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News for Priority Health Provider Network
February/March 2010

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Priority Health supports the NCQA PPC-PCMH recognition

Priority Health supports the NCQA PPC-PCMH recognition Priority Health is pleased to continue to support advancements in primary care into 2010 and will reward practices that have been recognized by the National Committee for Quality Assurance (NCQA), paying $1, $2 or $3 pmpm for 12 months (fully funded commercial members only). Payment will be determined by NCQA recognition tier.

What is the NCQA's PPC-PCMH program?

NCQA offers a Physician Practice Connections (PPC®) -PCMHTM program to recognize practices as a patient-centered medical home (PCMH). There are nine PPC® standards with 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.

Complete details are available at ncqa.org/tabid/631/Default.aspx.

In addition, since Priority Health is a sponsor of the NCQA PPC®-PCMHTM program, practices identifying themselves as part of our network receive a 20% discount on their application fee.

Keep us informed!

The only way we'll know you're eligible for the infrastructure support payment is if you tell us. So that we have our systems ready to begin payment to you, we need to know who is applying for the NCQA recognition.

  • Forward a copy of the e-mail confirmation/application receipt you receive from NCQA.
  • Include your best estimate for your practice’s NCQA PPC®-PCMHTM tier.

If you've already forwarded your NCQA application "receipt" e-mail to your PAR, thank you! If not, please do so as soon as possible.

If you've already received recognition and/or applied

Congratulations! The survey is a rigorous process. It shows your commitment to your patients and to high-quality care. Be sure to let us know when NCQA informs you of your recognition.

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