NCQA Measure Specification Hub to Support CMS Innovation Center Programs/Models
To assess the quality of new and innovative delivery models, NCQA is proud to partner with CMS/CMMI to provide complimentary access to applicable NCQA measure specifications for Innovation Center model participants. This page allows organization with CMS/CMMI participation agreements to download the applicable measure specifications and related content for use in specific models. Questions related to the models should be directed to the Innovation Center.
INSTRUCTIONS:
Please complete the below intake form(s) that meet your needs. Note that you must submit a separate intake form for each program.
If you are a program participant, select the “program participant” checkbox and click “SUBMIT”. You will be granted immediate access to the applicable program measures and related content, such as NCQA’s Medication List Directory and/or Risk Adjustment Tables. Your use of the measures is subject to the associated Terms of Use found as a hyperlink within each intake form which in part requires you to only use the NCQA measures for the sole purpose of participating in the programs. If you do not agree with the Terms of Use, please contact NCQA directly via my.ncqa.org to discuss a custom Terms of Use.
If you are a vendor or consultant who will assist program participants, select the “vendor or consultant” checkbox and click “SUBMIT”. NCQA will contact you for a custom license to meet your needs.
Community Health Access and Rural Transformation (CHART)
Through the Community Health Access and Rural Transformation (CHART) Model, CMS aims to continue addressing disparities by providing a way for rural communities to transform their health care delivery systems by leveraging innovative financial arrangements as well as operational and regulatory flexibilities.
Primary Care First (PCF)
Primary Care First is a voluntary alternative five-year payment model that rewards value and quality by offering an innovative payment structure to support the delivery of advanced primary care. In response to input from primary care clinician stakeholders, Primary Care First is based on the principles underlying the existing Comprehensive Primary Care Plus (CPC+) model design: prioritizing the clinician-patient relationship; enhancing care for patients with complex chronic needs, and focusing financial incentives on improved health outcomes.
INTEGRATED CARE FOR KIDS (INCK)
The Integrated Care for Kids (InCK) Model is a child-centered local service delivery and state payment model that aims to reduce expenditures and improve the quality of care for children under 21 years of age covered by Medicaid through prevention, early identification, and treatment of behavioral and physical health needs. Some programs also include Children’s Health Insurance Program (CHIP) beneficiaries and pregnant woman over age 21 who are covered by Medicaid. The model empowers states and local providers to better address these needs, as well as the impact of opioid addiction through care integration across all types of healthcare providers.