[Sum of Rows 2, 3 4 and 5] Provide Dollars. Percent. Percent. Percent. Multi, For 7 the total N/A OK. N/A OK. N/A OK. N/A OK. dollars From 0 to paid to 1: ACO, Unknown 2: PCMH, providers Note: 3: Medical through provided in this row programs do not with total 100% quality in CY 2015 or most recent 12 months Provide Dollars. Percent. Percent. Percent. Multi, For 8 the total N/A OK. N/A OK. N/A OK. N/A OK. dollars From 0 to paid to 10000000000000000. 1: ACO, Unknown 2: PCMH, providers Note: 3: Medical through FFS-based provided in this row do not programs total 100% with quality in CY 2015 or most recent 12 months Provide Dollars. Percent. Percent. Percent. Multi, For 9 the total N/A OK. N/A OK. N/A OK. N/A OK. dollars From 0 to paid to 10000000000000000. 1: ACO, Unknown 2: PCMH, providers
[Sum of Rows 2, 3 4 and 5] Provide the total dollars paid to providers through programs with quality in CY 2015 or most recent 12 months Dollars. N/A OK. From 0 to 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% 7 Provide the total dollars paid to providers through FFS-based programs with quality in CY 2015 or most recent 12 months Dollars. N/A OK. From 0 to 10000000000000000. 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% 8 Provide the total dollars paid to providers Dollars. N/A OK. From 0 to 10000000000000000. Percent. N/A OK. Percent. N/A OK. Percent. N/A OK. Multi, 1: ACO, 2: PCMH, For Unknown 9
Qualified%20Health%20Plan%20Certification%20Application%20Fourth%20Quarter%202017%20Smal....docx