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PCMH Recognition: Pricing

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

NCQA PCMH Recognition pricing is based on a practice’s eligibility for single site pricing or multi-site pricing, and on the number of clinicians in the practice. 

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Pricing: Single Site 

Single site pricing is for organizations with fewer than three practice sites, or for organizations with three or more practice sites that do not meet multi-site criteria. Practices seeking recognition for the first time pay the recognition fee at enrollment. Thereafter, they pay the recognition fee at their annual check-in. Fees apply to each clinician associated with the practice’s recognition.

 Number of Clinicians Initial Recognition Fee Annual Recognition Fee
 1-12  $500 $400 Save 20% through September 30, 2017  $120
 13+ $50 $40 Save 20% through September 30, 2017  $12

 

Example: The example below will provide you some context as to how pricing is applied. For this example, an organization has 1 practice site with 16 clinicians.

Initial Recognition Fee
Site A Cost for clinicians
1-12 ($500 each)
Cost for clinicians
13+ ($50 each)
Total
16 clinicians $6,000 $200 $6,200


The organization pays $6,200 for its Initial Recognition Fee, but receives a 20% discount if it enrolls before September 30, 2017, bringing its total to $4,960.

Annual Reporting Fee
Site A Cost for clinicians
1-12 ($120 each)
Cost for clinicians
13+ ($25 each)
Total
16 clinicians $1,440 $48 $1,448

 

The organization pays $1,448 each year during its annual reporting period. 

Pricing: Multi-Site 

Multi-site pricing is for practices that:

  • Have three or more practice sites operating under the same legal entity. 
  • Share an EHR system. 
  • Have at least some of the same policies and procedures. 

Practices seeking recognition for the first time pay the recognition fee at enrollment. Thereafter, they pay the recognition fee at their annual check-in. Fees apply to each clinician in each practice that earns recognition.

Single site pricing is for organizations with fewer than three practice sites, or for organizations with three or more practice sites that do not meet multi-site criteria. Practices seeking recognition for the first time pay the recognition fee at enrollment. Thereafter, they pay the recognition fee at their annual check-in. Fees apply to each clinician associated with the practice’s recognition.

 Number of Clinicians Initial Recognition Fee Annual Recognition Fee
 1-12 $250 $200 Save 20% through September 30, 2017  $120
 13+ $25 $20 Save 20% through September 30, 2017  $12

 

Example: The example below will provide you some context as to how pricing is applied. For this example, an organization has 3 practice sites. Site A has 14 clinicians, Site B has 6 clinicians, Site C has 16 clinicians.

Initial Recognition Fee
Site Cost for clinicians
1-12 ($250 each)
Cost for clinicians
13+ ($25 each)
Total
Site A (14 clinicians) $3,000 $50 $3,050
Site B (6 clinicians)  $1,500 - $1,500
Site C (16 clinicians)  $3,000  $100 $3,100
  $7,650

 

The organization pays $7,650 for its Initial Recognition Fee, but receives a 20% discount if it enrolls before September 30, 2017, bringing its total to $6,120.

Annual Reporting Fee
Site Cost for clinicians
1-12 ($120 each)
Cost for clinicians
13+ ($25 each)
Total
Site A (14 clinicians) $1,440 $24 $1,464
Site B (6 clinicians)  $720 - $720
Site C (16 clinicians)  $1,440 $48 $1,488
  $3,672

 

The organization pays $3,672 each year during its annual reporting period. 

Partners In Quality Discount Pricing

The Partners in Quality discount* is now available for both single and multi-site practices pursuing recognition for the first time. NCQA offers a discount to applicants sponsored by NCQA Partners in Quality (health plans, employers and other organizations that provide resources and services to support practices in pursuit of PCMH transformation). 

To get this discount, request a discount code from your Partners in Quality sponsor organization and apply it when you pay during enrollment. 

*Applies to initial recognition fees only. 

See if an organization you work with is a Partner in Quality.


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