2021 PCP Incentive Program (PIP) webpage updates

We've updated our website to reflect changes for the 2021 PCP Incentive Program (PIP) year. Member login is required to view page details.

Summary of what changed

Two new measure pages were added under the PIP program.

The MTM incentive measure page had significant changes to its measure components and program deadlines.

Six other PIP incentive webpages had minor updates to reflect 2021 incentive program changes. Read about detailed changes below.

Detailed incentive program webpage updates:

PCP Incentive Program

  • Added the 2021 PCP Incentive Program manual and quick reference guide
  • Posted quick links for 2021 incentive measures (MTM, SDoH, BHCC, and Care Management)

Physician Quality Awards

  • Included past quality award detail and previous program year winners

Care opportunities using Patient Profile

  • Added a quick link to Patient Profile
  • Added a data upload schedule

Special exceptions

  • Updated requirements and instructions for special exception submission

Excluding non-adherent members

  • Updated requirements and instructions for non-adherent submission

MTM incentive measure

  • Updated measure components and program deadlines
  • Added new language to the attestation component
  • Added new language to the collaborative practice agreement language

Social Determinates of Health (SDoH)

  • Included measure components and program deadlines
  • Added language for PCMH recognition in the program year
  • Added details about screening for SDoH
  • Added language about attestation requirement
  • Added information for submitting z-codes

Behavioral Health Collaborative Care (BHCC)

  • Included measure components and program deadlines
  • Added language for PCMH recognition in the program year
  • Added requirement to attend BHCC learning event and complete an attestation on for contracted provider groups
  • Added requirement to attend quarterly Priority Health collaborative meetings

Care management

  • Updated measure components and program deadlines