Everything You Need to Know About NYS PCMH: A Special Pediatric Webinar

Register for this pre-recorded Webinar here.

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The NYS AAP District II, A coalition of AAP NY Chapters 1, 2 & 3, will be working with all members on a NYS Patient Centered Medical Home practice transformation project with the support of NYSDOH.

NYSDOH, in partnership with NCQA, has developed a New York specific Patient-Centered Medical Home model, known as, NYSPCMH.  The newly designed NCQA PCMH 2017 model is distinctly different in design than prior programs and NYSDOH has embraced these changes in support of advancing primary care and pediatrics throughout the State.

We will be bringing information, technical assistance and practice supports to all of our members who wish to work to improve the quality of their care, enhance their payment options and participate in the state’s new Value Based Payment Road Map.

The project includes not only free technical assistance support for all size practices from NYSDOH contracted vendors but also several other incentives.  In collaboration with NCQA, NYSDOH is waiving NYSPCMH enrollment fees for the new PCMH and sustaining practices.  NYSDOH and their health plan regional partners are strategizing additional financial support for participating practices.  For more information please visit www.ncqa.org/nyspcmh.

As we launch this new initiative, expect to see monthly newsletters, especially focused on NYSPCMH for pediatrics. We will also be offering two webinars and two face-to-face meetings to drill down into the specifics of how pediatric practices can move toward NYSPCMH.

Right now you can access FAQ’s about NYSPCMH for pediatricians here.

You are also encouraged to take a look at the Technical Assistance groups ready to help you and your practice now. Technical Assistance, supported by SDOH, can help you take your practice from where you are today to where you might like to be by the end of 2019. NYSPCMH Technical Assistance is free and is focused on the goals and incentives in the new NYSPCMH practice model. The TA is designed for practices who are just starting out on the road to NYSPCMH and the new world of Value Based Payments. It is also for practices who are currently at all Levels of NCQA Patient Centered Medical Homes and wish to participate in NYSPCMH.

We look forward to working with all of you, our members, to move all of New York State pediatric practices forward toward NYSPCMH. We also will be working with you to help you engage in Value Based Payment contracts that recognize the value of pediatric care as primary prevention as well as needed specialty care.

The work of this initiative will span the spectrum of insurance products. As you know, both Medicaid and commercial plans are moving toward Value Based Payment (VBP) contract environments.  This new initiative will help prepare pediatric practices for the road ahead in terms of both credentialing and contracting.

This is just the first introductory Newsletter, announcing the project and offering you some links for additional information.  Much more specific details will follow.

NYSPCMH and Value Based Payment are no longer far in the future.  They are here.  Working together on this project, we can help your practices from Buffalo to the tip of Long Island prepare for the new world of health care delivery in New York State.

Elie Ward, MSW

Project Manager, NYS AAP/NYSPCMH Project

Director of Policy, Advocacy & External Relations, NYS AAP