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New York State Medicaid Updates Patient-Centered Medical Home Payment Program

New York State Medicaid announced changes to the reimbursement amounts for providers at practices that are Patient-Centered Medical Home (PCMH) recognized by the National Committee for Quality Assurance.

Effective July 1, 2017, the revised reimbursement amounts will apply to Medicaid Managed Care (MMC) and Medicaid Fee-for-Service (FFS) as follows:

PCMH Update 05.26.17

Please note: Incentive payments will no longer be available for NCQA’s 2011 standards.

Please visit http://nycreach.org/practice-transformation/#pcmh for the latest news regarding PCMH. For questions, please contact pcmh@health.nyc.gov.