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Medical management provides necessary resources and tools for Connecticut Medial Assistance Program (CMAP) enrolled providers to reference and use as they manage and treat HUSKY Health members.
Connecticut’s PCMH program offers CMAP-enrolled providers a comprehensive support program for practices pursuing and maintaining their PCMH recognition status.
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The following are questions that you may have regarding Person-Centered Medical Homes and on the process of becoming a PCMH recognized group.
Q: Can my practice still apply for the State of Connecticut Department of Social Services (DSS) Person-Centered Medical Home (PCMH) program if providers are not Connecticut Medical Assistance Program (CMAP) enrolled?
A: No, providers must be CMAP enrolled prior to submitting a PCMH application. Providers must also be enrolled as pediatric, internal medicine, family practice, or geriatric Primary Care Providers (PCPs).
Q: How do I apply to become a CMAP provider?
A: To start the enrollment application, click here, read the instructions on the following page, and then click "Next."
Q: Can DOs, APRNs, and PAs participate in the DSS PCMH program?
A: Yes, as long as the providers manage a panel of patients, they are CMAP providers, and if at least 60% of their clinical hours are spent providing primary care services to a panel of patients. PA and APRN practitioners that do not have their own panel of patients but serve to support the panel of a PCP can qualify as PCMH providers.
Q: What types of practices can participate in the DSS PCMH program?
A: Practices that are eligible to participate in the DSS PCMH program are community based private Primary Care practices, Outpatient Hospital Clinics and FQHC practices. For more information, click here.
Q: What is the process to participate in the PCMH program?
A: If you are already recognized with National Committee for Quality Assurance (NCQA) or The Joint Commission (TJC) under their PCMH program, you may complete the DSS PCMH application and submit it for approval. If you are not already recognized, you may join the Glide Path Program, which provides technical assistance for achieving NCQA PCMH recognition or TJC accreditation and PCMH certification.
Q: What is the Glide Path Program?
A: The Glide Path is a program that provides financial (private practices and hospital clinics only) and technical assistance (for all practice settings) to practices working toward PCMH recognition. For more information, click here.
Q: Do I need to complete a separate DSS PCMH application for each site if one or more practice sites are applying?
A: Yes, a separate DSS PCMH application needs to be submitted for each practice site.
Q: If one or more practice sites are applying for the Glide Path Program, do I need to complete a separate Glide Path application for each site?
A: Yes, a separate Glide Path application needs to be submitted for each practice site.
Q: What are the financial incentives that practices can receive for participating in the Glide Path or PCMH programs?
A: For information on financial incentives, click here.
Q: Can my practice achieve PCMH recognition without an Electronic Health Record (EHR)?
A: An EHR is recommended as a valuable tool to achieve NCQA PCMH recognition under their current standards.
Q: How do I know if my EHR is Office of the National Coordinator for Health Information Technology (ONC) certified?
A: Your EHR vendor should be able to tell you if your EHR is certified.
Q: Can my practice still apply to the PCMH program if we do not have an ONC certified EHR?
A: Yes, your practice can still apply to the PCMH program.
Q: What is the NCQA pre-validation program?
A: For more information on the NCQA pre-validation program, click here.
Q: How can I find out if my EHR qualifies for pre-validation?
A: For a list of pre-validated vendors, click here.
Q: Who can apply to be a NCQA-recognized Patient-Centered Medical Home (PCMH)?
A: Individual or group practices with Primary Care Providers (PCPs), where at least 75% of the PCPs’ patients come for:
Please Note: Only clinicians who can be selected by a patient/family as a personal clinician are eligible.
Q: What PCPs should I include as part of my QPASS account?
A: All the PCPs who work together at a site must be included.
Q: What is a multi-site practice?
A: Multi-site practices:
Q: Where can I find more information about the NCQA PCMH process?
A: For more information, click here.
Q: What is Q-PASS?
A: Q-PASS is NCQA’s Quality Performance Assessment Support System. It is the electronic platform for completing the PCMH recognition process.
Q: What is the NCQA pricing for PCMH recognition?
A: NCQA PCMH recognition pricing is based on a practice’s eligibility for single site pricing or multi-site pricing, and on the number of clinicians in the practice. For more information, click here.
Q: How do I renew/sustain my NCQA PCMH recognition?
To find answers to Pediatric Specific FAQ’s, click here.
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