Recognition through NCQA

NCQA recognition

The National Committee for Quality Assurance (NCQA) offers a Physician Practice Connections (PPC®) -PCMH TM program to recognize practices as patient-centered medical home.  There are nine PPC® standards, including 10 must pass elements, which can result in one of three levels of recognition.  Practices seeking PPC®-PCMHTM recognition complete a Web-based data collection tool and provide documentation that validates responses.

Additional PMPM payment to recognized practices

Priority Health will reimburse practices achieving PPC-PCMH NCQA recognition a PMPM infrastructure support payment of $1-$3 (based on tier 1-3). PMPM payment is based on the practice’s fully-funded Priority Health members.  This enhanced reimbursement will continue for up to a total of 12 months, based on the level of recognition.

To be eligible for these payments:

• You must submit your completed application to NCQA on or before October 31, 2010.
• You must forward the NCQA application confirmation e-mail to your provider account representative as evidence of your submission.
• Once you receive confirmation that NCQA recognizes your practice as PPC-PCMH, forward the notification e-mail to your provider account representative.
  

Application discount

Priority Health recognizes practices that receive PPC-PCMH recognition; therefore is considered a sponsor by NCQA.  Practices identifying themselves as part of the Priority Health network may be eligible to receive a 20% discount on their application fee. 

See the PPC-PCMH Standards & Guidelines FAQ to find out more about their survey and pricing.

Information on the NCQA PPC-PCMH program

Complete details are available through the NCQA PPC- PCMH website.
Go to the NCQA PPC-PCMH website now

Medical community support

The NCQA's Physician Practice Connections (PPC®) -PCMH TM program reflects the input of the American College of Physicians (ACP), American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP) and American Osteopathic Association (AOA).