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News for Priority Health Provider Network
October/November 2010

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NCQA payment for 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 Oct. 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.

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