Early elective deliveries Multi, Multi, 50 words. Multi, Percent. or early inductions Checkboxes. Checkboxes. Checkboxes. 1: Individual 1: Primary care, 1: Physician without medical Physician, 2: Specialty Feedback, indication* 2: Practice Site, 2: Physician 3: Medical Feedback with Group/IPA/Staff Benchmarking, model Group, 3: Threshold 4: PCMH, Element for P4P 5: ACO, or Shared Risk, 6: Other (describe), 4: P4P Payment 7: None of the above (performance determines amount of bonus) Prenatal and Multi, Multi, 50 words. Multi, Percent. Postpartum Care Checkboxes. Checkboxes. Checkboxes. 1: Individual 1: Primary care, 1: Physician Physician, 2: Specialty Feedback, 2: Practice Site, 2: Physician 3: Medical Feedback with Group/IPA/Staff Benchmarking, model Group, 3: Threshold 4: PCMH, Element for P4P 5: ACO, or Shared Risk, 6: Other (describe), 4: P4P Payment 7: None of the above (performance determines amount of bonus) Appropriate Treatment Multi, Multi, 50 words. Multi, Percent. for Children with Checkboxes. Checkboxes. Checkboxes. Upper Respiratory 1: Individual 1: Primary care, 1: Physician Physician, 2: Specialty Feedback, Infection* 2: Practice Site, 2: Physician 3: Medical Feedback with Group/IPA/Staff Benchmarking, model Group, 3: Threshold 4: PCMH, Element for P4P 5: ACO, or Shared Risk, 6: Other (describe), 4: P4P Payment 7: None of the above (performance determines amount of bonus) NCQA Recognition Multi, Multi, 50 words. Multi, Percent. program certification Checkboxes. Checkboxes. Checkboxes. 1: Individual 1: Primary care, 1: Physician (consistent with plan Physician, 2: Specialty Feedback, response in directory 2: Practice Site, 2: Physician section) (E) 3: Medical Feedback with Group/IPA/Staff Benchmarking, model Group, 3: Threshold 4: PCMH, Element for P4P
Early elective deliveries or early inductions without medical indication* 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. Multi, Checkboxes. 1: Physician Feedback, 2: Physician Feedback with Benchmarking, 3: Threshold Element for P4P or Shared Risk, 4: P4P Payment (performance determines amount of bonus) Percent. Prenatal and Postpartum Care 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. Multi, Checkboxes. 1: Physician Feedback, 2: Physician Feedback with Benchmarking, 3: Threshold Element for P4P or Shared Risk, 4: P4P Payment (performance determines amount of bonus) Percent. Appropriate Treatment for Children with Upper Respiratory Infection* 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. Multi, Checkboxes. 1: Physician Feedback, 2: Physician Feedback with Benchmarking, 3: Threshold Element for P4P or Shared Risk, 4: P4P Payment (performance determines amount of bonus) Percent. NCQA Recognition program certification (consistent with plan response in directory section) (E) Multi, Checkboxes. 1: Individual Physician, 2: Practice Site, 3: Medical Group/IPA/Staff model Group, 4: PCMH, Multi, Checkboxes. 1: Primary care, 2: Specialty 50 words. Multi, Checkboxes. 1: Physician Feedback, 2: Physician Feedback with Benchmarking, 3: Threshold Element for P4P Percent.
Qualified%20Health%20Plan%20Certification%20Application%20Fourth%20Quarter%202017%20Smal....docx