Timeline for Physician Organizations
The approximate timeline for adding a new Physician Organization for participation in PGIP is:
Timeframe | Action |
---|---|
June | PGIP opens to new POs' announcement published. |
July to August | Inquiries/application materials accepted (completed packets due at the end of August). |
September | Application materials reviewed by Blue Cross, Field Operations staff conduct initial site visit. |
October | List of new POs finalized, POs formally invited to join PGIP. Note: New PO’s contract isn’t effective until the first of the following year. New POs aren’t eligible to receive payments until their contract is in force. |
November | New POs begin aligning practitioners and practices in the PGIP Practitioner Alignment tool; Field Operations staff conduct return visits and orient PO to PGIP. |
December |
New POs are formally invited to attend first PGIP quarterly meeting. |
January | New PO’s PGIP contract begins; new PO is included in the Winter PGIP hierarchy snapshot. |
April | New POs begin receiving PGIP data distribution (claims feeds, datasets, etc.). |
July | New POs receive first PGIP reward payment. Note: Blue Cross reserves the right to determine when new POs will be eligible to begin receiving incentive payment. |