Patient-Centered Medical Home – Awards $5.3 Million in SHARED SAVINGS
2014 Shared Savings payments were awarded on October 1, 2015, to 19 of 37 PCMH entities. Payments ranged from $8K to $900K. In order to qualify for shared savings, the PCMH entities successfully completed practice support activities, reduced overall per beneficiary cost of care and met two-thirds of required quality metrics as outlined in the PCMH policy manual. The payments are initial payments with final payments anticipated late first quarter of 2016.
PBPM PAYMENTS
Per Beneficiary Per Month payments will be paid the first of November.
TIPS TO PASS CARE PLAN RE-VALIDATION
If you are in your second year of the Arkansas Medicaid PCMH program, you will soon receive a request from PCMH QA for your care plans. Here are some tips to ensure your success:
- Be sure that you have talked with your practice transformation facilitator about your care plans and have discussed the specifics for submitting them.
- You need only submit a care plan for each beneficiary from the 2015 year.
- Make certain your documentation is complete and choose your best “care plan.
CHANGES REPORTED IN HIGH PRIORITY BENEFICIARY LIST
If you have not done so, please download your most recent quarterly report from the AHIN portal released on Sept. 22, 2015. It is encouraged that you compare your beneficiary list with the past quarter to identify any changes.
Please send questions or program concerns to pcmh@afmc.org or you may contact Gloria Boone at gboone@arkmed.org.