New York Medicaid Changes Reimbursements To Patient-Centered Medical Homes

The New York Department of Health has announced changes to its patient-centered medical home (PCMH) incentive program for Medicaid provider organizations. The changes affect incentive payments made in all delivery systems, including managed care, fee-for-service, professional and institutional. The changes reduce payments to provider organizations certified as PCMHs under the 2011 National Committee for Quality Assurance (NCQA) standards; and increase payments for provider organizations certified as PCMHs under the 2014 NCQA standards. The revised payment structure goes into effect January 1, 2016.

New York's PCMH incentive program currently provides incentive payments to provider organizations certified as . . .