medicaid and CHIP, to work together to design and implement demonstrations of alternatives approaches to healthcare payment. In our upcoming legislative session, Utah will move forward, with the support of state leaders, community advocates, and the private sector, to add administrative simplification to assure the ability of the demonstrations to utilize analyses from the All Payer Database in their evaluations. I am pleased that Utah’s Utah and Idaho’s Medicaid and CHIP programs are applying for funding to implement and evaluate the medical home model, supported by local quality improvement organizations, our clinical health information exchange, and the Medical Home Portal (www.medicalhomeportal.org), which provides reliable information and resources to help physicians and parents care for children and youth with special health care needs. Utilizing one of the Intermountain West’s most valuable healthcare delivery systems, Intermountain Health Care’s Primary Children’s Medical Center and the University of Utah’s Division of Pediatrics, will be a key component in providing sub-specialty support to the many rural and frontier primary care practices throughout Idaho and Utah. I strongly encourage you to choose Utah and Idaho as recipients of the CHIPRA Quality Demonstration Grant. Both states are committed to ensuring that all of our children, particularly those in Medicaid and CHIP, have access to a medical home that participates in continuous quality improvement efforts, and benefits from the technologically advanced communication tools currently being implemented. Sincerely,

Representative Ronda Rudd Menlove

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