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Interoperability Proving Ground (IPG) submissions within the ONC Tech Lab are submitted by healthcare, technology and development organizations that are invested in Health IT and Interoperability and want to share, learn and collaborate with similar stakeholders in the US, and around the world.

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MI Health Link Care Plan C-CDA - Altarum Institute

Michigan was selected by CMS as one of fifteen states to be awarded a contract for the development of an integrated care plan for individuals who are dually eligible for Medicare and Medicaid. The goal of the demonstration is to improve quality and access to care by more effectively aligning the two programs and bridging the divide between the physical health, long term care, and behavioral health systems. 

Altarum Institute is a nonprofit research and consulting organization that creates and implements solutions to advance health among vulnerable and publicly insured populations. Altarum developed a care plan consolidated-clinical document architecture (C-CDA) supplemental implementation guide, a complimentary CDA rendering App for care teams to customize the view of the care plan, and a C-CDA validator tool automating conformance checking.
Start Date
Projected End Date

Project Tags
  • Altarum
  • C-CDA
  • Care Coordination
  • care plan
  • CMS
  • EHR
  • HIE
  • HL7
  • interoperability
  • Michigan
  • ONC
  • Service Plan
  • XML
  • Altarum Institute
Project Point of Contact:
Project Results
HL7 standards-based Care Plan C-CDA supplemental implementation guide, quality assurance C-CDA validator tool, and a CDA viewer App. 

Since implementation of the application, members of the care team are able to more efficiently share updates to patient care plans with each other. More than 350 referrals are exchanged weekly among members of the care team in real time. Eleven health plans are participating, including Aetna, Amerihealth, HAP, Meridian, Molina, Michigan Complete Health, and Upper Peninsula Health Plan, representing 37,000+ beneficiaries.