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.

Standard Survey Pricing: Single Sites

The standard survey fee is for practices undergoing the NCQA Recognition process for the first time, and for Renewal Surveys. Pricing is by individual practice site.

Number of Clinicians in the Practice Initial Fee for Practice to Obtain a Survey Tool License Application Fees for NCQA Review and Recognition Total License and Application Fees
1 $80 $550 $630
2 $80 $1,100 $1,180
3 $80 $1,650 $1,730
4 $80 $2,200 $2,280
5 $80 $2,750 2830
6 $80 $3,300 3380
7 $80 $3,850 3930
8 $80 $4,400 4480
9 $80 $4,950 $5,030
10 $80 $5,500 5580
11 $80 $6,050 6130
12 $80 $6,600 $6,680
13+ $80 $6,600 + $55 for each clinician $6,680 + $55 for each clinician

Multi-Site Group Survey Pricing

Several practice sites that share a common system or processes may be eligible for an NCQA Multi-Site Group Survey. Sites must meet eligibility requirements, complete a self-assessment and purchase a Survey Tool for each practice site, plus an additional Survey Tool for the Multi-Site Group Survey. NCQA reviews PCMH elements approved for the shared processes or systems first (the Multi-Site Group Survey), then applies the results to all practice sites in the multi-site group. The remaining elements are completed for each practice site.

There is a 50 percent discount on the standard survey fee for practice sites applying under a Multi-Site Group Survey. That is, the full cost for an organization to apply through the Multi-Site Group Survey process = Multi-Site Group Survey application fee (the first table below) and the application fees for each practice site (with a 50 percent discount on the standard survey fee; the second table below) + Survey Tool purchases for each site and the Multi-Site Group Survey.

Number of Clinicians at a Practice Site Practice Site Application Fee
1 $275
2 $550
3 $825
4 $1,100
5 $1,375
6 $1,650
7 $1,925
8 $2,200
9 $2,475
10 $2,750
11 $3,025
12 $3,300
 13+  $3,300 + $27.50 for each additional clinician

Number of Practice Sites in a Practice Group Multi-Site Group Survey Application Fee
3-5  $1,600
6-9  $2,700
10-15  $3,800
16-19  $4,900
20-24  $6,000
25-29  $7,100
30-34  $8,200
35-39  $9,300
40-44  $10,400
45-50  $11,500
51+  $12,600

Note: Practices may use only one PCSP pricing discount for a survey. If a practice uses a sponsored discount, it may not also use the Multi-Site Group Survey discount.

Add-On and Conversion Survey Pricing

Practices can apply for an Add-On Survey to advance to a higher PCSP recognition level. There is no need to purchase an additional Survey Tool; NCQA provides a Survey Tool based on the practice’s previous submission. The application fee for an Add-on Survey is discounted to 50 percent of the standard application fees, even if a practice paid the discounted fee for its Initial Survey.

Number of Clinicians in Practice  Add-On and Conversion Survey Application Fees
 1  $275
 2  $550
 3  $825
 4  $1,100
 5  $1,375
 6  $1,650
 7  $1,925
 8  $2,200
 9  $2,475
 10  $2,750
 11  $3,025
 12  $3,300
 13+  $3,300 + $27.50 for each additional clinician

NEW REFUND POLICY

NCQA will refund 80% of the Initial Recognition Fee paid by a practice if the practice cancels their application with NCQA within 45 calendar days of payment. After this time, there is no right to a refund. For refund requests submitted within 5 calendar days of payment, NCQA will refund the Initial Recognition fee in full.  All refund requests must be in writing and should be submitted via https://my.ncqa.org/. There is no right to a refund for any other fees or costs paid to NCQA. This policy is in effect as of 9/1/2018.

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.

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