Heart/Stroke Recognition Program: Pricing
This pricing goes into effect January 1, 2020.
NCQA’s Heart/Stroke Recognition Program pricing is based on the price of 1 Data Collection Tool (DCT) license, and the number of clinicians seeking recognition in a clinician group.
DCT License
The DCT license ($85 each), provides the materials needed to apply for recognition including the NCQA Heart/Stroke Recognition Requirements, program agreements and Web-based DCT.
Pricing: Full Fee Application Schedule
| Number of Clinicians | Full Application Fee |
|---|---|
| 1 | $600 |
| 2 | $1,200 |
| 3 | $1,800 |
| 4 | $2,400 |
| 5 | $3,000 |
| 6-100 | $3,600 Capped Fee for 6-100 Clinicians |
| >100 | $3,600 + $12.00 per clinician >100 |
Pricing: Discounted Application Fee Schedule
NCQA offers a discounted fee schedule (20%) to sponsored clinicians and clinician groups through NCQA’s Partner In Quality Program. Sponsors are organizations that promote the recognition programs to clinician groups. The discounted schedule does not apply to multi-site or multi-program applications.
Pricing Guidelines
- A clinician group with more than one practice site location may purchase one (1) DCT license for data submission for all of its practice sites for all associated clinicians, provided each practice site can be bound by the same Business Associate Agreement (BAA). If the organization would require a separate BAA for each practice site, additional DCT licenses must be purchased for each practice site requiring a separate BAA.
- A clinician group may submit DCTs for different locations at different times; however, adding additional clinicians to a particular practice site that has already submitted for recognition requires completion of an additional DCT. The application fee due for the additional clinicians are based upon the number of clinicians submitting for recognition at that time.
Pricing: Capped Fees & Refunds
- Capped Fees. The capped fee must be paid in full at the time of the first submission(s). A clinician group has twelve (12) months from receipt of the capped fee payment by NCQA to complete the submission process for all clinicians. After that year ends, the applicant must start over with the sliding fee schedule in effect at that time. If the number of clinicians exceeds 100 during the 12-month period, the surcharge is applied. this word is missing at the end of the sentence.
Pricing is subject to change. Since agreements can be completed at any time prior to submitting a DCT, the most current fee schedule applies at the time of submission. DCT license and application fees are nonrefundable.
MAC REVIEW
A fee is charged for a MAC review. MAC reviews will be priced when they are initiated and will be 50% of the current recognition fee for the practice(s) or site(s) being reviewed. The recognition fee is based on the current number of clinicians or sites and the recognition price at the time of the MAC review. This may be the initial recognition fee, the standard survey price, or the full application fee as each is described in the fee schedule for the applicable recognition program.