Prevalidation for PCMH and PCSP:
Pricing and Fees

Initial Fees

Fee TypeAmountDue Date
Prevalidation Handbook (ePub) $250 NA
Program Application Fee $4,750 Due with signed Prevalidation Review Agreement
Multiproduct Application Fee (vendors applying for more than 1 program/ product at the same time) $6,750 Due with signed Prevalidation Review Agreement
Per Reviewable Competency Fee (vendor determines number of competency areas for which to apply) $1,500 each Full payment due prior to the virtual Prevalidation Review

NCQA Prevalidation Handbook: Contains detailed information about prevalidation, eligible criteria, and the application and agreement.

Program Application Fee (nonrefundable): The initial fee 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.

Multi-Application Fee (nonrefundable): The initial fee paid with the submission of a signed Vendor Prevalidation Agreement; provides a two-program/product discount and includes prevalidation for PCMH/PCSP. It covers preliminary discussions and gives guidance for reviewing vendor software solutions and alignment with NCQA standards.

Per Reviewable Competency Fee (nonrefundable): A fee submitted for prevalidation review. The number of competencies submitted for review determines the fee.

Annual or Special-Event Fees

Fee TypeAmountDue Date
Transfer Fee $2,000 Due shortly after new standards releases as specified by PCMH program director
Annual Maintenance Fee (single product renewals) $1,200 Due annually on anniversary of Initial prevalidation date
Annual Maintenance Fee (multiproduct renewals) $2,000 Due annually on anniversary of Initial prevalidation date

Transfer Fee: Covers the cost of transferring existing eligible prevalidation credit to an updated version (e.g., transfer PCMH 2014 to PCMH 2017.) This fee is paid by current prevalidated vendors in lieu of a full program application fee and annual maintenance fee (if applicable).

Annual Maintenance Fee (nonrefundable): Required each year for maintaining prevalidation status. Covers support and issue resolution. The initial term is 12 months; thereafter, the prevalidation status renews on its annual anniversary renewal date, which is when the renewal fee is due. A discount is given to vendors with prevalidation for multiple programs.

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