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Are You Eligible for PCSP Recognition?

NCQA Recognition programs are clinical practice site-based evaluations for clinicians and care organizations who provide care to patients as part of the medical neighborhood. Each program evaluates how care is provided to all patients in the practice based on the role of the entity as a medical home neighbor.

Who Is Eligible for PCSP Recognition?

All types of medical specialties or subspecialties are eligible, including:

  • Specialists who see patients infrequently.
  • Specialists who see patients for a short episode of care.
  • Specialists who provide care for chronic diseases or extended illnesses.
  • Clinicians who receive referrals from PCPs and other non-primary care specialists, and can demonstrate a capability to meet the standards.

Clinicians Who Qualify for PCSP

Clinicians who qualify include:

  • Nonprimary care specialty doctors of medicine (MD), doctors of osteopathy (DO), advanced practice registered nurses (APRN) (including nurse practitioners and clinical nurse specialists) and certified nurse midwives.
  • Any of the following behavioral healthcare practitioners:
    • Doctoral or master’s-level psychologists who are state certified or licensed.
    • Doctoral or master’s-level clinical social workers who are state certified or licensed.
    • Doctoral or master’s-level marriage and family counselors who are state certified, registered or licensed by the state to practice independently.
  • Physician assistants, certified nurse midwives and nurse practitioners are eligible to be listed on NCQA’s website as providers if they have their own panel of patients.
  • Hospital-based specialty care practices and residency clinics.

Who Does Not Qualify for PCSP Recognition

  • Doctors of chiropractic (DC), doctors of optometry (OD), doctors of podiatric medicine (DPM).
  • Rehabilitation facilities or hospitals.

 

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