Value-based reimbursement and PCMH designation effective dates are changing

Primary care physician value-based reimbursement and Patient-Centered Medical Home designation effective dates are changing to assure that all data is complete before producing and releasing the final results. The new dates are Sept. 1, 2018, through Aug. 31, 2019. This schedule will apply in future years.

The current value-based reimbursement level and PCMH designation status, which was slated to end on June 30, 2018, is extended through Aug. 31, 2018.

Primary care physicians who meet certain criteria are eligible for reimbursement in accordance with the value-based reimbursement fee schedule, which sets fees at greater than 100 percent of the standard fee schedules. To receive this reimbursement, physicians must meet the criteria associated with PCMH designation, clinical quality value-based reimbursement, provider-delivered care management, cost benchmark or advanced practice.