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Changes to PCMH Reimbursement Incentive Payments

New York State (NYS) Medicaid has proposed to change the reimbursement incentive payments for providers working at Patient-Centered Medical Home (PCMH)-recognized practices. A detailed breakdown of incentive payment changes are available here.

Based on the announced proposal, the first set of incentive payment changes will be in effect from May 1 to June 30, 2018. A second set of incentive payment changes will begin July 1, 2018 and will align with the principles of value-based payment (VBP).

Additional guidance and educational materials on the incentive payments will be published in the coming months. NYC REACH will continue to update members on these changes.

For further questions about PCMH, please contact PCMH@health.nyc.gov.


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