Connect with NCQA

twitter linkedin facebook google+ youtube pinterest

Report an Error

Use NCQA’s Feedback Form to report a broken link, or content error.

NCQA PCMH & PCSP Recognition Program Pricing

Note: This pricing is for recognition for NCQA PCSP and PCMH 2014 only. If you are looking for pricing for the redesigned PCMH recognition program and standards released in 2017, please click here

Recognition Program Payment Portal

Practices must submit payment via the Recognition Program Payment Portal. The portal will generate a payment application for the practice to submit payment via credit card or e-check prior to submitting their application. It also includes instructions for mailing in a paper check.

Standard Survey Pricing

The standard survey fee is for practices undergoing the NCQA Recognition process for the first time, and for Renewal Surveys. Pricing is by individual practice site. 

Number of Clinicians in the Practice
Initial Fee for Practice to Obtain a Survey Tool License
Application Fees for NCQA Review and Recognition
Total License and Application Fees
1 $80
$550
$630
2
$80
$1,100
$1,180
3
$80
$1,650
$1,730
4
$80
$2,200
$2,280
5
$80
$2,750
$2,830
6
$80
$3,300
$3,380
7
$80
$3,850
$3,930
8
$80
$4,400
$4,480
9
$80
$4,950
$5,030
10
$80
$5,500
$5,580
11
$80
$6,050
$6,130
12
$80
$6,600
$6,680
13+
$80
$6,600 + $55 for each clinician
$6,680 + $55 for each clinician

Discount for Sponsored Practices

NCQA offers a 20 percent discount on a Full Survey to applicants sponsored by health plans, employers and other programs. This discount applies:

  • To sponsors that have 10 or more applications in a market area within a 12-month period.
Number of Clinicians in Practice
Initial Fee for Survey Tool License
Application Fees for NCQA Review and Recognition
Total License and Application Fees
 1  $80  $440  $520
 2  $80  $880  $960
 3  $80  $1,320  $1,400
 4  $80  $1,760  $1,840
 5  $80  $2,200  $2,280
 6  $80  $2,640  $2,720
 7  $80  $3,080  $3,160
 8  $80  $3,520  $3,600
 9  $80  $3,960  $4,040
 10  $80  $4,400  $4,480
 11  $80  $4,840  $4,920
 12  $80  $5,280  $5,360
 13+  $80  $5,280 + $44 for each additional clinician  $5,360 + $44 for each additional clinician

Add-On and Conversion Survey Pricing

Practices can apply for an Add-On Survey to advance to a higher PCMH or PCSP recognition level. There is no need to purchase an additional Survey Tool; NCQA provides a Survey Tool based on the practice’s previous submission. The application fee for an Add-on Survey is discounted to 50 percent of the standard application fees, even if a practice paid the discounted fee for its Initial Survey.

A practice that is eligible to convert from PCMH 2011 to PCMH 2014 must purchase a PCMH 2014 Survey Tool; the conversion fee is discounted to 50 percent of the standard fees for each.

 

Number of Clinicians
in Practice
Add-On and Conversion
Survey Application Fees
 1  $275
 2  $550
 3  $825
 4  $1,100
 5  $1,375
 6  $1,650
 7  $1,925
 8  $2,200
 9  $2,475
 10  $2,750
 11  $3,025
 12  $3,300
 13+  $3,300 + $27.50 for each additional clinician

Multi-Site Group Survey Pricing

Note: Practices may use only one PCMH pricing discount for a survey. If a practice uses a sponsored discount, it may not also use the Multi-Site Group Survey discount.

Several practice sites that share a common system or processes may be eligible for an NCQA Multi-Site Group Survey. Sites must meet eligibility requirements, complete a self-assessment and purchase a Survey Tool for each practice site, plus an additional Survey Tool for the Multi-Site Group Survey. NCQA reviews PCMH elements approved for the shared processes or systems first (the Multi-Site Group Survey), then applies the results to all practice sites in the multi-site group. The remaining elements are completed for each practice site.

There is a 50 percent discount on the standard survey fee for practice sites applying under a Multi-Site Group Survey. That is, the full cost for an organization to apply through the Multi-Site Group Survey process = Multi-Site Group Survey application fee (the first table below) and the application fees for each practice site (with a 50 percent discount on the standard survey fee; the second table below) + Survey Tool purchases for each site and the Multi-Site Group Survey.

 Number of Practice Sites in a
Practice Group
Multi-Site Group Survey
Application Fee
 3-5  $1,600
 6-9  $2,700
10-15
 $3,800
 16-19  $4,900
 20-24  $6,000
25-29  $7,100
30-34  $8,200
35-39  $9,300
40-44  $10,400
45-50  $11,500
51+  $12,600

 

 Number of Clinicians
at a
Practice Site
Practice Site
Application Fee
 1  $275
 2  $550
 3  $825
 4  $1,100
 5  $1,375
 6  $1,650
 7  $1,925
 8  $2,200
 9  $2,475
 10  $2,750
 11  $3,025
 12  $3,300
 13+  $3,300 + $27.50 for each additional clinician

 

Reconsideration

A practice may seek Reconsideration of a Recognition status decision, as described in the Policies and Procedures. A fee of $1,100 per site or the Add-On Survey fee, whichever is less, is payable when the practice requests Reconsideration.

Oncology Medical Home Recognition

Initial or renewing practices choosing to pursue both PCSP and Oncology Medical Home Recognitions will follow the fee schedule outlined for PCSP Recognition above.

Currently recognized practices with PCSP Level 2 or 3 who are eligible for Oncology Medical Home Recognition may purchase an add-on survey and will follow the fee scheduled outlined for PCSP add-on surveys above.

Recognition will rely on a hybrid review process that combines both desktop and virtual check-ins. In the case a practice requires more than three virtual check-ins to complete the survey, the practice will be required to pay an add-on survey fee (50% of the full survey price) consistent with the current add-on fee pricing.