Priority Health - 2020 Medicaid Patient Centered Medical Home Incentive

November 9, 2020

To help practices who are busier than normal in 2020 we’ll use our existing data sources to collect Medicaid PCMH incentive information.

As a reminder, the 2020 Medicaid PCMH incentive has 3 requirements:

  • Active PCMH recognition
  • Participation in the Health Information Exchange through MiHIN
  • Engagement with care management

There’s nothing you need to do. We’ll gather this information from the following sources:

  • PCMH: We’ll use the practice PCMH status from the network capability survey submission.
  • .Participation in the Health Information Exchange through MiHIN: Our relationship with MiHIN will provide us this data.
  • Care management engagement: We know which practices submitted the care management attestation and will determine practice performance to target at year-end settlement. Both the attestation and measure target must be met to be eligible for this incentive.