APPENDIX B: PCMH-Kids PMPM Rates Contract Year PMPM Rate for PMPM Rate for PMPM Rate for Max PMPM Care Coordination Transformation Performance Incentives Year 1: Start-Up $2.50 $1.00 N/A $3.50 Year 2: $3.00 N/A $0.50 for meeting $3.50 Performance Year thresholds 1 (ED/quality/customer experience) Year 3: $3.00 N/A $0.50 for meeting $3.50 Performance Year thresholds 2 (ED/quality/customer experience)
Contract Year PMPM Rate for Care Coordination PMPM Rate for Transformation PMPM Rate for Performance Incentives Max PMPM Year 1: Start-Up $2.50 $1.00 N/A $3.50 Year 2: Performance Year 1 $3.00 N/A $0.50 for meeting thresholds (ED/quality/customer experience) $3.50 Year 3: Performance Year 2 $3.00 N/A $0.50 for meeting thresholds (ED/quality/customer experience) $3.50 APPENDIX B: PCMH-Kids PMPM Rates