Practices will take on new Medicaid Well Child Care; Access and Accept new Level II patients as their care team capacity Depression ACC 1.0 Continuity patients permits. Screening Practices will implement at least one form of asynchronous communication Well Child Care; Access and Asynchronous 1A3, 1B3, Level III (patient portal, email, text messaging, Depression CPC, SIM Continuity communication 1C5 etc.) and will set appropriate and Screening timely follow-up standards. Appropriate Asthma medications; HbA1c Care Preventive Practices will regular screen patients testing; Well Child Level I ACC 1.0 Management health screening for preventive health issues. Care; Depression Screening; SUD Screening Appropriate Asthma medications; HbA1c Practices will proactively manage and Care Medication testing; Well Child CPC, CPC+, Level I review each patient's respective 4C Management management Care; Depression SIM medications. Screening; SUD Screening Appropriate Asthma Practices will develop protocols and medications; HbA1c Care Release of processes whereby they can request, testing; Well Child Level I 5C Management previous records receive, and send patient records from Care; Depression previous providers. Screening; SUD Screening Appropriate Asthma medications; HbA1c Population Practices will employ data-driven Care testing; Well Child CPC, CPC+, Level II stratification: methods and tools (including BDIM) to 3D; 4A1 Management Care; Depression SIM, ACC 1.0 methods risk stratify all empaneled patients. Screening; SUD Screening
Access and Continuity Accept new patients Practices will take on new Medicaid patients as their care team capacity permits. Level II Well Child Care; Depression Screening ACC 1.0 Access and Continuity Asynchronous communication Practices will implement at least one form of asynchronous communication (patient portal, email, text messaging, etc.) and will set appropriate and timely follow-up standards. Level III Well Child Care; Depression Screening CPC, SIM 1A3, 1B3, 1C5 Care Management Preventive health screening Practices will regular screen patients for preventive health issues. Level I Appropriate Asthma medications; HbA1c testing; Well Child Care; Depression Screening; SUD Screening ACC 1.0 Care Management Medication management Practices will proactively manage and review each patient's respective medications. Level I Appropriate Asthma medications; HbA1c testing; Well Child Care; Depression Screening; SUD Screening CPC, CPC+, SIM 4C Care Management Release of previous records Practices will develop protocols and processes whereby they can request, receive, and send patient records from previous providers. Level I Appropriate Asthma medications; HbA1c testing; Well Child Care; Depression Screening; SUD Screening 5C Care Management Population stratification: methods Practices will employ data-driven methods and tools (including BDIM) to risk stratify all empaneled patients. Level II Appropriate Asthma medications; HbA1c testing; Well Child Care; Depression Screening; SUD Screening CPC, CPC+, SIM, ACC 1.0 3D; 4A1
Primary%20Care%20Alternative%20Payment%20Memo%20v3%20for%2012.1%20meeting.docx