Primary Care Alternative Payment Criteria Other Care Delivery Payment Outcomes/ NCQA Measure Definition Department Domain Category Areas of Impact Standard Initiatives Practices will provide patients with 24 Well Child Care; Access and 24 hour phone CPC, CPC+, Level I hour, 7 day a week access to a Depression 1B2 Continuity access SIM provider or clinician. Screening Practices will focus their care models on wellness and prevention and will provide their patients access to Well Child Care; Access and Primary care Level I primary care providers from the Depression ACC 1.0 Continuity focus following specialties: Family Medicine, Screening Internal Medicine, Pediatrics, and OB/Gyn. Practices will provide patients with access to care and their provider/care Well Child Care; Access and Level I Extended hours teams outside of the standard working Depression CPC+, ACC 1.0 1A2 Continuity hours. At least one alternatively Screening scheduled day a week. Provider Practices will assign 75% patients to a Well Child Care; Access and CPC, CPC+, Level II empanelment provider who will serve as their Depression 2A2 Continuity SIM (75%) primary point of care. Screening Practices will ensure timely access to Well Child Care; Access and Same day Level I care through integration and use of Depression 1A1 Continuity appointments same day appointments. Screening Practices will provide patients with 24 Well Child Care; Access and 24 hour EHR hour, 7 day a week access to a CPC, CPC+, Level II Depression 1B3 Continuity access provider or clinician who has real-time SIM Screening access to their medical records. Provider Practices will assign 95% patients to a Well Child Care; Access and CPC, CPC+, Level III empanelment provider who will serve as their Depression 2A2 Continuity SIM (95%) primary point of care. Screening
Primary Care Alternative Payment Criteria Care Delivery Domain Measure Definition Payment Category Outcomes/ Areas of Impact Other Department Initiatives NCQA Standard Access and Continuity 24 hour phone access Practices will provide patients with 24 hour, 7 day a week access to a provider or clinician. Level I Well Child Care; Depression Screening CPC, CPC+, SIM 1B2 Access and Continuity Primary care focus Practices will focus their care models on wellness and prevention and will provide their patients access to primary care providers from the following specialties: Family Medicine, Internal Medicine, Pediatrics, and OB/Gyn. Level I Well Child Care; Depression Screening ACC 1.0 Access and Continuity Extended hours Practices will provide patients with access to care and their provider/care teams outside of the standard working hours. At least one alternatively scheduled day a week. Level I Well Child Care; Depression Screening CPC+, ACC 1.0 1A2 Access and Continuity Provider empanelment (75%) Practices will assign 75% patients to a provider who will serve as their primary point of care. Level II Well Child Care; Depression Screening CPC, CPC+, SIM 2A2 Access and Continuity Same day appointments Practices will ensure timely access to care through integration and use of same day appointments. Level I Well Child Care; Depression Screening 1A1 Access and Continuity 24 hour EHR access Practices will provide patients with 24 hour, 7 day a week access to a provider or clinician who has real-time access to their medical records. Level II Well Child Care; Depression Screening CPC, CPC+, SIM 1B3 Access and Continuity Provider empanelment (95%) Practices will assign 95% patients to a provider who will serve as their primary point of care. Level III Well Child Care; Depression Screening CPC, CPC+, SIM 2A2