in CY do not 2015 or total 100% most recent 12 months Provide Dollars. Percent. Percent. Percent. Multi, For 3 the total N/A OK. N/A OK. N/A OK. N/A OK. dollars paid to 1: ACO, Unknown 2: PCMH, providers Note: 3: Medical through bundled provided payment in this row programs do not without total 100% quality in CY 2015 or most recent 12 months Provide Dollars. Percent. Percent. Percent. Multi, For 4 the total N/A OK. N/A OK. N/A OK. N/A OK. dollars paid to 1: ACO, Unknown 2: PCMH, providers Note: 3: Medical through partial or provided in this row do not capitation total 100% programs without quality in CY 2015 or most recent 12 months
in CY 2015 or most recent 12 months do not total 100% Provide the total dollars paid to providers through bundled payment programs without quality in CY 2015 or most recent 12 months Dollars. N/A OK. Percent. N/A OK. Percent. N/A OK. Percent. N/A OK. Multi, 1: ACO, 2: PCMH, 3: Medical For Unknown Note: provided in this row do not total 100% 3 Provide the total dollars paid to providers through partial or capitation programs without quality in CY 2015 or most recent 12 months Dollars. N/A OK. Percent. N/A OK. Percent. N/A OK. Percent. N/A OK. Multi, 1: ACO, 2: PCMH, 3: Medical For Unknown Note: provided in this row do not total 100% 4
Qualified%20Health%20Plan%20Certification%20Application%20Fourth%20Quarter%202017%20Smal....docx