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Organization Programs Supported Type of Support Program Description
Adirondack Health Institute
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Regional collaborative. For more information email jmunger@ahihealth.org

Advocate Physician Partners
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Alabama Coordinated Health Network
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

ACHN is a care management system that requires Primary Care Physicians to participate with an ACHN entity in the region where the PCP practices. PCP practices that achieve PCMH Recognition will receive a five percent bonus payment.

American Board of Family Medicine
  • Patient-Centered Medical Home
  • Diabetes Recognition Program (DRP)
  • Heart/Stroke
  • Maintenance of Certification (MOC) icon

    Maintenance of Certification (MOC)

For more information email awilliamson@theabfm.org

American Board of Internal Medicine
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Maintenance of Certification (MOC) icon

    Maintenance of Certification (MOC)

American Board of Pediatrics
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Maintenance of Certification (MOC) icon

    Maintenance of Certification (MOC)

For more information email moc@abpeds.org

American Board of Physical Medicine and Rehabilitation
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Maintenance of Certification (MOC) icon

    Maintenance of Certification (MOC)

Recognizes PCSP

Americares
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Supports free, charitable, hybrid and look-alike clinics. Application process annually

Amerigroup Community Care
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

For more information contact Mike Smith at 678-587-4843

Arkansas BlueCross BlueShield
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Provides increased care coordination payments for NCQA PCMH Recognition

Arkansas Foundation for Medical Care
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

For more information email pcmhpt@afmc.org

Best Practices Academy
  • Patient-Centered Medical Home
  • Patient-Centered Connected Care
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

BizMed Solutions
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

HIT Solution; for more information email mgurarie@bizmedsolutions.com

Blue Cross Blue Shield of Florida
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Partner in Quality icon

    Partner in Quality

Practice participation is by invitation only; for information contact ValueBasedOperationsTeam@bcbsfl.com

Blue Cross Blue Shield of North Carolina
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Blue Cross Blue Shield of North Dakota
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

For additional information call 800-342-4718

Blue Cross Blue Shield of Rhode Island
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Mandates NCQA PCMH; policies located in the Provider Tools section under the Tools & Resources once logged in

Blue Cross Blue Shield of South Carolina
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Blue Cross Blue Shield of Tennessee
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Mandates NCQA PCMH; pays application fee up to $25K per practice.

BlueCross BlueShield of Alabama
  • Patient-Centered Medical Home
  • Diabetes Recognition Program (DRP)
  • Financial Incentives icon

    Financial Incentives

  • Partner in Quality icon

    Partner in Quality

Information on PCMH requires provider log in

California Primary Care Association
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Provides training and technical assistance to member clinics; practice transformation coaching for PCMH available. Also offers PCMH + educational program for NCQA PCMH transformation process. For more info contact pdy@cpca.org

Capital District Physicians’ Health Plan
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

CareSource of Georgia
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

For more information call 855-202-0729

Center for Advancement of Health IT
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

For more information email info@advancehealthit.org

Central California Alliance for Health
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

Financially supports initial PCMH recognition and Behavioral Health Integration

Central New York Care Collaborative
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Colorado Community Health Network
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

For more information email qidteam@cchn.org

Colorado Primary Care Advanced Payment Model
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

Program incentivizes care that improves both health outcomes and coordination in the health care delivery system. Recognized PCMH practices in the APM model will be awarded “credit.”

Community Care Network of Kansas
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Primary Care Association for Kansas; provides training and technical assistance to member clinics

Community Care of North Carolina
  • Patient-Centered Medical Home
  • Diabetes Recognition Program (DRP)
  • Heart/Stroke
  • Care Management Support icon

    Care Management Support

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

Regional network

Community Care Plan
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

Reimburses providers for 80% of total costs incurred to become PCMH recognized – maximum compensation not to exceed $15K. For more information call 855-819-9506

Community Health Network of Connecticut
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

State mandated NCQA PCMH

Connecticut HUSKY Health
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

DSS PCMH program for practices serving Medicaid members

Connecticut SIM Initiative
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

Available for FQHCs and private practices. Practices that receive the PCMH designation are eligible for enhanced reimbursements. Practices also receive state-funded practice transformation support.

CORHIO
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

District of Columbia Health Home Program
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

DC has two Health Home Programs to serve populations with chronic conditions. PCMH Recognition is a requirement for practices to enroll in Health Home.

Emtiro Health
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

Consultant

Excellus Health Plan
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Florida Academy of Family Physicians
  • Patient-Centered Medical Home
  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Florida Chapter-American Academy of Pediatrics
  • Patient-Centered Medical Home
  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Florida MMA PCMH/PIP
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

Providers paid at Medicare rate; many MMA plans use PCMH certification as a qualification for the Physician Incentive Program however plans can determine the model they want to use (state’s or their own).

Georgia Chapter American Academy of Pediatrics
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Georgia Medicaid P4P Incentive Program
  • Patient-Centered Medical Home

Provider incentives available to support costs to transform and sustain PCMH recognition.

Hawaii QUEST Integration Managed Care PCMH Program
  • Patient-Centered Medical Home

Recognized practices can be considered Tier 1 or Tier 2 PCMHs and plans develop a reimbursement methodology that provides higher payment to the more advanced Tier 2 PCMH.

Health Resources Services Administration
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

Financial support for the cost of NCQA PCMH Recognition

HealthArch
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

For more information email JoinHealthARCH@ucf.edu

Healthcare Association of New York State
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Diabetes Recognition Program (DRP)
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Technical assistance vendor

HealthTeam Works
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Humana, Inc.
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Partner in Quality icon

    Partner in Quality

Provides PMPM payment for care coordination services and maintaining PCMH Recognition. PCMH program offered in most states nationwide, excluding Florida, California, Hawaii and Puerto Rico.

Idaho Healthy Connections
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

Tiered payment structure where the higher tiered payment is based on various factors including a practice’s PCMH Recogntion.

Iowa Health Home Program
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

Chronic Condition Health Home Program focused on whole-person, patient-centered, coordinated care for all stages of life and transitions of care. NCQA PCMH is required to become a Health Home.

Kentucky Regional Extension Center
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

For more information email kyrec@uky.edu

Lousiana Healthcare Connections
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

Lousiana Healthcare Quality Forum
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

QIO; for more information email info@lhcqf.org

MACRA
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)

Clinicians in NCQA Recognized PCMHs/PCSPs automatically get full credit in the MIPS CPIA category

Maine Health Home Program
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

Health Homes are a partnership between an enhanced Health Home primary care practice and one of ten Community Care Teams around the state. Both organizations receive a PMPM payment for Health Home services provided to MaineCare members who have two chronic conditions, or one chronic condition and at risk for another. Health Home services include care coordination, case management, individual and family support, and health promotion/education.

Maine Primary Care Association
  • Patient-Centered Medical Home
  • Diabetes Recognition Program (DRP)
  • Heart/Stroke
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Massachusetts Health Policy Commission PCMH Certification
  • Patient-Centered Medical Home

As of 2019, the HPC adopted the NCQA Distinction in Behavioral Health Integration as the standard for certifying Massachusetts primary care practices as PCMHs.

Meridian Health Plan
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Care Management Support icon

    Care Management Support

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

Contact your Meridian Provider Relations Representative to learn more about earning PCMH Recognition and the Meridian PCMH Incentive Program.

Meridian Health Plan
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Partner in Quality icon

    Partner in Quality

Michigan SIM Initiative
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

Participants will receive quarterly payments for attributed eligible Medicaid beneficiaries; two types of payments are available – Care Management and Coordination and Performance Incentive Plan

Missouri Health Home Program
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

Provides intensive care coordination and care management as well as addresses social determinants of health for a medically complex population. NCQA PCMH Recognition is required to receive financial incentives.

New Jersey Academy of Family Physicians
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

For more information email sandi@njafp.org

New Jersey Chapter, American Academy of Pediatrics
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

New Jersey Innovation Institute
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

2020 program details pending

New Mexico Centennial Care (NM MMC)
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

Practices receive an enhanced PMPM for receiving national recognition

New York eHealth Collaborative
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

New York Medicaid PCMH Incentive Program
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

Practices that participate in NYS PCMH transformation may be eligible to receive supplemental payments ($6 PMPM payment for eligible clinicians) through State Medicaid PCMH Incentive Program.

NewHealth Collaborative
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

North Carolina Area Health Education Center
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

Regional network; For more information email practicesupport@ncahec.net

OneCity Health Services
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

Performing Provider System. For more information email ochsupportdesk@nychhc.org

Optimum Physician Alliance
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Care Management Support icon

    Care Management Support

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

For more information email shriver.melanie@opawny.com

Oregon Patient-Centered Primary Care Home
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

PCPCH deems NCQA PCMH for select requirements.

Peach State Health Plan
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Mandates NCQA PCMH

Pediatric Health Network
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

Pediatric Innovation Center
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

QIO/CIN

Pittsburgh Regional Health Initiative (PRHI)
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

Presbyterian Health Plan, Inc.
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

For more information email drevard@phs.org or call 505-923-5423

Qualidigm
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

QIO; for more information contact Michele Kelvey-Albert at malbert@qualidigm.org

Rhode Island Care Transformation Collaborative
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

Supplemental PMPM payments designed to drive practice transformation and quality improvement, and apply for national PCMH recognition.

Rhode Island Quality Institute
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

For more information email info@riqi.org or call 888-858-4815

Rocky Mountain Health Plan
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

SelectHealth
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Care Management Support icon

    Care Management Support

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Provides support to assist practices in transforming to a medical home delivery model, and provides care coordination payments to sites participating in SelectHealth Advanced Primary Care medical home program. For more information contact medicalhome@selecthealth.org.

Simply Healthcare
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

Financial support toward the cost of NCQA PCMH Recognition

South Carolina MCO Provider Quality Incentive Program
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

Increased PMPM provided for PCMH recognition

South Carolina Medical Association
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

Sunshine Health
  • Patient-Centered Medical Home
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

Supports BH Distinction program

Superior Health Plan
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

Tennessee PCMH Initiative
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

Providers are compensated for supporting the initial start-up requirements of becoming a PCMH and for performing required new activities. Providers are also eligible for bonus payments for improvements in the quality and efficiency of the care they provide.

Texas Healthcare Transformation and Quality Improvement Program (aka Texas DSRIP)
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

Provides incentive payments to hospitals, physician practices, community mental health centers and local health departments to support their efforts to enhance access to health care, the quality of care, and the health of patients and families served. The waiver extended through September 2022. NCQA PCMH identified as desired model.

UPMC Health Plan
  • Patient-Centered Medical Home
  • Patient-Centered Connected Care
  • Patient-Centered Specialty Practice Recognition (PCSP)
  • Financial Incentives icon

    Financial Incentives

  • Care Management Support icon

    Care Management Support

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Partner in Quality icon

    Partner in Quality

Covers the full cost of initial application recognition fee for PCMH, PCSP and PCCC. For additional information contact UPMC Health Plan at 1-866-918-1595.

Vermont BluePrint for Health/MAPCP Demo
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

Eligibility requirements include achieving NCQA PCMH recognition; enhanced PMPM is tied to actual NCQA PCMH Recognition scores.

Wellcare of Georgia
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

For more information email PCMH_GA@wellcare.com

Wellcare of Nebraska
  • Patient-Centered Medical Home
  • Coaching/Technical Assistance icon

    Coaching/Technical Assistance

  • Learning Collaborative icon

    Learning Collaborative

  • Partner in Quality icon

    Partner in Quality

For more information email .NE_PCMH@wellcare.com or call 402-547-0383

Wyoming Department of Health- WyHealth Care Management Program
  • Patient-Centered Medical Home
  • Financial Incentives icon

    Financial Incentives

Pays an additional PMPM case management fee to primary care practitioners that meet certain requirements including NCQA PCMH Recognition.