7: None of the above Oncology Multi, Multi, 50 words. Percent. Percent. 8 Checkboxes. Checkboxes. N/A OK. N/A OK. 1: Individual 1: Primary care, From 0 to 100. From 0 to 100. Physician, 2: Specialty 2: Practice Site, 3: Medical Group/IPA/Staff model Group, 4: PCMH, 5: ACO, 6: Other (describe), 7: None of the above Asthma Multi, Multi, 50 words. Percent. Percent. 9 Checkboxes. Checkboxes. N/A OK. N/A OK. 1: Individual 1: Primary care, From 0 to 100. From 0 to 100. Physician, 2: Specialty 2: Practice Site, 3: Medical Group/IPA/Staff model Group, 4: PCMH, 5: ACO, 6: Other (describe), 7: None of the above NCQA Recognition Multi, Multi, 50 words. Percent. Percent. 10 program Checkboxes. Checkboxes. N/A OK. N/A OK. certification 1: Individual 1: Primary care, From 0 to 100. From 0 to 100. Physician, 2: Specialty (consistent with 2: Practice Site, plan response in 3: Medical directory section) Group/IPA/Staff model Group, 4: PCMH, 5: ACO, 6: Other (describe), 7: None of the above Patient experience Multi, Multi, 50 words. Percent. Percent. 11 survey data (e.g., Checkboxes. Checkboxes. N/A OK. N/A OK. A-CAHPS) 1: Individual 1: Primary care, From 0 to 100. From 0 to 100. Physician, 2: Specialty 2: Practice Site, 3: Medical Group/IPA/Staff model Group, 4: PCMH, 5: ACO,
7: None of the above Oncology Multi, Checkboxes. 1: Individual Physician, 2: Practice Site, 3: Medical Group/IPA/Staff model Group, 4: PCMH, 5: ACO, 6: Other (describe), 7: None of the above Multi, Checkboxes. 1: Primary care, 2: Specialty 50 words. Percent. N/A OK. From 0 to 100. Percent. N/A OK. From 0 to 100. 8 Asthma Multi, Checkboxes. 1: Individual Physician, 2: Practice Site, 3: Medical Group/IPA/Staff model Group, 4: PCMH, 5: ACO, 6: Other (describe), 7: None of the above Multi, Checkboxes. 1: Primary care, 2: Specialty 50 words. Percent. N/A OK. From 0 to 100. Percent. N/A OK. From 0 to 100. 9 NCQA Recognition program certification (consistent with plan response in directory section) Multi, Checkboxes. 1: Individual Physician, 2: Practice Site, 3: Medical Group/IPA/Staff model Group, 4: PCMH, 5: ACO, 6: Other (describe), 7: None of the above Multi, Checkboxes. 1: Primary care, 2: Specialty 50 words. Percent. N/A OK. From 0 to 100. Percent. N/A OK. From 0 to 100. 10 Patient experience survey data (e.g., A-CAHPS) Multi, Checkboxes. 1: Individual Physician, 2: Practice Site, 3: Medical Group/IPA/Staff model Group, 4: PCMH, 5: ACO, Multi, Checkboxes. 1: Primary care, 2: Specialty 50 words. Percent. N/A OK. From 0 to 100. Percent. N/A OK. From 0 to 100. 11
Qualified%20Health%20Plan%20Certification%20Application%20Fourth%20Quarter%202017%20Smal....docx