Priority Health - Physician and Practice News Digest - Winter 2020 and PIP Manual

January 4, 2021

Please read the attachment for the latest news from Priority Health!


In addition from Priority Health:

The 2021 PCP Incentive Program (PIP) manual is finalized and available for download. Visit 2021 PCP Incentive Program Manual ( to view.


Overview of 2021 finalized PIP manual

2021 new measures

  • Childhood Immunizations: Combo 10 (report only) - New as of December 23 for the finalized manual
  • Well Child Visits 15 – 30 Months (report only)
  • Kidney Health Evaluation for Patients with Diabetes (report only)
  • Social Determinates of Health
  • Health Information Exchange Participation with MiHIN

2021 revised measures

  • Care Management
  • Medication Therapy Management (MTM)
  • Healthy Michigan Plan (HRA)
  • Acute Hospital Utilization (AHU) (report only)
  • Emergency Department Utilization (EDU) (report only)

Retired measures

  • Depression Screening and Follow up
  • Medicaid Patient-Centered Medical Home (PCMH)
  • Risk Adjustment

For a detailed list of program changes, see our News & Education webpage.