New requirement for enrollment eligibility: The practice must have at least 150 attributed beneficiaries at the time of enrollment.
If you are currently enrolled in PCMH, you should have received an application form with a list of current participating providers. Providers who are currently enrolled with your PCMH practice do not have to be listed on the new application, nor is a signature required. However, a signature is required for any new provider(s) included in the enrollment application.
The application process and enrollment requirements are available for review here.
Please submit a complete and accurate application to ARKPCMH@dxc.com. Applications submitted via fax will not be accepted.