The Medicaid Medical Directors Network, as an integrated national resource, will advance the health of Medicaid patients in our States and across the Nation while best stewarding available resources. The network is focused on the development and use of evidence-based medicine, measurement and improvement of health care quality, and the redesign of health care delivery systems. The network works in partnership with AcademyHealth.
We will accomplish this mission by:
- Creating and sustaining a vibrant learning community for State Medicaid Medical Directors and other senior clinical leaders to promote and share best practices for the medical direction of State Medicaid programs;
- Offering the expertise and experience of State Medicaid Medical Directors to Federal agencies and national organizations involved in creating policy or implementing programs; and
- Implementing nationally significant multistate measurement and quality improvement projects.
“Improving the lives of Medicaid patients through excellent health stewardship.”
The MMDN is a federation of State Medicaid medical directors working in partnership with AcademyHealth. As senior clinical leaders, our primary responsibility is to the quality and cost effectiveness of our Medicaid programs. The efforts of the network are designed to support and advance individual State efforts. We offer our partners the unique medical expertise, consistent intellectual rigor, and collaborative ethos of the each other. We may partner with federal agencies and national organizations whose mission is to advance health, improve healthcare quality, and improve healthcare system efficiency.
The Medicaid Medical Directors Network (MMDN) is designed to assist senior clinical leaders in identifying and applying the latest research findings and related information to address high priority policy and program issues, especially related to quality assurance, quality improvement, coverage decisions, and clinical system redesign. The network enables Medicaid Medical Directors to:
- Exchange ideas and compare policies and processes with their peers, and foster a community that encourages colleagues to gather ideas and share experiences with one another;
- Gain access to resources, such as studies, reports, and decision-support tools developed by State Medicaid agencies and other sources;
- Foster collaboration to solve problems by working together on issues related to advancing the health of Medicaid enrollees; and
- Work on collaborative data projects that allow for benchmarking, policy comparison, and operations planning related to clinical benefits.
ARTICLE I: NAME
The name of this organization shall be theMedicaid Medical Directors Network (MMDN).
ARTICLE II: PURPOSE
The purpose of the MMDN is to support and promote the highest degree of collaboration, professionalism and expertise among senior clinical leaders in State Medicaid programs.
ARTICLE III: MEMBERSHIP
Participation in the network is intended for state employees and physician consultants serving in a senior clinical leadership capacity that advise the Medicaid Director, for one or more components of a Medicaid program administered by a State, territory, or the District of Columbia.
- Senior state clinical policymakers may seek network participation through application and/or nomination by their State Medicaid Director.
- Membership is open to all States, but network resources can support no more than two senior State clinical policymakers per State.
- Participation in network activities by non-members is by invitation with ad hoc participation by staff.
The Steering Committee is a diverse, representative body of members who facilitate strategic planning discussions and orchestrate event-specific planning.
- The Committee is composed of up to seven voting physician members. The Immediate Past Chair will continue to serve on the Steering Committee for one year as a non-voting member.
- Committee members are elected by the membership and serve for three-year staggered terms.
- Committee membership is voluntary. If more than seven members volunteer, committee composition will be determined by secret ballot at the workshops. Absentee nominations may be submitted at least one day advance of the vote.
- The Committee will be led by a Chair and Vice Chair to be elected by the Steering Committee membership. The roles of the Chair and Vice Chair will be delineated by the Steering Committee. Terms of office will be one year. The term of the Vice Chair will immediately succeed the Chair. The Committee may also appoint additional officers to serve in a leadership capacity as the need arises.
making: The Steering
Committee is tasked with providing strategic direction for the network. When
appropriate it will present proposals to the entire network membership for
approval and adoption, including, but not limited to:
- Meeting & Event Planning
- Strategic Planning
- Relationship building with external stakeholders
- Provision of additional committees as necessary
ARTICLE V: VOTING
Voting is limited to one vote per State. A quorum is any number of voting States greater than 50% of the membership or committee. Voting to approve a proposal requires a majority vote of those States present for both the Steering Committee and network membership, as constituted through the participant list. For the purpose of voting on an initial set of bylaws, member States will be defined by those States that have attended an in-person workshop.
- Voting may be
conducted “in-person” through a roll call, secret ballot or through other
means, such as Web conferences or conference calls, electronic exchanges such
as email, surveys, or web forum discussions, or similar technologies available
in the future to maximize decision making input by the members. Electronic
voting will not be used at in-person meetings.
- Absentee Ballots for a motion may be submitted up to one day in advance of the vote. If through the course of discussion the motion for voting has changed significantly, thus impacting the intention of pre-submitted absentee ballots, those ballots will be considered void.
Electronic voting may be used for a vote of the membership or steering committee if the electronic submission can be conducted in real-time. The Steering Committee Chair or Vice Chair are the only members who can call an electronic vote. When an electronic vote is to be held, network members or steering committee members must be notified via email not less than ten business days prior to the planned commencement of the vote with detailed instructions concerning participation. When a quorum of members responds to the call for an electronic meeting the meeting will be considered to have been called to order. The members who have responded to the call for a meeting have “signed on” and are to be considered to be in attendance electronically. Only one topic requiring action may be considered per electronic meeting. All electronic votes must be submitted within the timeframe outlined by the meeting call to order. All business conducted during a regular meeting, except the amendment of Bylaws and Steering Committee election, may be conducted electronically.
Essential activities of the network include supporting members to:
- Ensure that State Medicaid policy reflects appropriate clinical practice and promotes the highest quality of care for Medicaid recipients.
- Stay informed of and utilize research findings to make evidence-based Medicaid coverage and treatment decisions.
- Share “best practices” as they relate to State Medicaid organizational structures, decision-making and quality improvement. This can include taking part in network projects.
- Achieve accountability for cost, quality and access through the development of state policies and programs, such as the development of appropriate incentives or the public reporting of outcomes, as consistent with state laws or regulations where applicable.
- Develop liaisons with other organizations.
We aim to maintain the following values while carrying out the above listed activities:
- We measure value by connecting cost, quality, access and risk management;
- We mentor and support each other;
- We share to the maximum extent possible;
- We support our directors and programs; and
- We practice the highest ethical standards in balancing our administrative and clinical roles.
The MMDN receives assistance and support through AcademyHealth. The Network also works in collaboration with CMS, AHRQ, PCORI, and the NAMD. Members meet two-to-three times annually and maintain regular communication through conference calls, web conferences, and online communications to discuss and prioritize state needs and exchange craft knowledge.
These Bylaws may be amended, altered or repealed, or new Bylaws adopted by the affirmative vote of a super majority (two-thirds) of the network membership at any regular or special meeting, if notice of the proposed alteration or amendment change is contained within an email announcement to the full membership at least 10 business days in advance of the formal vote.
The mission, vision, and partners statements were adopted in January, 2011. The bylaws were adopted February 5, 2008 and amended on July, 2019.