PCSP Recognition: Pricing

Fees apply to each clinician associated with the practice’s recognition. NCQA PCSP Recognition pricing is based on a practice’s eligibility for single-site pricing or multi-site pricing, and on the number of clinicians in the practice.

Pricing: Single Site

Single site pricing is for organizations with fewer than three practice sites, or for organizations with three or more practice sites that do not meet multi-site criteria. Practices seeking recognition for the first time pay the recognition fee at enrollment. Thereafter, they pay the recognition fee during Annual Reporting. Fees apply to each clinician associated with the practice’s recognition.

Number of CliniciansInitial Recognition Fee Annual Reporting Fee
1-12 $500 $120
13+ $50 $12

Example: The example below will provide you some context as to how pricing is applied. For this example, an organization has 1 practice site with 16 clinicians. The organization pays $6,200 for its Initial Recognition Fee.
Initial Recognition Fee
Site A Cost for clinicians 1-12 ($500 each) Cost for clinicians 13+ ($50 each) Total
16 clinicians $6,000 $200 $6,200

Annual Reporting Example: In the example below, the organization pays $1,448 each year during Annual Reporting.
Annual Reporting Fee
Site A Cost for clinicians 1-12 ($120 each) Cost for clinicians 13+ ($12 each) Total
16 clinicians $1,440 $48 $1,488

Pricing: Multi-Site

Multi-site pricing is for practices that:

  • Have three or more practice sites operating under the same legal entity (organizations with three or more practice sites that do not meet multi-site criteria, qualify for single-site pricing).
  • Share an EHR system.
  • Have at least some of the same policies and procedures.

Practices seeking recognition for the first time pay the recognition fee at enrollment. Thereafter, they pay the recognition fee during Annual Reporting. Fees apply to each clinician in each practice that earns recognition.

Number of Clinicians Initial Recognition Fee Annual Reporting Fee
1-12 $250 $120
13+ $25 $12

Example: The example below will provide you some context as to how pricing is applied. For this example, an organization has 3 practice sites. Site A has 14 clinicians, Site B has 6 clinicians, Site C has 16 clinicians. The organization pays $7,650 for its Initial Recognition Fee.
Initial Recognition Fee
Site Cost for clinicians 1-12 ($250 each) Cost for clinicians 13+ ($25 each) Total
Site A (14 clinicians) $3,000 $50 $3,050
Site B (6 clinicians) $1,500 - $1,500
Site C (16 clinicians) $3,000 $100 $3,100
$7,650

Annual Reporting Example: In the example below, the organization pays $3,672 each year during Annual Reporting.
Annual Reporting Fee
Site Cost for clinicians 1-12 ($120 each) Cost for clinicians 13+ ($12 each) Total
Site A (14 clinicians) $1,440 $24 $1,464
Site B (6 clinicians) $720 - $720
Site C (16 clinicians) $1,440 $48 $1,488
$3,672

Pricing: Extra Check-In

Practices that have not achieved recognition after the third check-in or have not completed recognition within the 12-month allotted timeframe can purchase an extra check-in. The pricing for the extra check-in is 50% of the initial per clinician fee paid by the practice. Fees apply to each clinician associated with the practice’s recognition.

Number of Clinicians Extra Check-in Fee Single-Site per Clinician Extra Check-in Fee Multi-Site per Clinician
1-12 $250 $125
13+ $25 $12.50

Refund Policy

NCQA offers a refund policy, but only if a practice has not completed its first check-in.

  • A 100% refund if the application has not yet been imported (minus a refund fee of $50).
  • A 90% refund if the application has been imported, but no representative has yet been assigned.
  • A 50% refund if the application has been imported and the practice has had a call with their representative.

No refund after first virtual check-in has been completed.

Partners In Quality Discount Pricing

The Partners in Quality discount* is now available for both single and multi-site practices pursuing recognition for the first time. NCQA offers a discount to applicants sponsored by NCQA Partners in Quality (health plans, employers and other organizations that provide resources and services to support practices in pursuit of PCMH transformation).

Practices that use a Partner In Quality discount code receive 20% OFF their initial recognition fee.

To get this discount, request a discount code from your Partners in Quality sponsor organization and apply it when you pay during enrollment.

*Applies to initial recognition fees only.

See if an organization you work with is a Partner in Quality.

  • Save

    Save your favorite pages and receive notifications whenever they’re updated.

    You will be prompted to log in to your NCQA account.

  • Email

    Share this page with a friend or colleague by Email.

    We do not share your information with third parties.

  • Print

    Print this page.