Population Health Management Prevalidation:
2024 Pricing and Fees

Fees below are effective starting January 1, 2024.

Initial Fees

Vendors pay an initial application fee, plus a per element fee to earn prevalidated status.

Program Application Fee (nonrefundable): This fee is paid with submission of a signed Vendor Prevalidation Agreement. It covers preliminary discussions and gives guidance for reviewing vendor software solutions and alignment with NCQA standards.

Program Application Fees

Fee TypeFee
Application Fee$11,250

Per Element Fee (nonrefundable): A fee submitted for prevalidation review. The number of elements submitted for review determines the fee.

Per Element Fee

# of ElementsFee
1$2,250
2$4,500
3$6,750
4$9,000

Annual Maintenance Fees

An annual maintenance fee (nonrefundable) is required each year on the annual anniversary renewal date for maintaining prevalidation status and covering administrative support. Annual Maintenance fees will now be based on the Per Element Fee, which is enforced on the anniversary date.  For anniversaries between January 1, 2024, and December 31, 2024, the below Per Element Fees apply.

Annual Maintenance Fee

# of ElementsFee
1$2,250
2$4,500
3$6,750
4$9,000

 

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